Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/8723
Title: Patient and Staff Doses for Various Interventional Radiology and Cardiology Examinations in Turkey
Authors: Erdem, Onur
Ay, Musa
Yalcin, Asena
Bilgic, Sadik
Sanlidilek, Umman
Amasyalı, Basri
Sancak, Tanzer
Keywords: Diagnostic Reference Levels
Air-Kerma
Area Product
Radiation
Skin
Issue Date: 2022
Publisher: Oxford Univ Press
Source: Erdem, O., Ay, M., Yalcin, A., Bilgic, S., Sanlıdilek, U., Amasyalı, B., ... & Olgar, T. (2022). Patient and Staff Doses for Various Interventional Radiology and Cardiology Examinations in Turkey. Radiation Protection Dosimetry, 198(3), 158-166.
Abstract: This study aims to determine the radiation doses of patients and staff during different interventional radiology and cardiology examinations. Dose measurements for interventional radiology examinations were performed in Ibn-i Sina Hospital of Ankara University using Siemens Artis-Zee medical imaging system. Patient dose measurement was carried out for interventional cardiology examinations in Cardiology Department of TOBB-ETU University, Medical Faculty Hospital using Philips Allura Centron interventional X-ray system. Patient doses were obtained in terms of kerma area product (KAP) and cumulative air kerma (CAK) from KAP meter attached to the angiography system. Performance tests of the angiography system were performed before patient dose measurements. Staff dose measurements were carried out with thermoluminescence dosimeters (TLD-100) placed in certain areas on the staff. Patient dose measurements were performed for 15 different interventional radiology examinations on a total of 431 patients and for four different cardiology examinations on a total of 299 patients. Monte Carlo based PCXMC 2.0 program was used to calculate patient effective doses. Lower extremity arteriography was the most common examination with a mean KAP value of 30 Gy cm(2) and mean effective dose value of 1.2 mSv for total number of 194 patients. Mean KAP values calculated for coronary angiography, percutaneous coronary intervention, electrophysiological procedures and radiofrequency cardiac ablation examinations were 62.8, 162.8, 16.7 and 70.6 Gy cm(2), respectively. Radiologist, nurse and technician effective dose normalised to the unit KAP of patient dose were 0.15, 0.11 and 0.14 mu Sv Gy(-1) cm(-2). Similarly, cardiologist, nurse and technician effective dose normalised to the unit KAP of patient dose were 0.22, 0.15 and 0.09 mu Sv Gy(-1) cm(-2). Measured KAP and CAK values vary depending on the type and complexity of the examination. The measured staff doses during cardiac examinations were higher when compared with that measured for interventional radiology as expected.
URI: https://doi.org/10.1093/rpd/ncac006
https://hdl.handle.net/20.500.11851/8723
ISSN: 0144-8420
1742-3406
Appears in Collections:Dahili Tıp Bilimleri Bölümü / Department of Internal Medical Sciences
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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