Effect of Exposure Angulation on the Occupational Radiation Exposure during Cardiac Angiography: Simulation Study
| Autor: | Yongsu Yoon, Byung-Ryul Cho, Jung Su Kim, Bong-Ki Lee, Hyemin Park, Jeong-Hun Seo, Young Hoon Roh, Kwangjin Chun, Jungmin Kim, Dong Ryeol Ryu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Health Toxicology and Mutagenesis Radial artery puncture 030204 cardiovascular system & hematology Coronary Angiography Radiation Dosage Effective dose (radiation) Imaging phantom Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Radiation Protection Occupational Exposure medicine Humans Monte Carlo simulation organ-dose business.industry Public Health Environmental and Occupational Health Angiography cardiac angiography Radiation shield Radiation Exposure Cardiac angiography Radiation exposure medicine.anatomical_structure occupational radiation exposure Medicine Radiation protection Nuclear medicine business Artery |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 8097, p 8097 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 15 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Cardiac angiography to visualize the cardiac coronary artery for lesions causes a lot of radiation exposure dose to the interventional cardiologist. We evaluated the occupational radiation exposure to the interventional cardiologist based on changes to the angle of the X-ray tube used in cardiac angiography and calculated the conversion factor for effective dose in this study. To evaluate the occupational radiation exposure resulting from scattered radiation to interventional cardiologists, organ doses for eyeball, thyroid, and heart were calculated using Monte Carlo simulation with korean typical man(KTMAN) phantom at the left anterior oblique (LAO)30/cranial (CRAN)30, CRAN40, right anterior oblique (RAO)30/CRAN30, RAO30/caudal(CAUD)20, CAUD39, LAO40/CAUD35, and LAO40 positions in the femoral and the radial artery puncture. In this study, analysis of the different angles showed the highest radiation exposure on LAO30/CRAN30 and CRAN40 position, which were 150.65% and 135.3%, respectively, compared to AP angles. Therefore, to reduce occupational dose for interventional cardiologists, it is recommended that radiation protection, such as using radiation shield and personal protective equipment (PPE), be used at LAO30/CRAN30 and CRAN40 angulation, and the conversion factor for calculating the organ dose received by the interventional cardiologists based on patient dose can be applied for improved occupational dose management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|