Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation

Introduction: Invasive Coronary Angiography (CAG) leads to significant radiation exposure to the patients. Guidelines suggest that a local landmark or Diagnostic Reference Level (DRL) for these procedures should be established for every region and country. This study attempts to create a DRL for a t...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vikas Kataria, Ishita Yaduvanshi, Gautam Singal, Mohan Nair
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Radiation safety Coronary intervention Diagnostic Reference Level Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/b2724705a0bb4db99aec6abe99eb8d0a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b2724705a0bb4db99aec6abe99eb8d0a
record_format	dspace
spelling	oai:doaj.org-article:b2724705a0bb4db99aec6abe99eb8d0a2021-12-02T04:58:00ZEstablishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation0019-483210.1016/j.ihj.2021.09.012https://doaj.org/article/b2724705a0bb4db99aec6abe99eb8d0a2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0019483221001991https://doaj.org/toc/0019-4832Introduction: Invasive Coronary Angiography (CAG) leads to significant radiation exposure to the patients. Guidelines suggest that a local landmark or Diagnostic Reference Level (DRL) for these procedures should be established for every region and country. This study attempts to create a DRL for a tertiary care hospital, acting as an interim DRL for the country/region. Methods: Radiation exposure data for all coronary procedures done at a tertiary care hospital between October 2016 to September 2018 were collected. Data was segregated into diagnostic Coronary Angiography (CAG) and single-vessel Percutaneous Intervention (PCI). The parameters collected include dose surface product (PKA), skin surface entry dose (KAR), and fluoroscopy time (FT). The 75th percentile of the PKA was used to define the DRL. Results: 500 Patients were included in the CAG group, in which the Median KAR was 412.05 mGy, Median PKA was 2635.7 μGysqm, and median FT was 2.25 min. The DRL for coronary angiography was calculated as 3695.1 μGysqm. Two hundred fifty patients were in the PCI group, the Median KAR was 1649 mGy, Median PKA was 8822.1 μGysqm, the median FT being 8.2 min. The DRL for single-vessel coronary intervention was calculated as 11038 μGysqm. Conclusion: This study establishes a benchmark for radiation dose for diagnostic coronary angiography and single-vessel coronary intervention at a tertiary care hospital in NCR. It establishes an interim DRL that can be used for future studies in other institutions in the region and country and to compare with other countries.Vikas KatariaIshita YaduvanshiGautam SingalMohan NairElsevierarticleRadiation safetyCoronary interventionDiagnostic Reference LevelSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENIndian Heart Journal, Vol 73, Iss 6, Pp 725-728 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Radiation safety Coronary intervention Diagnostic Reference Level Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Radiation safety Coronary intervention Diagnostic Reference Level Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Vikas Kataria Ishita Yaduvanshi Gautam Singal Mohan Nair Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
description	Introduction: Invasive Coronary Angiography (CAG) leads to significant radiation exposure to the patients. Guidelines suggest that a local landmark or Diagnostic Reference Level (DRL) for these procedures should be established for every region and country. This study attempts to create a DRL for a tertiary care hospital, acting as an interim DRL for the country/region. Methods: Radiation exposure data for all coronary procedures done at a tertiary care hospital between October 2016 to September 2018 were collected. Data was segregated into diagnostic Coronary Angiography (CAG) and single-vessel Percutaneous Intervention (PCI). The parameters collected include dose surface product (PKA), skin surface entry dose (KAR), and fluoroscopy time (FT). The 75th percentile of the PKA was used to define the DRL. Results: 500 Patients were included in the CAG group, in which the Median KAR was 412.05 mGy, Median PKA was 2635.7 μGysqm, and median FT was 2.25 min. The DRL for coronary angiography was calculated as 3695.1 μGysqm. Two hundred fifty patients were in the PCI group, the Median KAR was 1649 mGy, Median PKA was 8822.1 μGysqm, the median FT being 8.2 min. The DRL for single-vessel coronary intervention was calculated as 11038 μGysqm. Conclusion: This study establishes a benchmark for radiation dose for diagnostic coronary angiography and single-vessel coronary intervention at a tertiary care hospital in NCR. It establishes an interim DRL that can be used for future studies in other institutions in the region and country and to compare with other countries.
format	article
author	Vikas Kataria Ishita Yaduvanshi Gautam Singal Mohan Nair
author_facet	Vikas Kataria Ishita Yaduvanshi Gautam Singal Mohan Nair
author_sort	Vikas Kataria
title	Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
title_short	Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
title_full	Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
title_fullStr	Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
title_full_unstemmed	Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation
title_sort	establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: a prospective evaluation
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/b2724705a0bb4db99aec6abe99eb8d0a
work_keys_str_mv	AT vikaskataria establishingadiagnosticreferencelevelofradiationdoseincoronaryangiographyandinterventionaprospectiveevaluation AT ishitayaduvanshi establishingadiagnosticreferencelevelofradiationdoseincoronaryangiographyandinterventionaprospectiveevaluation AT gautamsingal establishingadiagnosticreferencelevelofradiationdoseincoronaryangiographyandinterventionaprospectiveevaluation AT mohannair establishingadiagnosticreferencelevelofradiationdoseincoronaryangiographyandinterventionaprospectiveevaluation
_version_	1718400973292961792

Establishing a diagnostic reference level of radiation dose in coronary angiography and intervention: A prospective evaluation

Ejemplares similares