Fundamental study on the characteristics of a radiophotoluminescence glass dosemeter with no energy compensation filter for measuring patient entrance doses in cardiac interventional procedures.

Cardiac interventional procedures have been increasing year by year. However, radiation skin injuries have been still reported. There is a necessity to measure the patient entrance skin dose (ESD), but an accurate dose measurement method has not been established. To measure the ESD, a lot of radiophotoluminescence dosemeters (RPLDs) provide an accurate measurement of the direct actual ESD at the points they are arrayed. The purpose of this study was to examine the characteristics of RPLD to measure the ESD. As a result, X-ray permeable RPLD (with no tin filter) did not interfere with the percutaneous coronary intervention procedure. The RPLD also had good fundamental performance characteristics. Although the RPLD had a little energy dependence, it showed excellent dose and dose-rate linearity, and good angular dependence. In conclusion, by calibrating the energy dependence, RPLDs are useful dosemeter to measure the ESD in cardiac intervention.

[1]  Koichi Chida,et al.  The necessity of follow-up for radiation skin injuries in patients after percutaneous coronary interventions: radiation skin injuries will often be overlooked clinically , 2012, Acta radiologica.

[2]  M. Nieminen,et al.  The applicability of radiophotoluminescence dosemeter (RPLD) for measuring medical radiation (MR) doses. , 2012, Radiation protection dosimetry.

[3]  F. Passerini,et al.  Coronary angiography and percutaneous transluminal coronary angioplasty procedures: Evaluation of patients' maximum skin dose using Gafchromic films and a comparison of local levels with reference levels proposed in the literature. , 2010, 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.

[4]  S. Kandaiya,et al.  Patient skin dose measurements during coronary interventional procedures using Gafchromic film , 2010, Journal of radiological protection : official journal of the Society for Radiological Protection.

[5]  T. Ishibashi,et al.  Optimizing patient radiation dose in intervention procedures , 2010, Acta radiologica.

[6]  Stephen Balter,et al.  Fluoroscopically guided interventional procedures: a review of radiation effects on patients' skin and hair. , 2010, Radiology.

[7]  Y. Matsumaru,et al.  Dose Measurement on Both Patients and Operators during Neurointerventional Procedures Using Photoluminescence Glass Dosimeters , 2008, American Journal of Neuroradiology.

[8]  Masayuki Zuguchi,et al.  Total entrance skin dose: an effective indicator of maximum radiation dose to the skin during percutaneous coronary intervention. , 2007, AJR. American journal of roentgenology.

[9]  J. Moses,et al.  Managing patient dose in interventional cardiology , 2007, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[10]  Stephen Balter,et al.  Methods for measuring fluoroscopic skin dose , 2006, Pediatric Radiology.

[11]  Masayuki Zuguchi,et al.  Relationship between fluoroscopic time, dose-area product, body weight, and maximum radiation skin dose in cardiac interventional procedures. , 2006, AJR. American journal of roentgenology.

[12]  E Vano,et al.  Correlation of patient and staff doses in interventional cardiology. , 2005, Radiation protection dosimetry.

[13]  G. Bernardi,et al.  Retrospective evaluation of occurrence of skin injuries in interventional cardiac procedures. , 2005, Radiation protection dosimetry.

[14]  C. Bergamini,et al.  Comparison of six phantoms for entrance skin dose evaluation in 11 standard X‐ray examinations , 2005, Journal of applied clinical medical physics.

[15]  Masayuki Zuguchi,et al.  Does digital acquisition reduce patients' skin dose in cardiac interventional procedures? An experimental study. , 2004, AJR. American journal of roentgenology.

[16]  K. Nishizawa,et al.  Dose measurement for patients and physicians using a glass dosemeter during endovascular treatment for brain disease. , 2003, Radiation protection dosimetry.

[17]  S. Balter.  Stray radiation in the cardiac catheterisation laboratory. , 2001, Radiation protection dosimetry.

[18]  J. Valentin,et al.  Abstract: Avoidance of radiation injuries from medical interventional procedures, ICRP Publication 85 , 2000 .

[19]  M A Wondrow,et al.  Real-time measurement of radiation exposure to patients during diagnostic coronary angiography and percutaneous interventional procedures. , 1999, Journal of the American College of Cardiology.

[20]  E Gaxiola,et al.  Real-time measurement of skin radiation during cardiac catheterization. , 1998, Catheterization and cardiovascular diagnosis.

[21]  W. Eyler.  Anatomy: A Regional Atlas of the Human Body. 2d ed , 1982 .

[22]  C. Clement,et al.  Radiological protection in cardiology , 2012 .

[23]  Koichi Chida,et al.  Evaluating the maximum patient radiation dose in cardiac interventional procedures. , 2011, Radiation protection dosimetry.

[24]  Masayuki Zuguchi,et al.  Evaluating the performance of a MOSFET dosimeter at diagnostic X-ray energies for interventional radiology , 2009, Radiological physics and technology.

[25]  D. Blanc,et al.  European guidelines on quality criteria for diagnostic radiographic images , 1998 .