Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 215-219 , June 2008

Radiation Exposure During Elective Coronary Angioplasty: The Effect of Flat-Panel Detection

Received 15 February 2007 ,Revised 18 October 2007 ,Accepted 29 October 2007.

References 

  1. Bashore TM, Bates ER, Berger PB, Clark DA, Cusma JT, Dehmer GJ, et al. American College of Cardiology Task Force on Clinical Expert Consensus Documents. American College of Cardiology/Society for Cardiac Angiography and Interventions clinical expert consensus document on catheterization laboratory standards. J Am Coll Cardiol. 2001;37:2170–2214
  2. Balter S. X-ray image intensifier. Catheter Cardiovasc Interv. 1999;46:238–244
  3. Holmes DR, Laskey WK, Wondrow MA, Cusma JT. Flat-panel detectors in the cardiac catheterization laboratory: revolution or evolution – what are the issues?. Catheter Cardiovasc Interv. 2004;63:324–330
  4. Granfors PR, Albagli D, Tkaczyk JE, Aufrichtig R, Netel H, Brunst G, et al. Performance of a 41×41cm amorphous silicon flat-panel X-ray detector designed for angiographic and R&F imaging applications. Med Phys. 2003;30:2715–2726
  5. Granfors PR, Albagli D, Tkaczyk JE, Aufrichtig R, Netel H, Brunst G, et al. Performance of a flat panel cardiac detector. Proc SPIE. 2001;4320:77–84
  6. Grewal RK, McLean ID. Comparative evaluation of an II based and a flat-panel based cardiovascular fluoroscopy system within a clinical environment. Australas Phys Eng Sci Med. 2005;28:151–158
  7. Trianni A, Bernardi G, Padovani R. Are new technologies always reducing patient doses in cardiac procedures?. Radiat Prot Dosimetry. 2005;117:97–101
  8. Ricciardello M, McLean D. Assessment of fluoroscopic systems with a simple test object. Australas Phys Eng Sci Med. 1995;18:104–113
  9. SPSS Version 11.5.1 SPSS Inc. Chicago, Ill; 2002.
  10. Miller DL, Balter S, Noonan PT, Georgia JD. Minimizing radiation-induced skin injury in interventional radiology procedures. Radiology. 2002;225:329–336
  11. Faulkner K, Vano E. Deterministic effects in interventional radiology. Radiat Prot Dosimetry. 2001;94:95–98
  12. Yoshinaga S, Mabuchi K, Sigurdson AJ, Doody MM, Ron E. Cancer risks among radiologists and radiological technologists: review of epidemiologic studies. Radiology. 2004;233:313–321
  13. Finkelstein MM. Is brain cancer an occupational disease of cardiologists?. Can J Cardiol. 1998;14:1385–1388
  14. Tsapaki V, Kottou S, Kollaros N, Dafnomili P, Koutelou M, Vano E, et al. Comparison of a conventional and a flat-panel digital system in interventional cardiology procedures. Br J Radiol. 2004;77:562–567
  15. Tsapaki V, Kottou S, Kollaros N, Kyriakidis Z, Neofotistou V. Comparison of a CCD and a flat-panel digital system in an interventional cardiology laboratory. Radiat Prot Dosimetry. 2005;117:93–96
  16. Gurley JC, Pineda G, Saraff K. Radiation exposure during flat detector fluoroscopy: recognition of a unique hazard to obese patients. Suppl J Am Coll Cardiol. 2007;24B:216–911(Abstract)
  17. Srinivas Y, Wilson DL. Image quality evaluation of flat-panel and image intensifier digital magnification in X-ray fluoroscopy. Med Phys. 2002;29:1611–1621
  18. Akhtar M, Vakharia KT, Mishell J, Gera A, Ports TA, Yeghiazarians Y, et al. Randomized study of the safety and clinical utility of rotational vs. standard coronary angiography using a flat-panel detector. Catheter Cardiovasc Interv. 2005;66:43–49
  19. Partridge J, McGahan G, Causton S, Bowers M, Mason M, Dalby M, et al. Radiation dose reduction without compromise of image quality in cardiac angiography and intervention with the use of a flat panel detector without an antiscatter grid. Heart. 2006;92:507–510
  20. Pitney MR, Allan RM, Giles RW, McLean D, McCredie M, Randell T, et al. Modifying fluoroscopic views reduces operator radiation exposure during coronary angioplasty. J Am Coll Cardiol. 1994;24(7):1660–1663
  21. Geijer H, Beckman KW, Andersson T, Persliden J. Radiation dose optimization in coronary angiography and percutaneous coronary intervention (PCI). Experimental studies. Eur Radiol. 2002;12(10):2571–2581

PII: S1443-9506(07)01074-8

doi: 10.1016/j.hlc.2007.10.009

Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 215-219 , June 2008

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