Chida K, Kagaya Y, Saito H, Ishibashi T, Takahashi S, Zuguchi M
Department of Radiological Technology, School of Health Sciences, Faculty of Medicine, Tohoku University, Sendai, Japan.
Acta Radiol. 2009 Jun;50(5):474-81. doi: 10.1080/02841850902852752.
Cardiac interventional radiology has lower risks than surgical procedures. This is despite the fact that radiation doses from cardiac intervention procedures are the highest of any commonly performed general X-ray examination. Maximum radiation skin doses (MSDs) should be determined to avoid radiation-associated skin injuries in patients undergoing cardiac intervention procedures. However, real-time evaluation of MSD is unavailable for many cardiac intervention procedures. This review describes methods of determining MSD during cardiac intervention procedures. Currently, in most cardiac intervention procedures, real-time measuring of MSD is not feasible. Thus, we recommend that physicians record the patient's total entrance skin dose, such as the dose at the interventional reference point when it can be monitored, in order to estimate MSD in intervention procedures.
心脏介入放射学的风险低于外科手术。尽管心脏介入手术的辐射剂量在所有常规进行的普通X线检查中是最高的。应确定最大皮肤辐射剂量（MSD），以避免接受心脏介入手术的患者发生与辐射相关的皮肤损伤。然而，许多心脏介入手术无法进行MSD的实时评估。本综述描述了在心脏介入手术中确定MSD的方法。目前，在大多数心脏介入手术中，实时测量MSD是不可行的。因此，我们建议医生记录患者的总入射皮肤剂量，例如在可以监测时介入参考点的剂量，以便在介入手术中估计MSD。
