Contemporary Radiation Doses in Interventional Cardiology: A Nationwide Study of Patient Doses in Finland

Järvinen, Jukka; Sierpowska, Joanna; Siiskonen, T.; Järvinen, H; Kiviniemi, Tuomas; Rissanen, Tuomas T.; Matikka, Hanna; Niskanen, Eini; Hurme, Saija; Larjava, Heli; Mäkelä, Teemu; Strengell, Satu; Eskola, Markku; Parviainen, T.; Hallinen, Elina; Pirinen, Markku; Kivelä, Antti; Teräs, Mika

doi:10.1093/rpd/ncz041

Cited by 9 publications

(10 citation statements)

References 25 publications

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“…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. In addition, AHA/ACC score has only modest association with the induced radiation dose, which suggests that it is not a sufficient measure of PCI complexity in terms of KAP radiation dose (Järvinen et al, 2019).…”

Section: Introductionmentioning

confidence: 95%

“…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%

“…In addition to the obvious positive sides of the trend, there have also been concerns over the radiation dose levels in patients and staff members, which have potentially serious risks on both individual and population levels (ICRP, 2013). In Finland roughly 29,000 coronary angiographies (CA) and 13,000 percutaneous coronary interventions (PCI) are conducted annually with the average Kerma-Area Product (KAP) dose levels being around 22 and 64 Gy•cm 2 (Järvinen et al, 2018), respectively. On a wider scale, approximately 1.8 million CA and 0.9 million PCI procedures were performed in Europe in 2015 according to the European Association of Percutaneous Cardiovascular Interventions (EAPCI) registry (Barbato et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…With the increased availability of medical aiding  Corresponding author. E-mail address: e.hiswara@batan.go.id DOI: https://doi.org/10.17146/aij.2022.1158 devices (i.e., catheters and stents) and the improvement of robustness of fluoroscopy systems, the increasingly complex and time-consuming procedures in interventional cardiology may increase the radiation exposure of patients [2].…”

Section: Introduction mentioning

confidence: 99%

Patient Radiation Doses in Interventional Cardiology Procedure

et al. 2022

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Interventional cardiology is a minimally-invasive imaging procedure that allows medical doctor to evaluate and treat structural heart diseases. Due to its main advantages of avoidance of the scars and pain, as well as long post-operative recovery, interventional cardiology procedures have rapidly been growing. However, the increasingly complex and time-consuming procedures in interventional cardiology may increase the radiation exposure received by patients. This paper describes a study to measure patient radiation doses in terms of air kerma and kerma air-product (KAP) for various types of interventional cardiology procedures conducted in Indonesia. The measurements were performed at the interventional cardiology or cardiac catheterization facilities in sixteen hospitals in ten cities in Indonesia during the years of 2015 to 2019. A total of 147 procedures conducted on adult patients were used in this study. The type of procedure, total KAP, and air kerma were recorded after each procedure was completed. The demographic data of the patients were also recorded. The results showed that the mean air kerma and KAP measured for CA (coronary angiography) procedure were 680.7357.85 mGy and 12.525.86 Gy cm 2 , respectively, while the values for PCI (percutaneous coronary intervention) procedure were 890.6638.76 mGy and 20.189.37 Gy cm 2 , respectively. These results are well within the ranges reported by other previous studies. The results are somewhat affected by the body mass index of patients, while the fatal cancer risks among patients of CA and PCI procedures are comparable with those among interventional radiology procedures patients.

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“…The DOCCACI group provided data and gave advice to the program DOPOES II [7] of the national authority to estimate collective doses and to establish DRLs. Other countries have promoted national surveys [8][9][10][11][12][13][14][15][16]29,30] to the same end. In Europe, some surveys have also been fostered at regional level [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Updating national diagnostic reference levels for interventional cardiology and methodological aspects

et al. 2020

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Contemporary Radiation Doses in Interventional Cardiology: A Nationwide Study of Patient Doses in Finland

Cited by 9 publications

References 25 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

Patient Radiation Doses in Interventional Cardiology Procedure

Updating national diagnostic reference levels for interventional cardiology and methodological aspects

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