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Establishing the European diagnostic reference levels for interventional cardiology

التفاصيل البيبلوغرافية
العنوان: Establishing the European diagnostic reference levels for interventional cardiology
المؤلفون: C. Koukorava, G. Simantirakis, Aoife Gallagher, Ana Diklić, José María Fernández, J Farah, Zoi Thrapsanioti, Olivera Ciraj-Bjelac, Joanna Domienik-Andrzejewska, Françoise Malchair, Marija Majer, Jérémie Dabin, Lucia Riccardi, Hannu Järvinen, Roberto M. Sánchez, Michael Sandborg, Joanna Sierpowska, L Sukupova, Teemu Siiskonen, Slaven Jurković, Carlo Maccia, Eliseo Vano, C. J. Hourdakis, Jukka Järvinen, Doris Šegota, M. Sans Merce, Željka Knežević, Chadia Rizk
المساهمون: Nofer Institute of Occupational Medicine
المصدر: Physica Medica
Volume 54
Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)
سنة النشر: 2018
مصطلحات موضوعية: Coronary angiography, medicine.medical_specialty, Skin erythema, intervenional cardiology, medicine.medical_treatment, CA, PCI, TAVI, electrophysiological procedures and pacemaker implantations, Cardiology, Biophysics, Cardiac resynchronization therapy, General Physics and Astronomy, ta3111, Total occlusion, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Radiology, Diagnostic reference levels, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Reference Values, Clinical Medical Sciences, medicine, Interventional cardiology, Radiology, Nuclear Medicine and imaging, European diagnostic reference levels, ta3126, ta114, Chemistry, Physics, ta1182, Percutaneous coronary intervention, General Medicine, Patient exposure, ta3121, NATURAL SCIENCES. Physics, 3. Good health, Europe, PRIRODNE ZNANOSTI. Fizika, Radiation Science, 030220 oncology & carcinogenesis, Conventional PCI, Radiology, Radiologi och bildbehandling, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Radiologija, Radiology, Nuclear Medicine and Medical Imaging
الوصف: 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. © 2018 Associazione Italiana di Fisica Medica
وصف الملف: application/pdf
اللغة: English
تدمد: 1120-1797
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0ea37df7da3bd8662a04b5b959d5dfde
https://repository.medri.uniri.hr/islandora/object/medri:5213
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....0ea37df7da3bd8662a04b5b959d5dfde
قاعدة البيانات: OpenAIRE
الوصف
تدمد:11201797