Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

Abstract

Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product J Digit Imaging (2015) 28:684-694 DOI 10.1007 (DAP) DRL for coronary angiography of 75.6 Gy cm 2 and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm 2 , and the DRL for fluoroscopic time was 1207.5 s.

Estimates of Patient Radiation Doses in Digital Radiography Using DICOM Information at a Large Teaching Hospital in Oman

“…Following the introduction of digital radiography, several dose optimization studies were carried out using Digital Imaging and Communications in Medicine (DICOM) header information [9,10]. Indeed, the international radiation protection organizations and advisory bodies have encouraged using dose information provided by the DICOM header and hospital information system (HIS) in patient dose management digital imaging [11].…”

Niveles de referencia de dosis para adultos en procedimientos de cardiología intervencionista en Ecuador

“…En la bibliografía consultada se identificaron algunos estudios sobre los niveles de referencia diagnósticos de dosis en la superficie de entrada en varios países 10 - 22 ; sin embargo, no se encontraron evidencias de éstos en procedimientos de cardiología intervencionista en la República del Ecuador.…”