Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece

Kottou, Sofia; Kollaros, N.; Plemmenos, C.; Mastorakou, I.; Apostolopoulou, Sotiria C.; Tsapaki, Virginia

doi:10.1016/j.ejmp.2018.01.009

Cited by 19 publications

(11 citation statements)

References 34 publications

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“…CT dose indices in the region were available from Egypt [12], Sudan [13], Saudi Arabia [14], and Bahrain [15], with limited information from other neighboring countries. The Sudan study included pediatric patients with DLP dose only.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography radiation doses for common computed tomography examinations: a nationwide dose survey in United Arab Emirates

et al. 2020

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Objectives: Computed tomography (CT) scanning is an essential part of diagnostic and treatment plans, providing swift and accurate diagnostic images. The aim of this study is to develop diagnostic reference levels (DRLs) for the adult common CT examination in the United Arab Emirates (UAE). Methods: This study presents results of the survey of CT dose indices. The data were collected from 91% of the scanners registered at the Ministry of Health and Prevention (MOHAP) for five common examinations: head, chest, and abdomen-pelvis with and without CM. Results: CT dose index, dose-length product, and patient weight were analyzed; the reference dose was calculated on the 75th percentile, and an achievable dose was proposed from the median value. The results were compared with the UAE initial National Dose Report as well as the international reports. The proposed dose for CTDI vol (mGy) and DLP (mGy cm) is as follows: head without CM 40 and 695, head with CM 48 and 820, chest 10 and 275, abdomen-pelvis without CM 14 and 810, and abdomen-pelvis with CM 20 and 1025. Conclusions: The results show low dose variations between the MOHAP scanners. The data also revealed CTDI vol and DLP values comparable to those in the initial NDRL report and international standards. The establishment of diagnostic reference levels will require a continuous dose monitoring system.

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Section: Discussionmentioning

confidence: 99%

Computed tomography radiation doses for common computed tomography examinations: a nationwide dose survey in United Arab Emirates

et al. 2020

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“…For further discussion on CTO, see Maccia et al [27] and Syrseloudis et al [28]. Kottou et al [29] concluded that the procedure complexity and technical factors have a major impact on dose levels in paediatric IC.…”

Section: Comparison To Earlier Studiesmentioning

confidence: 99%

Establishing the European diagnostic reference levels for interventional cardiology

et al. 2018

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“…Complicity of setting DRLs for x-ray guided procedures is related to the large variations in patient radiation doses. Thus, patients and medical staff could be exposed to unusual radiation doses (Saukko et al, 2017;Kottou et al, 2018). In addition, complicity is related to patient positioning, exposure time, clinical indications and absence of standards, which could lead to additional radiation doses and high DRLs (White et al, 2013).…”

Section: X-ray Guided Procedures and Fluoroscopymentioning

confidence: 99%

Towards the Establishment of Diagnostic Reference Levels in Saudi Arabia: Review and Opinion

et al. 2021

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T HIS STUDY aims at providing an overview and evaluation of the current situation of the national Diagnostic Reference Levels (DRLs) in Saudi Arabia. Studies published in Pubmed and Google-Scholar, since the DRLs were proposed, are reviewed and general considerations are highlighted, by reviewing some established international DRLs, regarding x-rays and nuclear medicine modalities. The importance of national DRLs (Saudi DRLs) is introduced and discussed. An overview of some studies on Saudi DRLs regarding selected procedures is presented and the validity of radiation dosimetry studies for establishing Saudi DRLs is discussed. The establishment of DRLs for pediatric patient procedures is introduced, discussed and emphasized. An enormous amount of work is required to establish the Saudi DRLs for different procedures, as more than 90% of the work has not been accomplished. Collaboration between researchers is necessary to allow comparisons of DRLs results and to validate the establishment of Saudi DRLs. Furthermore, DRLs for pediatric patient procedures should take priority.

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Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece

Cited by 19 publications

References 34 publications

Computed tomography radiation doses for common computed tomography examinations: a nationwide dose survey in United Arab Emirates

Computed tomography radiation doses for common computed tomography examinations: a nationwide dose survey in United Arab Emirates

Establishing the European diagnostic reference levels for interventional cardiology

Towards the Establishment of Diagnostic Reference Levels in Saudi Arabia: Review and Opinion

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