Radiation exposure to cardiologists performing interventional cardiology procedures.

Medical doctors, who practice interventional cardiology, receive a noticeable radiation dose. In this study, we measured the radiation dose to 9 cardiologists during 144 procedures (72 coronary angiographies and 70 percutaneus translumined coronary angioplasties) in two Greek hospitals. Absorbed doses were measured with TLD placed underneath and over the lead apron at the thyroid protective collar. Based on these measurements, the effective dose was calculated using the Niklason method. In addition, dose area product (DAP) was registered. The effective doses, E, were normalised to the total DAP measured in each procedure, producing the E/DAP index. The mean effective dose values were found to be in the range of 1.2-2.7 microSv while the mean E/DAP values are in the range of 0.010-0.035 microSv/Gycm2. The dependence of dose to the X-ray equipment, the exposure parameters and the technique of the cardiologist were examined. Taking under consideration the laboratories' annual workload, the maximum annual dose was estimated to be 1.9 and 2.8 mSv in the two hospitals.

[1]  V. Kamenopoulou,et al.  Dose constraints to the individual annual doses of exposed workers in the medical sector. , 2001, European journal of radiology.

[2]  K. Faulkner,et al.  The relationship of effective dose to personnel and monitor reading for simulated fluoroscopic irradiation conditions. , 1993, Health physics.

[3]  J. Karppinen,et al.  Radiation Risk and Exposure of Radiologists and Patients during Coronary Angiography and Percutaneous Transluminal Coronary Angioplasty (PTCA) , 1995 .

[4]  L. Renaud A 5-y follow-up of the radiation exposure to in-room personnel during cardiac catheterization. , 1992, Health physics.

[5]  M. McKetty,et al.  Study of radiation doses to personnel in a cardiac catheterization laboratory. , 1996, Health physics.

[6]  J. Williams,et al.  Radiation exposure to medical staff in interventional radiology. , 1998, The British journal of radiology.

[7]  E. Uslenghi,et al.  Short communication: staff dose reduction during coronary angiography using low framing speed. , 1996, The British journal of radiology.

[8]  R. Padovani,et al.  Staff dosimetry in interventional cardiology. , 2001, Radiation protection dosimetry.

[9]  K. Faulkner,et al.  The dependence of the scattered radiation dose to personnel on technique factors in diagnostic radiology. , 1992, The British journal of radiology.

[10]  A. Bos,et al.  Exposure to Operating Staff During Cardiac Catheterisation Measured by Thermoluminescence Dosimetry , 1992 .

[11]  H. Chan,et al.  The estimation of occupational effective dose in diagnostic radiology with two dosimeters. , 1994, Health physics.

[12]  K. Faulkner,et al.  Radiation doses and somatic risk to patients during cardiac radiological procedures. , 1986, The British journal of radiology.

[13]  M. Zorzetto,et al.  Radiation exposure to patients and operators during diagnostic catheterization and coronary angioplasty. , 1997, Catheterization and cardiovascular diagnosis.

[14]  B. Axelsson,et al.  Evaluation of Radiation Exposure to Personnel in Cardiac Angiography , 1995 .

[15]  E Vañó,et al.  Radiation exposure to medical staff in interventional and cardiac radiology. , 1998, The British journal of radiology.

[16]  J. Malone,et al.  An International Intercomparison of Dose-Area Product Meters , 1992 .

[17]  M A Wondrow,et al.  Effect of pulsed progressive fluoroscopy on reduction of radiation dose in the cardiac catheterization laboratory. , 1990, Journal of the American College of Cardiology.

[18]  S. Balter,et al.  Review of radiation safety in the cardiac catheterization laboratory. , 1992, Catheterization and cardiovascular diagnosis.

[19]  J R Williams,et al.  The interdependence of staff and patient doses in interventional radiology. , 1997, The British journal of radiology.

[20]  J. Roelandt,et al.  Reduction of radiation exposure while maintaining high-quality fluoroscopic images during interventional cardiology using novel x-ray tube technology with extra beam filtering. , 1994, Circulation.

[21]  P. Bourland,et al.  Radiation exposure during cardiology fellowship training. , 1997, Health physics.

[22]  G. Bernardi,et al.  Optimisation in Coronary Angiography and Percutaneous Transluminal Coronary Angioplasty , 1998 .