Radiogenic risks to patients and staff from fluoro-assisted therapeutic cardiac catheterizations

Sulieman, Abdelmoneim; Abdelrazig, A.; Al-Mohammed, H.I.; Alkhorayef, M.; Alonazi, Batil; Suliman, I.I.; Abuhadi, Nouf; Bradley, D.A.

doi:10.1016/j.radphyschem.2019.108348

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…In correlation of fluoro-time with doses, Suliman et al [2] had a mean of 13 minutes per procedure compared to our study's mean fluoro-time of 21 minutes per procedure. Their study's measurement of eye lens doses was higher compared to ours.…”

Section: Discussioncontrasting

confidence: 56%

“…In this prospective study, the mean eye dose measured was 0.09 mGy. In comparison, Sulieman et al [ 2 ] conducted their study at four different sites using four different X-ray machines and models of therapeutic procedures, none of which were similar to the machines used in our study. They used medical adhesive tape to secure a dosimeter on the forehead to measure the eye lens doses.…”

Section: Discussionmentioning

confidence: 91%

“…Cardiac catheterization is used to diagnose and treat certain cardiovascular disorders and conditions. Invasive surgical procedures for cardiac disorders have been largely replaced by fluoroscopic cardiac catheterization [ 2 ]. Over the past two decades, cardiac catheterization procedures have increased significantly.…”

Section: Introductionmentioning

confidence: 99%

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Measurement of Occupational Eye and Thyroid Radiation Doses in Pediatric Interventional Cardiologists at a Tertiary Hospital

Khafaji,

Ashour,

Mozahim

et al. 2023

Cureus

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BackgroundAdvances in imaging techniques have led to increased utilization of imaging devices in catheterization laboratories. Invasive surgical procedures for cardiac disorders have been largely replaced by fluoroscopic cardiac catheterization. With this increase, concerns and risks associated with exposure to ionizing radiation among interventional cardiologists are growing. This study aims to measure and compare the occupational doses to the eye lens and thyroid of pediatric interventional cardiologists during different procedures in the catheterization laboratory and its significance. MethodologyIn this study, cardiologists wore bandanas with attached dosimeters to measure the absorbed doses to the eyes and thyroid gland. The dosimeters were collected for reading. The procedure types were also collected. In addition, the total fluoroscopy time and tube voltage of the biplane machine were measured. SPSS version 23 (IBM Corp., Armonk, NY, USA) was used to analyze the data. The characteristics of the study sample were described using simple counts and percentages, whereas means and standard deviations were used for continuous variables. Statistical significance was set at p-values <0.05. ResultsA total of 93 procedures were evaluated. The mean absorbed doses for all 93 procedures in both eyes and thyroid were 0.09 mGy and 0.08 mGy, respectively. A significant difference was found between the left and right eye measurements (p = 0.034), with higher doses administered to the left eye. However, no significant difference was observed between the right and left thyroid doses (p = 0.281). Significant correlations were found between the eye and thyroid doses and the procedure type (p = 0.02 and p = 0.009, respectively). ConclusionsA significant amount of radiation was measured in the measurements of both organs. In addition, radiation dose measurements varied between different types of procedures. Our current results indicate the importance and necessity of applying the radiation protection concept of dose optimization.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 91%