Establishing the European diagnostic reference levels for interventional cardiology

Siiskonen, T.; Ciraj-Bjelac, Olivera; Dabin, Jérémie; Diklić, Ana; Domienik-Andrzejewska, Joanna; Farah, Jad; Fernández, J.; Gallagher, Aoife; Hourdakis, C. J.; Jurković, Slaven; Järvinen, H; Järvinen, Jukka; Knežević, Željka; Koukorava, C.; Maccia, C.; Majer, Marija; Malchair, F; Riccardi, L.; Rizk, Chadia; Sanchez, Roberto Mariano; Sandborg, Michael; Merce, Marta Sans; Šegota, Doris; Sierpowska, Joanna; Simantirakis, G.; Súkupová, Lucie; Thrapsanioti, Zoi

doi:10.1016/j.ejmp.2018.09.012

Cited by 39 publications

(15 citation statements)

References 22 publications

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“…Besides these three features, multi-vessel disease, high pre-stenosis, gender, CTO (Sakano et al, 2017;Siiskonen et al, 2018) or additional stenting should be considered due to their clear relevance to the use of radiation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Full feature selection for estimating KAP radiation dose in coronary angiographies and percutaneous coronary interventions

Suomi

Järvinen

Kiviniemi

et al. 2020

Computers in Biology and Medicine

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In interventional cardiology (IC) the radiation dose variation is very significant, and its estimation has been difficult due to the complexity of the treatments. In order to tackle this problem, the aim of this study was to identify the most important demographic and clinical features to estimate Kerma-Area Product (KAP) radiation dose in coronary angiographies (CA) and percutaneous coronary interventions (PCI). The study was retrospective using clinical patient data from 838 CA and PCI procedures. A total of 59 features were extracted from the patient data and 9 different filter-based feature selection methods were used to select the most informative features in terms of the KAP radiation dose from the treatments. The selected features were then used in a support vector regression (SVR) model to evaluate their

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Section: Discussionmentioning

confidence: 99%

“…In recent studies (Siiskonen et al, 2018;Järvinen et al, 2019) the radiation dose levels of various IC procedures have been reported. Based on the results, the variation in PCI doses between different countries and hospitals as well as within hospitals makes the interpretation and application of the DRLs relatively complicated.…”

Section: Introductionmentioning

confidence: 99%

Full feature selection for estimating KAP radiation dose in coronary angiographies and percutaneous coronary interventions

Suomi

Järvinen

Kiviniemi

et al. 2020

Computers in Biology and Medicine

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“…W artykułach uwzględnionych w niniejszym przeglądzie widać szerokie zainteresowanie tą tematyką, a wiele cytowanych w nim badań dotyczyło ekspozycji, m.in. w środowisku interwencyjnym [1][2][3][4].…”

Section: Zarys Przegląduunclassified

New-old methods of reducing and monitoring x-ray exposure in the interventional radiology environment

Mirowski

2020

Med Pr

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Odkrycie promieniowania jonizującego przyniosło wiele korzyści również w medycynie. Związane z nim ryzyko wywoływania chorób, takich jak nowotwory popromienne czy zaćma, skutkuje koniecznością monitorowania narażenia osób pracujących w ekspozycji na promieniowanie jonizujące za pomocą dozymetrii indywidualnej lub optymalizacji procedur medycznych. Istnieją 3 główne sposoby optymalizacji procedur medycznych-redukcja czasu, zwiększenie odległości oraz stosowanie osłon osobistych i stałych. Wraz z rozwojem nauki i techniki ewoluują sposoby zmniejszania dawki. Poza lepszą osłonnością wzrasta także ergonomia, jak w przypadku osłony Zero-Gravity i lekkich fartuchów bezołowiowych. Rośnie także świadomość konieczności stosowania osłon i prowadzenia zabiegu tak, aby zmniejszyć narażenie zarówno personelu, jak i pacjenta. Celem artykułu jest przedstawienie nowych metod ochrony przed promieniowaniem jonizującym w kontekście powyższych 3 pryncypiów ochrony radiologicznej. Med. Pr. 2021;72(1)

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“…More over, in tro duc tion of the pa tient ra di a tion dose as sess ment sys tem was used as an in put for setting typ i cal val ues for nu clear med i cine pro ce dures at UH Rijeka. Al though DRL are reg u larly used in di agnos tic and interventional ra di ol ogy [20,21], un til recently there was a lack of use of the DRL ap proach in nu clear med i cine pro ce dures in Croatia. Start ing from re sults com ing from the dose as sess ment sys tem, the first na tional sur vey on DRL val ues in nu clear med icine was im ple mented and per formed in or der to in troduce a valu able tool re quired for the op ti mi za tion of di ag nos tic nu clear med i cine pro ce dures [22].…”

Section: Con Clu Sionsmentioning

confidence: 99%

Patient radiation dose assessment system for diagnostic nuclear medicine procedures: Implementation and first results

et al. 2020

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Dose assessment of diagnostic nuclear medicine procedures is necessary to further optimize respective procedure, estimate radiation risk, improve radiation safety and verify compliance of local practice with guidelines. In line with Council Directive 2013/59/EURATOM, patient medical documentation should include information related to radiation exposure. The aim of this work is to present the patient radiation dose assessment system designed for routine clinical use, that uses in-house designed worksheets for dose calculation based on relevant parameters introduced by the ICRP publications. Dose reports provide information about the absorbed dose delivered to the target and non-target organs of interest and the effective dose for each diagnostic procedure. The data from the dose reports was used to investigate average patient exposure levels during a one-year period and the results are presented. The implemented system has improved the quality of services provided and understanding of radiation risks. Moreover, the presented results have stimulated further optimization of nuclear medicine processes.

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Establishing the European diagnostic reference levels for interventional cardiology

Cited by 39 publications

References 22 publications

Full feature selection for estimating KAP radiation dose in coronary angiographies and percutaneous coronary interventions

Full feature selection for estimating KAP radiation dose in coronary angiographies and percutaneous coronary interventions

New-old methods of reducing and monitoring x-ray exposure in the interventional radiology environment

Patient radiation dose assessment system for diagnostic nuclear medicine procedures: Implementation and first results

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