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| Measurement and analysis of peak skin dose for patients with interventional cardiology procedures |
| ZHAO Qiaoqiao, FAN Yaohua, HUANG Zhuo, XU Hui, OU Xiangming |
| Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088 China |
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Abstract Objective To obtain the peak skin dose (PSD) of patients with interventional cardiology procedures and to evaluate the risk of deterministic effects. Methods Gafchromic XR RV3 films were used in a Level A tertiary hospital in Beijing to measure the PSD of patients who underwent interventional cardiology procedures. The measurement focused on four common types of procedures, including coronary angiography, percutaneous transluminal coronary angioplasty, catheter radiofrequency ablation, and congenital heart disease. The films were scanned by EPSON EXPRESSION 10000XL and analyzed by FILM QA ProTM 2014 software. Results PSD was measured in 59 patients with interventional cardiology procedures, including 23 with coronary angiography, 21 with percutaneous transluminal coronary angioplasty, 9 with catheter radiofrequency ablation, and 6 with congenital heart disease. The seven patients with PSD ≥ 2 Gy all underwent percutaneous transluminal coronary angioplasty, one with PSD > 3 Gy and six with PSD < 2 Gy. Conclusion The PSD of some patients with interventional cardiology surgery exceeded the dose threshold of deterministic effects recommended by the ICRP 118. There is a risk of deterministic effects in interventional cardiology surgery, especially in patients with percutaneous transluminal coronary angioplasty.
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Received: 15 December 2023
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