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Establishing the European diagnostic reference levels for interventional cardiology

(EURADOS) Siiskonen, Teemu; Ciraj Bjelac, Olivera; Dabin, Jeremie; Diklic, Ana; Domienik Andrzejewska, Joanna; Farah, Jad; Fernandez, Jose Miguel; Gallagher, Aoifa; Hourdakis, Constantine John; Jurkovic, Slaven; Järvinen, Hannu; Järvinen, Juka; Knežević, Željka; Koukorava, Christina; Maccia, Carlo; Majer, Marija; Malchair, Francoise; Riccardi, Lucia; Rizk, Chadia; Sanchez, Roberto; Sandborg, Michael; Sans Merce, Marta; Segota, Doris; Sierpowska, Joanna; Simantirakis, George; Sukupova, Lucia; Thrapsanioti, Zoi; Vano, Eliseo (2018) Establishing the European diagnostic reference levels for interventional cardiology. Physica Medica, 54 . pp. 42-48. ISSN 1120-1797

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Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14, 922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm2), percutaneous coronary intervention (PCI, 85 Gy cm2), transcatheter aortic valve implantation (TAVI, 130 Gy cm2), electrophysiological procedures (12 Gy cm2) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm2) and dual chamber (3.5 Gy cm2) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm2). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.

Item Type: Article
Uncontrolled Keywords: European diagnostic reference levels ; intervenional cardiology ; CA, PCI, TAVI, electrophysiological procedures and pacemaker implantations
Subjects: NATURAL SCIENCES > Physics
NATURAL SCIENCES > Interdisciplinary Natural Sciences > Radiation Science
BIOMEDICINE AND HEALTHCARE > Clinical Medical Sciences
BIOMEDICINE AND HEALTHCARE > Clinical Medical Sciences > Radiology
Divisions: Division of Materials Chemistry
Depositing User: Željka Knežević Medija
Date Deposited: 06 May 2019 13:11
DOI: 10.1016/j.ejmp.2018.09.012

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