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논문KCI 등재

관상동맥 조영술 및 경피적 관상동맥 중재술에 대한 진단참고준위에 관한 연구; 경상도지역중심

A Study of Diagnostic Reference Levels for Coronary Angiography and Percutaneous Coronary Intervention in Gyeongsang Area

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주제분류방사선과학

초록

Interventional cardiology procedures can involve relatively high radiation doses compared to conventional radiography. During CAG, CAG + PCI and PCI the same area is exposed to radiation for a long period. In this study, radiation exposure data of 421 examinations in Gyeongsang area were collected, and the DRLs and ADs in actual medical practice for three types of interventional cardiology procedures in Korea were established. In CAG 286 case, 75th percentile DRLs and ADs of the total DAP were 55.89 Gy․cm2 and 37.47 Gy․cm2, respectively. In CAG + PCI 92 case, those values were 222.84 Gyㆍcm2 and 117.51 Gyㆍcm2 respectively. In PCI 43 case, those values were 198.73 Gyㆍcm2 and 120.13 Gyㆍcm2 respectively. In this study, for the first time, the diagnostic reference level of interventional cardiology procedures in Gyeongsang area were established. Using the diagnostic reference level of interventional cardiology procedures derived from this study, it will help to identify and improve the level of exposure dose in the region and country.

Abstract

Interventional cardiology procedures can involve relatively high radiation doses compared to conventional radiography. During CAG, CAG + PCI and PCI the same area is exposed to radiation for a long period. In this study, radiation exposure data of 421 examinations in Gyeongsang area were collected, and the DRLs and ADs in actual medical practice for three types of interventional cardiology procedures in Korea were established. In CAG 286 case, 75th percentile DRLs and ADs of the total DAP were 55.89 Gy․cm2 and 37.47 Gy․cm2, respectively. In CAG + PCI 92 case, those values were 222.84 Gyㆍcm2 and 117.51 Gyㆍcm2 respectively. In PCI 43 case, those values were 198.73 Gyㆍcm2 and 120.13 Gyㆍcm2 respectively. In this study, for the first time, the diagnostic reference level of interventional cardiology procedures in Gyeongsang area were established. Using the diagnostic reference level of interventional cardiology procedures derived from this study, it will help to identify and improve the level of exposure dose in the region and country.

참고문헌 (15)

  1. United Nations Scientific Committee on the Effects of Atomic Radiation, "Medical exposure assessment", Radiation Protection Dosimetry, 165(1-4), pp.125~128 (2015)
  2. Ministry of Health & Welfare(MW)., "Assessment of Radiation Exposure of Korean Population by Medical Radiation", Radiation Management Safety Series, 6-9, pp.105~203 (2020)
  3. "ICRP Publication 120. Radiological protection in cardiology", International Commission on Radiological Protection, 42, pp.1~125 (2016)
  4. "ICRP Publication 60. Recommendations of the International Commission on Radiological Protection", International Commission on Radiological Protection, 72~ (1990)
  5. Faulkner K, "Deterministic effects in interventional radiology", Radiation Protection Dosimetry, 94(1-2), pp.95~98 (2001)
  6. "ICRP Publication 135. Diagnostic Reference Levels in Medical Imaging", International Commission on Radiological Protection, 1~22 (2018)
  7. Ministry of Health & Welfare(MW), "Diagnostic Reference Levels", Radiation Management Safety Series, 20 (2020)
  8. Size Korea, "Preparation for the 8th Korean Human Dimensional Measurement Survey in 2020 Protocol Development", Korean Agency for Technology and Standards, ~ (2019)
  9. Kim JS, "A multicentre Survey of local diagnostic reference levels And achievable dose for coronary angiography And percutaneous transluminal coronary intervention procedures in Korea", Radiation Protection Dosimetry, 187(3), pp.378~382 (2019)
  10. Balter S, "A pilot study exploring the possibility of establishing guidance levels in X-ray directed interventional procedures", Medical Physics, 35, pp.673~680 (2008)
  11. Kanda R, "Developing diagnostic reference levels in Japan", Japanese Journal of Radiology, 39, pp.307~314 (2021)
  12. Neofotistou V, "Preliminary reference levels in interventional cardiology", European Radiology, 13, pp.2259~2263 (2003)
  13. Sanchez R, "Updating national diagnostic reference levels for interventional cardiology and methodological aspects", Physica Medical, 70, pp.169~175 (2020)
  14. Georges JL, "Radiation doses to patients in interventional coronary procedures estimation of updated national reference levels by dose audit", Radiat Prot Dosim, 175, pp.17~25 (2017)
  15. Schegerer A, "Diagnostic refernce levels for diagnostic and interventional X-ray procedures in Germany : Update and Handling", Fortschr Rontgenstr, 191, pp.739~751 (2019)

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