Abstract

The aim of this study is to compare reference levels for radiation dose in angiography and interventional radiology. Proposed reference levels for various procedures and classification of diseases are provided by fluoroscopy time and kerma area product(KAP) rate normalizing the body habitus focusing the cerebrum. Subarachnoid hemorrhage(SAH) represents the highest KAP-rates and aneurysm represents the lowest KAP-rates. According to these types of procedures, internal carotid artery(ICA), common carotid artery(CCA), and vertebral artery(VA) show the highest KAP-rates and guglielmi detachable coil shows the lowest KAP-rates. Therefore, the present study can suggested reference levels for patient radiation dose and is expected to be further useful in the field of radiation dose education and management of angiography and interventional radiology.

Keywords

Reference Level;Kerma Area Product Rate;Interventional Radiology

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References

1. 이광용, "진단방사선분야에서의 환자선량 평가 및 환자 방어", 대한인터벤션영상기술학회, pp.16-21, 2003.
2. Gray, Archer Br, and P. F. Butler, "Reference values for diagnostic radiolgy: application and impact," Radiolgy, Vol.235, pp.354-358, 2005.
3. American College of Radiology, ACR practice guideline for diagnostic reference levels in medical x-ray imaging, Practice guideline and technical standards 2008. American College of Radiology, 2008.
4. Diagnostic reference levels in medical imaging: review and additional advice, Ann ICRP 31, pp.33-52, 2001.
5. S. Balter, B. A. Schueler, D. L. Miller, and S. Balter, "Radiation doses in interventional radiology procedures: the RAD-IR study," Vasc Interv Radiol, Vol.14, pp.711-727, 2003. https://doi.org/10.1097/01.RVI.0000079980.80153.4B
6. C. L. Chapple, D. A. Broadhead, and K. Faulkner, "A phantom based method for deriving typical patient doses from measurements of dose area product on populations of patients," Br J Radiol, Vol.68, pp.1083-1086, 1995. https://doi.org/10.1259/0007-1285-68-814-1083
7. A. Peterzol, E. Quai, and R. Padovani, "Reference levels in PTCA as a function of procedure complexity," Radiation Protection Dosimetry, Vol.117, pp.54-58, 2005. https://doi.org/10.1093/rpd/nci719
8. B. Efron and R. Tibshirani, "Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy," Stat Sci, Vol.1, pp.54-77, 1986. https://doi.org/10.1214/ss/1177013815
9. D. L. Miller, D. Kwon, and G. H. Bonavia, "Reference levels for patient radiation doses in interventional radiology; proposed initial values for U.S," practice, Vol.253, No.3, pp.753-764, 2009.
10. D Hart, M. C Hillier, and B. F. Wall, Dose to patients form radiographic and fluoroscopic X-ray imaging procedures in the UK-2005 Review, Health Protection Agency, HPA-RPD-029, 2007.
11. http://sizekorea.kats.go.kr
12. F. bleeser, M.-T. Hoornarert, and K. Smans, "Diagnostic reference levels in angiography and interventional radiology: a belgian multi-center study," Radiation protection dosimetry, Vol.12, pp.50-55, 2008.
13. D. L. Miller, S. Balter, L. K. Wagner, and J. Cardella, "Quality improvement guidelines for recording patient radiation dose in the medical record," J Vasc Interv Radiol, Vol.15, pp.423-429, 2004. https://doi.org/10.1097/01.RVI.0000126814.97605.C6
14. S. Balter, "Capturing patient doses from fluoroscopically based diagnostic and interventional systems," Health Phys, Vol.95, pp.535-540, 2008. https://doi.org/10.1097/01.HP.0000327650.37315.2f
15. E. Vano and L. Gonzalez, "Approaches to establishing reference levels in interventional radiology," Radiation Protection Dosimetry, Vol.94, pp.109-112, 2001. https://doi.org/10.1093/oxfordjournals.rpd.a006451