Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

被引:5
|
作者
Kim, Jungsu [1 ,3 ]
Seo, Deoknam [1 ,6 ]
Choi, Inseok [1 ]
Nam, Sora [1 ]
Yoon, Yongsu [8 ]
Kim, Hyunji [1 ,9 ]
Her, Jae [1 ]
Han, Seonggyu [1 ]
Kwon, Soonmu [2 ,7 ]
Park, Hunsik [4 ,5 ]
Yang, Dongheon [4 ,5 ]
Kim, Jungmin [1 ]
机构
[1] Korea Univ, Korea Univ Hlth Sci Univ, Coll Hlth Sci, Dept Radiol Sci, 219,Holim Bldg,Jeongneung 3 Dong, Seoul 136703, South Korea
[2] Catholic Univ Daegu, Coll Med Sci, Dept Radiol Sci, Daegu, South Korea
[3] Wonkwang Hlth Sci Univ, Dept Radiotechnol, Jeonbuk Do, South Korea
[4] Kyungpook Natl Univ, Sch Med, Dept Internal Med, Daegu, South Korea
[5] Kyungpook Natl Univ Hosp, Dept Heart & Brain Attack Ctr, Daegu, South Korea
[6] Korea Inst Radiol & Med Sci, Dept Diagnost Radiol, Seoul, South Korea
[7] Daegu Hlth Coll, Dept Radiol Technol, Daegu, South Korea
[8] Kyushu Univ, Grad Sch Med Sci, Dept Hlth Sci, Fukuoka 812, Japan
[9] Korea Ctr Dis Control & Prevent, Med Radiat TF Team, Ctr Dis Prevent, Chungcheongbuk Do, South Korea
关键词
DICOM MPPS; Radiation dose monitoring; Cardiovascular centre; Diagnostic reference levels; Order communication system; INTERVENTIONAL RADIOLOGY;
D O I
10.1007/s10278-015-9773-9
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product (DAP) DRL for coronary angiography of 75.6 Gy cm(2) and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm(2), and the DRL for fluoroscopic time was 1207.5 s.
引用
收藏
页码:684 / 694
页数:11
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