Standardizing radiation dose reporting in the pediatric cardiac catheterization laboratory—A multicenter study by the CCISC (Congenital Cardiovascular Interventional Study Consortium)

Abstract

PKA /BW appeared to be the most reliable standard to report radiation dose across all procedure types and patient age. We recommend PKA /BW to be used as the standard unit in documenting radiation usage in pediatric laboratories and can be used to evaluate strategies to lower radiation dosage in pediatric patients undergoing cardiac catheterizations. © 2014 Wiley Periodicals, Inc.

Radiation doses from fluoroscopically guided cardiac catheterization procedures in children and young adults in the United Kingdom: a multicentre study

“…Secondly, a lack of correlation should not imply that there is no relationship between variables-a U-shaped relationship yields a correlation coefficient of zero. While the setting of reference doses specific to individual procedure types by Kobayashi et al 18 should be applauded, our data do not support the recommendation that P KA /kg should be used as the standardized measure of radiation doses, at least not in isolation.…”

“…The potential for relatively high radiation doses raises concerns of the long-term risk of developing cancer. [1][2][3] The radiation doses and associated risks from cardiac catheterizations in children and young people have recently received considerable attention, [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] although relatively fewer data on doses in the UK have been published. 7,17,22,23 Most previous assessments have been based on kerma area product (P KA , also known as dose-area product), defined as collision air kerma integrated over beam area.…”

Radiation exposure in endovascular repair of abdominal and thoracic aortic aneurysms

“…They recommended that the kerma area product divided by body weight should be used as a standard reporting unit for pediatric cardiac catherization. 51 …”

Dual-Axis Rotational Angiography is Safe and Feasible to Detect Coronary Allograft Vasculopathy in Pediatric Heart Transplant Patients: A Single-Center Experience

“…Recently, there have been data reported that suggest radiation dose correlates with body weight better than with age in the pediatric population, and thus radiation dose by body weight (mGy cm 2 /kg or lGy m 2 /kg) is the most reliable standard to report radiation dose across all procedure types and ages. This method of reporting has recently been suggested by the Congenital Cardiovascular Interventional Study Consortium [14]. Thus, we have chosen to report dose-area product normalized to weight (mGy cm 2 /kg) as well as There is narrowing of the midcircumflex artery (solid arrow) and distal LAD (box arrow) visualized in multiple viewing planes.…”