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Research Article

Academia Journal of Scientific Research Research 8(6): 218-221, June 2020
DOI: 10.15413/ajsr.2020.0111
ISSN: 2315-7712
2020 Academia Publishing 

Abstract


Comparison of radiation doses during coronary interventional procedures performed using different angiographs

 

Accepted 16th March, 2020

Maria A.Staniszewska1, Izabela Milcewicz-Mika2, Ewelina Pyszka2, Michał Gałeczka3, Andrzej Lekston4 and Krzysztof Sasak1

1Medical University at Lodz, Lodz, Poland.
2Institute of Nuclear Physics Henryk Niewodniczański' name of Polish Academy of Science , Krakow, Poland.
3Congenital Heart Defects and Paediatric Cardiology Department, SMDZ in Zabrze, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.
4Department of Cardiology, SMDZ in Zabrze, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.


 
Heart disease has become one of the main civilization diseases, also in Poland. They mainly concern the working population. Interventional radiology methods are preferred currently for the treatment cardiac disorders. This study was conducted to assess the importance of technological solutions in angiographs used in such procedures for radiation risk to adult patients. Four different angiographs currently offered by main producers, that is: Allura Clarity and Azurion (both made by Philips), Artis Zee (Siemens) and Infinix X (Canon -preveiously Toshiba) were compared. X-ray doses were measured at the same exposure conditions using thermoluminescent dosemeters manufactured by LADIS Laboratory (Krakow, Poland). During the patient's exposure, he imitated the anthropomorphic adult human phantom (CIRS, USA). The doses absorbed in the volumes corresponding to particular organs and body parts were evaluated. Having obtained them, the effective doses were also computed according ICRP recommendations. Statistically significant differences were observed in the doses when the particular angiographs were used. For example: in the heart from 7.8 to 14.5 mGy, in the lungs from 5.6 to 17.2 mGy, in the liver from 0.4 to 14.4 mGy. Value of the effective dose differs from 1.4 to 8.9 mSv. The observed differences can be explained by a diverse action of automatic exposure control for the compared angiographs resulting in different dynamics of dose increasing. It should be noted that the dose differences were found despite the fact that the "patient" was the same and the same exposure conditions.

Key words: Heart disease, patients, angiographs, radiation doses.

 

This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article as:

Staniszewska MA, Mika IM, Pyszka E, Gałeczka M, Lekston A, Sasak K (2020). Comparison of radiation doses during coronary interventional procedures performed using different angiographs. Acad. J. Sci. Res. 8(6): 218-221.

 

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