Assessment of peak skin dose in interventional cardiology: A comparison between Gafchromic film and dosimetric software em.dose

Greffier, Joël; Ty, Claire Van Ngoc; Bonniaud, G.; Moliner, Gemma Hernando; Ledermann, Bertrand; Schmutz, Laurent; Cornillet, Luc; Cayla, Guillaume; Beregi, Jean‐Paul; Pereira, F.

doi:10.1016/j.ejmp.2017.05.044

Cited by 26 publications

(26 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study achieved similar values of DAP and CAK as compared to previous studies in radioprotection . The accuracy in our clinical analysis between Dosemap and gafchromic film was similar as compared to preclinical analysis with anthropomorphic phantom (25.0% versus 24.9%, respectively) .…”

Section: Discussionsupporting

confidence: 84%

“…This is consistent with The present study achieved similar values of DAP and CAK as compared to previous studies in radioprotection. 8,14 The accuracy in our clinical analysis between Dosemap and gafchromic film was similar as compared to preclinical analysis with anthropomorphic phantom (25.0% versus 24.9%, respectively). 7 Dosemap expected accuracy on phantoms was ±40%, when Bland and Altman analysis in our study showed 95% of relative difference in −47.6% to 42.2% range.…”

Section: Discussionsupporting

confidence: 52%

“…This is the first largest prospective clinical study evaluating the esti- Gafchromic films calibration is known to be sensitive to tube potential, 9,14 and tube potential vary for each exposure in clinical routine. In our study, 75% of the analyzed exposures ( Figure 2) were performed between 70 and 90 kVp, supporting the use of a single calibration at 80 kVp.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Didier

Bourhis

Oueslati

et al. 2019

Cathet Cardio Intervent

View full text Add to dashboard Cite

Objectives The aim of this study was to determine the accuracy of DoseMap™ software as compared to gafchromic film in real clinical practices. Background The radiation exposure from cardiovascular procedures could expose patients to potential risk of cancer and/or skin injury. New tools like Dosemap software were developed to estimate the patient skin dose in the cardiac catheterization laboratory. However, little data are available to validate this estimation of patient radiation skin dose. Methods This is a prospective cross‐sectional study comparing the peak skin dose (PSD) measured by gafchromic film used as reference with an estimated PSD given by Dosemap software, in patients with BMI > 30 kg/m2 undergoing elective diagnostic and/or therapeutic interventional cardiology procedures, from April 2016 to December 2016, at the Brest University Hospital Centre, France. Results After four exclusions of patients for poor quality of gafchromic films, 90 patients were included, with 58 angiography (67.4%), 14 percutaneous interventions (16.3%), and 14 both (16.3%). The median PSDDosemap and PSDFilm were similar with 157 mGy [IQR: 99; 273] versus 158 mGy [IQR: 101; 295] (P = 0.65), respectively, with an excellent correlation (r = 0.95). The comparison between cumulative air kerma and PSDFilm was different 366 mGy [IQR: 246; 575] versus 158 mGy [IQR: 101; 295] (P < 0.01) with moderate correlation (r = 0.79). No correlation was found between the dose area product and PSDFilm (r = 0.51). Conclusion DoseMap is an effective and valid method as compared to gafchromic films to estimate PSDs during interventional cardiologic procedures.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Didier

Bourhis

Oueslati

et al. 2019

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…However, dose map does not provide a numerical value for the PSD but offers instead a gauge display as a percentage of a threshold value (typically set at 2 or 3 Gy) with 20% increments. Meanwhile, for Greffier et al . who tested the em.dose software for 40 interventional cardiology patients, the difference between measured and calculated PSD values was within ±10% for 14 patients and ranging from −36% to +52.9% for the remaining cases.…”

Section: Discussion and Study Limitationsmentioning

confidence: 99%

“…However, some limitations in the benchmarking exercise can be noted such as test setups of limited-complexity excluding, for instance, large tube projections, 17 noncollimated fields, [17][18][19] large calibration uncertainties 17 and atypical calibration setups, [18][19][20][21] limited calibration data sampling, 17,20 and the extrapolation of fluoroscopy dose from stationary acquisitions. 20 The purpose of this paper was to perform an independent benchmarking of Radiation Dose Monitor (RDM), a new DACS-integrated skin dose mapping solution provided by Medsquare and developed by MPTronic. This DACS was selected by Public Assistance -Paris Hospitals (AP-HP) to connect all x-ray equipment, spread over a network of 39 hospitals, to monitor the exposure of patients, and optimize their doses.…”

Section: Introductionmentioning

confidence: 99%

Benchmarking the DACS‐integrated Radiation Dose Monitor® skin dose mapping software using XR‐RV3 Gafchromic® films

et al. 2018

View full text Add to dashboard Cite

show abstract

Vendor‐independent skin dose mapping application for interventional radiology and cardiology

Krajinović

Kržanović

Ciraj-Bjelac

2021

J Applied Clin Med Phys

View full text Add to dashboard Cite

Purpose The purpose of this paper is to present and validate an originally developed application SkinCare used for skin dose mapping in interventional procedures, which are associated with relatively high radiation doses to the patient’s skin and possible skin reactions. Methods SkinCare is an application tool for generating skin dose maps following interventional radiology and cardiology procedures using the realistic 3D patient models. Skin dose is calculated using data from Digital Imaging and Communications in Medicine (DICOM) Radiation Dose Structured Reports (RDSRs). SkinCare validation was performed by using the data from the Siemens Artis Zee Biplane fluoroscopy system and conducting “Acceptance and quality control protocols for skin dose calculating software solutions in interventional cardiology” developed and tested in the frame of the VERIDIC project. XR‐RV3 Gafchromic films were used as dosimeters to compare peak skin doses (PSDs) and dose maps obtained through measurements and calculations. DICOM RDSRs from four fluoroscopy systems of different vendors (Canon, GE, Philips, and Siemens) were used for the development of the SkinCare and for the comparison of skin dose maps generated using SkinCare to skin dose maps generated by different commercial software tools (Dose Tracking System (DTS) from Canon, RadimetricsTM from Bayer and RDM from MEDSQUARE). The same RDSRs generated during a cardiology clinical procedure (percutaneous coronary intervention—PCI) were used for comparison. Results Validation performed using VERIDIC's protocols for skin dose calculation software showed that PSD calculated by SkinCare is within 17% and 16% accuracy compared to measurements using XR‐RV3 Gafchromic films for fundamental irradiation setups and simplified clinical procedures, respectively. Good visual agreement between dose maps generated by SkinCare and DTS, RadimetricsTM and RDM was obtained. Conclusions SkinCare is proved to be very convenient solution that can be used for monitoring delivered dose following interventional procedures.

show abstract

Assessment of peak skin dose in interventional cardiology: A comparison between Gafchromic film and dosimetric software em.dose

Cited by 26 publications

References 34 publications

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

Benchmarking the DACS‐integrated Radiation Dose Monitor® skin dose mapping software using XR‐RV3 Gafchromic® films

Vendor‐independent skin dose mapping application for interventional radiology and cardiology

Contact Info

Product

Resources

About