Chinese Journal of Radiological Health 2024;33(3):229-233
doi:10.13491/j.issn.1004-714X.2024.03.001
Measurement and analysis of peak skin dose for patients withinterventional cardiology procedures
Qiaoqiao ZHAO 1 ; Yaohua FAN 1 ; Zhuo HUANG 1 ; Hui XU 1 ; Xiangming OU 1
Affiliations
Keywords
Interventional cardiology surgery; Peak skin dose; Dose threshold; Deterministic effect
Country
China
Language
Chinese
Abstract
Objective :To obtain the peak skin dose (PSD) of patients with interventional cardiology procedures and toevaluate the risk of deterministic effects.
Methods : Gafchromic XR RV3 films were used in a Level A tertiary hospital inBeijing to measure the PSD of patients who underwent interventional cardiology procedures. The measurement focused onfour common types of procedures, including coronary angiography, percutaneous transluminal coronary angioplasty,cathet-er radiofrequency ablation, and congenital heart disease. The films were scanned by EPSON EXPRESSION 10000XL andanalyzed by FILM QA ProTM 2014 software.
Results :PSD was measured in 59 patients with interventional cardiologypro-cedures, including 23 with coronary angiography, 21 with percutaneous transluminal coronary angioplasty, 9 with catheterradiofrequency ablation, and 6 with congenital heart disease. The seven patients with PSD ≥ 2 Gy all underwentpercu-taneous transluminal coronary angioplasty, one with PSD > 3 Gy and six with PSD < 2 Gy.
Conclusion : The PSD of somepatients with interventional cardiology surgery exceeded the dose threshold of deterministic effects recommended by theICRP 118. There is a risk of deterministic effects in interventional cardiology surgery, especially in patients withpercu-taneous transluminal coronary angioplasty.
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