Verification of Indicated Skin Entrance Air Kerma for Cardiac X-Ray-Guided Intervention Using Gafchromic Film

Althén, Jonas Nilsson; Sandborg, Michael

doi:10.1093/rpd/ncv460

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…For patient studies with DoseMap [13] [16], em.dose [14] [15] and SkinCare [11], which included between 10 and 86 procedures, the result ranges were considerably larger than observed during simulated procedures in the present study. The absolute maximum deviation, however, was comparable for em.dose [14] [15] and SkinCare [11] Table 5: comparison of skin dose mapping (SDM) software results with existing literature.…”

Section: Comparison With Literaturementioning

confidence: 60%

“…Various studies have compared skin dose measurements with SDM software. Some studies included real clinical cases [11,[13][14][15][16] while others used physical phantoms [8,10,15,[17][18][19]. The dosimetric capabilities and accuracy of the SDM products could strongly differ depending on the irradiation settings and the interventional X-ray system tested.…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of skin dose mapping in interventional cardiology: Comparison of 10 software products following a common protocol

et al. 2021

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Section: Comparison With Literaturementioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Accuracy of skin dose mapping in interventional cardiology: Comparison of 10 software products following a common protocol

et al. 2021

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“…In modern x-ray systems, an estimate of the spatial distribution of the entrance surface air kerma (ESAK) is also available, taking into account the position of the patient relative to the x-ray source, the projection angle, the dose rate and the x-ray spectrum. However, previous studies have shown that skin dose estimates can differ significantly from the measured peak skin dose (3,4) .…”

Section: Introductionmentioning

confidence: 92%

Measurement of Skin Dose and Radiation-Induced Changes in Skin Microcirculation in Chronic Total Occlusion Percutaneous Cardiac Interventions (Cto-Pci)

Tesselaar

Macková

Pagonis

et al. 2021

Radiation Protection Dosimetry

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Skin injuries may occur when radiation doses to the skin exceed 2 Gy. This study aimed to measure changes in skin microcirculation in patients undergoing chronic total occlusion percutaneous coronary interventions (CTO-PCI). In 14 patients, peak skin dose (PSD) was estimated with radiographic films and skin microcirculation was assessed with laser speckle contrast imaging (LSCI), before, 1 day after the intervention, and 4–6 weeks later. The mean PSD was 1.8 ± 0.9 Gy. Peak skin microcirculation increased by 12% from 45 ± 6 PU before to 50 ± 9 PU 1 day after the intervention (p = 0.01), and returned to 46 ± 8 PU after 4–6 weeks (p = 0.15). There was no significant correlation between PSD and the change in perfusion, neither 1 day (r = −0.13, p = 0.69) nor 4–6 weeks after the intervention (r = 0.33, p = 0.35). These results suggest that there are no radiation-induced microvascular changes in the skin after CTO-PCI at skin doses below 2 Gy.

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“…CareMonitor by Siemens and DoseWise by Philips are solutions which basically provide the accumulated peak air kerma in the current projection 3 . On the other hand, Dose Map from GE is an advanced two‐dimensional (2D) solution, 4–6 while Dose Tracking System (DTS) from Canon (Toshiba) represents a state of the art three‐dimensional (3D) solution for skin dose mapping 7–9 . The most important drawback of previously mentioned solutions is that they are vendor specific and cannot be used in fluoroscopy systems from other manufacturers.…”

Section: Introductionmentioning

confidence: 99%

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

Krajinović

Kržanović

Ciraj-Bjelac

2021

J Applied Clin Med Phys

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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.

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Verification of Indicated Skin Entrance Air Kerma for Cardiac X-Ray-Guided Intervention Using Gafchromic Film

Cited by 7 publications

References 8 publications

Accuracy of skin dose mapping in interventional cardiology: Comparison of 10 software products following a common protocol

Accuracy of skin dose mapping in interventional cardiology: Comparison of 10 software products following a common protocol

Measurement of Skin Dose and Radiation-Induced Changes in Skin Microcirculation in Chronic Total Occlusion Percutaneous Cardiac Interventions (Cto-Pci)

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

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