Reference levels and patient doses in interventional cardiology procedures in Greece
Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and a...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Simantirakis, George [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Anmerkung: |
© European Society of Radiology 2013 |
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| Übergeordnetes Werk: |
Enthalten in: European radiology - Berlin : Springer, 1991, 23(2013), 8 vom: 06. Apr., Seite 2324-2332 |
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| Übergeordnetes Werk: |
volume:23 ; year:2013 ; number:8 ; day:06 ; month:04 ; pages:2324-2332 |
| Links: |
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| DOI / URN: |
10.1007/s00330-013-2813-2 |
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| Katalog-ID: |
SPR004011171 |
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| 100 | 1 | |a Simantirakis, George |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Reference levels and patient doses in interventional cardiology procedures in Greece |
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| 520 | |a Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account | ||
| 650 | 4 | |a Reference levels |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Interventional cardiology |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Effective dose |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Phantom measurements |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Optimisation |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Koukorava, Christina |4 aut | |
| 700 | 1 | |a Kalathaki, Maria |4 aut | |
| 700 | 1 | |a Pafilis, Christos |4 aut | |
| 700 | 1 | |a Kaisas, Ioannis |4 aut | |
| 700 | 1 | |a Economides, Sotirios |4 aut | |
| 700 | 1 | |a Hourdakis, Costas J. |4 aut | |
| 700 | 1 | |a Kamenopoulou, Vassiliki |4 aut | |
| 700 | 1 | |a Georgiou, Evaggelos |4 aut | |
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10.1007/s00330-013-2813-2 doi (DE-627)SPR004011171 (SPR)s00330-013-2813-2-e DE-627 ger DE-627 rakwb eng Simantirakis, George verfasserin aut Reference levels and patient doses in interventional cardiology procedures in Greece 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2013 Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 Koukorava, Christina aut Kalathaki, Maria aut Pafilis, Christos aut Kaisas, Ioannis aut Economides, Sotirios aut Hourdakis, Costas J. aut Kamenopoulou, Vassiliki aut Georgiou, Evaggelos aut Enthalten in European radiology Berlin : Springer, 1991 23(2013), 8 vom: 06. Apr., Seite 2324-2332 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 https://dx.doi.org/10.1007/s00330-013-2813-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2013 8 06 04 2324-2332 |
| spelling |
10.1007/s00330-013-2813-2 doi (DE-627)SPR004011171 (SPR)s00330-013-2813-2-e DE-627 ger DE-627 rakwb eng Simantirakis, George verfasserin aut Reference levels and patient doses in interventional cardiology procedures in Greece 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2013 Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 Koukorava, Christina aut Kalathaki, Maria aut Pafilis, Christos aut Kaisas, Ioannis aut Economides, Sotirios aut Hourdakis, Costas J. aut Kamenopoulou, Vassiliki aut Georgiou, Evaggelos aut Enthalten in European radiology Berlin : Springer, 1991 23(2013), 8 vom: 06. Apr., Seite 2324-2332 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 https://dx.doi.org/10.1007/s00330-013-2813-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2013 8 06 04 2324-2332 |
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10.1007/s00330-013-2813-2 doi (DE-627)SPR004011171 (SPR)s00330-013-2813-2-e DE-627 ger DE-627 rakwb eng Simantirakis, George verfasserin aut Reference levels and patient doses in interventional cardiology procedures in Greece 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2013 Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 Koukorava, Christina aut Kalathaki, Maria aut Pafilis, Christos aut Kaisas, Ioannis aut Economides, Sotirios aut Hourdakis, Costas J. aut Kamenopoulou, Vassiliki aut Georgiou, Evaggelos aut Enthalten in European radiology Berlin : Springer, 1991 23(2013), 8 vom: 06. Apr., Seite 2324-2332 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 https://dx.doi.org/10.1007/s00330-013-2813-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2013 8 06 04 2324-2332 |
| allfieldsGer |
10.1007/s00330-013-2813-2 doi (DE-627)SPR004011171 (SPR)s00330-013-2813-2-e DE-627 ger DE-627 rakwb eng Simantirakis, George verfasserin aut Reference levels and patient doses in interventional cardiology procedures in Greece 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2013 Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 Koukorava, Christina aut Kalathaki, Maria aut Pafilis, Christos aut Kaisas, Ioannis aut Economides, Sotirios aut Hourdakis, Costas J. aut Kamenopoulou, Vassiliki aut Georgiou, Evaggelos aut Enthalten in European radiology Berlin : Springer, 1991 23(2013), 8 vom: 06. Apr., Seite 2324-2332 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 https://dx.doi.org/10.1007/s00330-013-2813-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2013 8 06 04 2324-2332 |
| allfieldsSound |
10.1007/s00330-013-2813-2 doi (DE-627)SPR004011171 (SPR)s00330-013-2813-2-e DE-627 ger DE-627 rakwb eng Simantirakis, George verfasserin aut Reference levels and patient doses in interventional cardiology procedures in Greece 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2013 Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 Koukorava, Christina aut Kalathaki, Maria aut Pafilis, Christos aut Kaisas, Ioannis aut Economides, Sotirios aut Hourdakis, Costas J. aut Kamenopoulou, Vassiliki aut Georgiou, Evaggelos aut Enthalten in European radiology Berlin : Springer, 1991 23(2013), 8 vom: 06. Apr., Seite 2324-2332 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 https://dx.doi.org/10.1007/s00330-013-2813-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2013 8 06 04 2324-2332 |
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English |
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Enthalten in European radiology 23(2013), 8 vom: 06. Apr., Seite 2324-2332 volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 |
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Enthalten in European radiology 23(2013), 8 vom: 06. Apr., Seite 2324-2332 volume:23 year:2013 number:8 day:06 month:04 pages:2324-2332 |
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Article |
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findex.gbv.de |
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Reference levels Interventional cardiology Effective dose Phantom measurements Optimisation |
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European radiology |
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Simantirakis, George @@aut@@ Koukorava, Christina @@aut@@ Kalathaki, Maria @@aut@@ Pafilis, Christos @@aut@@ Kaisas, Ioannis @@aut@@ Economides, Sotirios @@aut@@ Hourdakis, Costas J. @@aut@@ Kamenopoulou, Vassiliki @@aut@@ Georgiou, Evaggelos @@aut@@ |
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2013-04-06T00:00:00Z |
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268757526 |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR004011171</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230520003942.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201001s2013 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00330-013-2813-2</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR004011171</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00330-013-2813-2-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Simantirakis, George</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Reference levels and patient doses in interventional cardiology procedures in Greece</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2013</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© European Society of Radiology 2013</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Reference levels</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Interventional cardiology</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Effective dose</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Phantom measurements</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Optimisation</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Koukorava, Christina</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kalathaki, Maria</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Pafilis, Christos</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kaisas, Ioannis</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Economides, Sotirios</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Hourdakis, Costas J.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kamenopoulou, Vassiliki</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Georgiou, Evaggelos</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">European radiology</subfield><subfield code="d">Berlin : Springer, 1991</subfield><subfield code="g">23(2013), 8 vom: 06. 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Simantirakis, George |
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Simantirakis, George misc Reference levels misc Interventional cardiology misc Effective dose misc Phantom measurements misc Optimisation Reference levels and patient doses in interventional cardiology procedures in Greece |
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Reference levels and patient doses in interventional cardiology procedures in Greece Reference levels (dpeaa)DE-He213 Interventional cardiology (dpeaa)DE-He213 Effective dose (dpeaa)DE-He213 Phantom measurements (dpeaa)DE-He213 Optimisation (dpeaa)DE-He213 |
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European radiology |
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Simantirakis, George Koukorava, Christina Kalathaki, Maria Pafilis, Christos Kaisas, Ioannis Economides, Sotirios Hourdakis, Costas J. Kamenopoulou, Vassiliki Georgiou, Evaggelos |
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reference levels and patient doses in interventional cardiology procedures in greece |
| title_auth |
Reference levels and patient doses in interventional cardiology procedures in Greece |
| abstract |
Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account © European Society of Radiology 2013 |
| abstractGer |
Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account © European Society of Radiology 2013 |
| abstract_unstemmed |
Objectives To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures. Methods Data concerning the fluoroscopy time and air kerma-area product (PKA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels. PKA to E conversion factors were also calculated. Results The suggested PKA RLs for CA, PCI, PMI and RFCA are 53 $ Gycm^{2} $, 129 $ Gycm^{2} $, 36 $ Gycm^{2} $ and 146 $ Gycm^{2} $, respectively, and the estimated E to the patient from these procedures is 9.7 mSv, 26.8 mSv, 5.5 mSv and 20.4 mSv, respectively. Reference levels for the fluoroscopic dose rate and dose per frame during image acquisition at the entrance of a water phantom are 29 mGy/min and 0.23 mGy/frame, respectively. Conclusions The suggested RLs are comparable to those suggested by other studies. Additional information concerning the complexity of the procedures and patient pathology should be collected for future reevaluation of the suggested RLs. Key Points • The radiation dose imparted during fluoroscopically guided interventional procedures can be high • Understanding of reference levels might help optimise interventional cardiological procedures • Optimisation by changing the systems’ settings seems feasible in some cases • Procedure complexity and the patient’s clinical problem should be taken into account © European Society of Radiology 2013 |
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| title_short |
Reference levels and patient doses in interventional cardiology procedures in Greece |
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https://dx.doi.org/10.1007/s00330-013-2813-2 |
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| author2 |
Koukorava, Christina Kalathaki, Maria Pafilis, Christos Kaisas, Ioannis Economides, Sotirios Hourdakis, Costas J. Kamenopoulou, Vassiliki Georgiou, Evaggelos |
| author2Str |
Koukorava, Christina Kalathaki, Maria Pafilis, Christos Kaisas, Ioannis Economides, Sotirios Hourdakis, Costas J. Kamenopoulou, Vassiliki Georgiou, Evaggelos |
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10.1007/s00330-013-2813-2 |
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2024-07-03T23:06:09.336Z |
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| score |
7.4001484 |