본문 바로가기
KERD
논문KCI 등재

심혈관조영술 및 중재술 시 환자 선량 감소방안

Patient Exposure Dose Reduction in Coronary Angiography & Intervention

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류방사선과학

초록

This study, the method of reducing the exposure dose by changing the geometrical requirements among the preceding studies and the method of directly wearing a protector on the patient were used to expose the patient. A comparative experiment was conducted on the method of reducing the dose and the most effective method for reducing the exposure dose was investigated. Using the phantom, the dose of the lens, thyroid gland, and gonad gland in the 5 views most used in coronary angiography and intervention accumulated 5 times for 10 seconds at 60~70 kV, 200~250 mA as an automatic controller of the angiography system, and measured by Optically Stimulated Luminescent Dosimeter(OSLD). SID 100 cm and Cine 15 f/s as a control group the experiment was conducted by dividing the experimental group into 3 groups: a group lowered to Cine 7.5 f/s, a phantom protector, and a group lowered to 95 cm SID. As a result of the experiment, showing decrease in exposure dose compared to the control group. Lowering the cine frame may be the simplest and most effective method to reduce the exposure dose, but there is a limit that it cannot be applied if the operator judges that the diagnostic value is small or feels uncomfortable with the procedure. Conclusion as fallow reducing the exposure dose by directly wearing protector is the next best solution, and it is hoped that the conclusions obtained through this study will help reduce the exposure dose to unnecessary organ.

Abstract

This study, the method of reducing the exposure dose by changing the geometrical requirements among the preceding studies and the method of directly wearing a protector on the patient were used to expose the patient. A comparative experiment was conducted on the method of reducing the dose and the most effective method for reducing the exposure dose was investigated. Using the phantom, the dose of the lens, thyroid gland, and gonad gland in the 5 views most used in coronary angiography and intervention accumulated 5 times for 10 seconds at 60~70 kV, 200~250 mA as an automatic controller of the angiography system, and measured by Optically Stimulated Luminescent Dosimeter(OSLD). SID 100 cm and Cine 15 f/s as a control group the experiment was conducted by dividing the experimental group into 3 groups: a group lowered to Cine 7.5 f/s, a phantom protector, and a group lowered to 95 cm SID. As a result of the experiment, showing decrease in exposure dose compared to the control group. Lowering the cine frame may be the simplest and most effective method to reduce the exposure dose, but there is a limit that it cannot be applied if the operator judges that the diagnostic value is small or feels uncomfortable with the procedure. Conclusion as fallow reducing the exposure dose by directly wearing protector is the next best solution, and it is hoped that the conclusions obtained through this study will help reduce the exposure dose to unnecessary organ.

참고문헌 (16)

  1. Statistics Korea, "Report on cause of death statistics", ~ (2020)
  2. A study on the evaluation of national radiation volume according to the use of medical radiation, "Korea Disease Control and Prevention Agency", ~ (2021)
  3. Wall BF, "Revised radiation doses for typical X-ray examinations. Report on a recent review of doses to patients from medical X-ray examinations in the UK by NRPB. National Radiological Protection Board", The British Journal of Radiology, 70, pp.833~ (2014)
  4. Health Insurance Review & Assessment Service, "Population mortality statistics 2020", ~
  5. Ministry of Food and Drug Safety Korea, "The CT patient radiation exposure recording and management project was implemented nationwide", ~ (2014)
  6. 강영한, "디지털 심혈관조영장치의 기하학적 특성에 따른 선량 감소", 한국방사선학회논문지, 7(4), pp.277~284 (2013), 한국방사선학회[DOI]
  7. Shore RE, "Issues and epidemiological evidence regarding radiation-induced thyroid cancer", Radiation Research, 131(1), pp.98~11 (1992)
  8. Sadamatsu K, "The Effect of Low Frame Rate Fluoroscopy on the X-ray Dose during Coronary Intervention", Intern Med, 55, pp.1943~1946 (2016)
  9. Farajollahi A, "Patient’s Radiation Exposure in Coronary Angiography and Angioplasty : The Impact of Different Projections", J Cardiovasc Thorac Res, 6(4), pp.247~252 (2014)
  10. Shortt CP, "Radiation protection to the eye and thyroid during diagnostic cerebral angiography : A phantom study", Journal of Medical Imaging and Radiation Oncology, 52, pp.365~369 (2008)
  11. Hansen JW, "Fluoroscopy Pulse Rate Reduction during Diagnostic and Therapeutic Imaging in the Cardiac Catheterization Laboratory: An Evaluation of Radiation Dose, Procedure Complications and Outcomes", Catheterization and Cardiovascular Interventions, 89, pp.665~670 (2017)
  12. 황종민, "Radiation exposure in coronary angiography:A comparison of cineangiography and fluorography", Korean Circulation Journal, 45(6), pp.451~456 (2015), 대한심장학회[DOI]
  13. Kastrati M, "Reducing Radiation Dose in Coronary Angiography and Angioplasty Using Image Noise Reduction Technology", Am J Cardio, 118, pp.353~356 (2016)
  14. Andrew Ertel, "Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape", International Scholarly Research Network ISRN Cardiology, 2012, pp.1~5 (2012), Hindawi Limited[DOI]
  15. Chon MK, "Radiation reduction during percutaneous coronary intervention: A new protocol with a low frame rate and selective fluoroscopic image storage", Medicine, 96(30), pp.e7517~ (2017)
  16. 조용인, "인터벤션 시술 시 환자의 선량감소를 위한 3D 프린팅 재료의 적용성 평가", 방사선기술과학, 43(3), pp.169~176 (2020), 대한방사선과학회

관련 논문AI추천

이 간행물의 다른 논문 (7건)