Proposed preliminary diagnostic reference levels for three common interventional cardiology procedures in Ireland

C. D'Helft, A. McGee, L. Rainford, Sonyia McFadden, John Winder, Ciara Hughes, P. C. Brennan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

This study has gathered data across Ireland to determine the range of radiation doses received during interventional cardiology (IC) investigations. Radiation doses for three common types of IC examinations where investigated: coronary angiography ( CA), percutaneous coronary intervention (PCI) and pacemaker insertions (PPI). A total of 22 cardiac imaging suites participated in the study. Radiation dose was monitored for 1804 adult patients using dose area product (DAP) meters. Individual patient DAP values ranged from 136-23 101 cGy cm(2), 475-41 038 cGy cm(2) and 45-17 192 cGy cm(2) for CA, PCI and PPI respectively, with third quartile values of 4654 cGy cm(2), 10 650 cGy cm(2) and 1686 cGy cm(2). The importance of optimising radiation dose, while not compromising diagnostic efficacy is clear. Although setting reference levels for these complex procedures has some difficulties, it is important that some guideline values are available as a benchmark to guide the operators during these potentially high dose procedures. The third quartile values as described by this paper may offer such guidance.
LanguageEnglish
Pages63-66
JournalRadiation Protection Dosimetry
Volume129
Issue number1-3
DOIs
Publication statusPublished - Mar 2008

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Cardiology
Ireland
Radiation
Percutaneous Coronary Intervention
Coronary Angiography
Benchmarking
Guidelines

Cite this

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title = "Proposed preliminary diagnostic reference levels for three common interventional cardiology procedures in Ireland",
abstract = "This study has gathered data across Ireland to determine the range of radiation doses received during interventional cardiology (IC) investigations. Radiation doses for three common types of IC examinations where investigated: coronary angiography ( CA), percutaneous coronary intervention (PCI) and pacemaker insertions (PPI). A total of 22 cardiac imaging suites participated in the study. Radiation dose was monitored for 1804 adult patients using dose area product (DAP) meters. Individual patient DAP values ranged from 136-23 101 cGy cm(2), 475-41 038 cGy cm(2) and 45-17 192 cGy cm(2) for CA, PCI and PPI respectively, with third quartile values of 4654 cGy cm(2), 10 650 cGy cm(2) and 1686 cGy cm(2). The importance of optimising radiation dose, while not compromising diagnostic efficacy is clear. Although setting reference levels for these complex procedures has some difficulties, it is important that some guideline values are available as a benchmark to guide the operators during these potentially high dose procedures. The third quartile values as described by this paper may offer such guidance.",
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Proposed preliminary diagnostic reference levels for three common interventional cardiology procedures in Ireland. / D'Helft, C.; McGee, A.; Rainford, L.; McFadden, Sonyia; Winder, John; Hughes, Ciara; Brennan, P. C.

In: Radiation Protection Dosimetry, Vol. 129, No. 1-3, 03.2008, p. 63-66.

Research output: Contribution to journalArticle

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