Measurement of patient skin dose distributions in three lebanese interventional cardiology suites

Research output: Contribution to journalArticle

Authors

Institutes & Expert groups

  • LEAC CNRS - National Council for Scientific Research - Lebanese Atomic Energy Commission
  • Paris-Sud University Hospitals - Radiology and nuclear medicine department

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DOI

Abstract

Using a mesh of 30 thermoluminescent dosemeters, adults’ patient skin doses were measured for 99 coronary angiography (CA) and 89 percutaneous coronary interventions (PCI) performed in three Lebanese hospitals. Average peak skin dose (Dskin,max) were 152 mGy (range: 16–1144) for CAs and 576 mGy (range: 7–3361) for PCIs. While only four patients had a Dskin,max value exceeding the 2 Gy threshold for skin injuries, several patients had skin dose values above 1 Gy at several distinct locations proving that Dskin,max alone is not sufficient for repetitive procedures; 2D dose maps are required instead. Dskin,max correlated well with total air kerma-area product (PKA,T) for PCI in Hospitals 1 and 2 (R = 0.91 and 0.76, respectively) enabling the setup of an alert level at PKA,T = 240 and 210 Gy cm2, respectively, corresponding to a Dskin,max of 2 Gy. This was not possible for Hospital 3 due to weak correlations between Dskin,max and PKA,T.

Details

Original languageEnglish
Article numberNCY152
Pages (from-to)375-385
Number of pages11
JournalRadiation Protection Dosimetry
Volume183
Issue number3
Early online date25 Aug 2018
DOIs
StatePublished - May 2019

Keywords

  • Skin dose, interventional cardiology, patient dosimetry

ID: 4985872