دورية أكاديمية
A comparison of radiation dose between standard and 3D angiography in congenital heart disease.
| العنوان: | A comparison of radiation dose between standard and 3D angiography in congenital heart disease. |
|---|---|
| المؤلفون: | Manica JL, Borges MS, Medeiros RF, Fischer Ldos S, Broetto G, Rossi Filho RI |
| المصدر: | Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2014 Aug; Vol. 103 (2), pp. 131-7. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print Cited Medium: Internet ISSN: 1678-4170 (Electronic) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia |
| مواضيع طبية MeSH: | Radiation Dosage*, Coronary Angiography/*methods , Heart Defects, Congenital/*diagnostic imaging , Imaging, Three-Dimensional/*methods, Adolescent ; Adult ; Child ; Child, Preschool ; Coronary Angiography/adverse effects ; Female ; Humans ; Infant ; Male ; Reference Values ; Retrospective Studies ; Risk Factors ; Statistics, Nonparametric ; Young Adult |
| مستخلص: | Background: The use of three-dimensional rotational angiography (3D-RA) to assess patients with congenital heart diseases appears to be a promising technique despite the scarce literature available. Objectives: The objective of this study was to describe our initial experience with 3D-RA and to compare its radiation dose to that of standard two-dimensional angiography (2D-SA). Methods: Between September 2011 and April 2012, 18 patients underwent simultaneous 3D-RA and 2D-SA during diagnostic cardiac catheterization. Radiation dose was assessed using the dose-area-product (DAP). Results: The median patient age and weight were 12.5 years and 47.5 Kg, respectively. The median DAP of each 3D-RA acquisition was 1093µGy.m2 and 190µGy.m2 for each 2D-SA acquisition (p<0.01). In patients weighing more than 45Kg (n=7), this difference was attenuated but still significant (1525 µGy.m2 vs.413µGy.m2, p=0.01). No difference was found between one 3D-RA and three 2D-SA (1525µGy.m2 vs.1238 µGy.m2, p = 0.575) in this population. This difference was significantly higher in patients weighing less than 45Kg (n=9) (713µGy.m2 vs.81µGy.m2, P = 0.008), even when comparing one 3D-RA with three 2D-SA (242µGy.m2, respectively, p<0.008). 3D-RA was extremely useful for the assessment of conduits of univentricular hearts, tortuous branches of the pulmonary artery, and aorta relative to 2D-SA acquisitions. Conclusions: The radiation dose of 3D-RA used in our institution was higher than those previously reported in the literature and this difference was more evident in children. This type of assessment is of paramount importance when starting to perform 3D-RA. |
| References: | Catheter Cardiovasc Interv. 2012 Nov 15;80(6):931-6. (PMID: 22431314) Catheter Cardiovasc Interv. 2004 Oct;63(2):201-7. (PMID: 15390246) Catheter Cardiovasc Interv. 2013 Jan 1;81(1):170-1. (PMID: 22511545) Br J Radiol. 2007 May;80(953):362-6. (PMID: 17202197) Catheter Cardiovasc Interv. 2007 Nov 15;70(6):900-3. (PMID: 17621667) AJNR Am J Neuroradiol. 2004 Apr;25(4):571-3. (PMID: 15090343) Br J Radiol. 2001 Feb;74(878):134-41. (PMID: 11718384) Catheter Cardiovasc Interv. 2004 Jun;62(2):167-74. (PMID: 15170705) JACC Cardiovasc Imaging. 2010 Nov;3(11):1149-57. (PMID: 21071003) Eur Radiol. 2011 Dec;21(12):2511-20. (PMID: 21792615) Pediatr Cardiol. 2008 May;29(3):686-7. (PMID: 17805917) Catheter Cardiovasc Interv. 2012 Nov 15;80(6):922-30. (PMID: 22419358) Eur Radiol. 2000;10(4):564-8. (PMID: 10795532) Pediatr Cardiol. 2012 Jan;33(1):27-35. (PMID: 21811814) Am J Cardiol. 2008 Aug 1;102(3):272-9. (PMID: 18638585) Heart Rhythm. 2007 Jan;4(1):37-43. (PMID: 17198987) Circulation. 2005 Jan 4;111(1):83-9. (PMID: 15611374) Catheter Cardiovasc Interv. 2012 Oct 1;80(4):576-80. (PMID: 22105940) Catheter Cardiovasc Interv. 2011 Mar 1;77(4):546-56. (PMID: 21254324) Catheter Cardiovasc Interv. 2005 Sep;66(1):43-9. (PMID: 16082684) |
| تواريخ الأحداث: | Date Created: 20140912 Date Completed: 20150413 Latest Revision: 20211021 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4150664 |
| DOI: | 10.5935/abc.20140118 |
| PMID: | 25211313 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4170 |
|---|---|
| DOI: | 10.5935/abc.20140118 |