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血管造影术的辐射暴露。

Radiation exposure in vascular angiographic procedures.

机构信息

Department of Diagnostic and Interventional Radiology, Johannes Gutenberg University, Langenbeckstr. 1, 55131 Mainz, Germany.

出版信息

J Vasc Interv Radiol. 2012 Nov;23(11):1487-95. doi: 10.1016/j.jvir.2012.05.048. Epub 2012 Jul 26.

DOI:10.1016/j.jvir.2012.05.048
PMID:22840684
Abstract

PURPOSE

To evaluate dose reduction in vascular angiographic procedures by using fluoroscopy capture instead of digital subtraction angiography frames for documentation.

MATERIALS AND METHODS

A total of 764 consecutive vascular interventional procedures performed over a period of 1 year were retrospectively analyzed with respect to the fluoroscopy time and the resulting dose-area product (DAP), the DAP of the radiographic frames, and the overall DAP.

RESULTS

A total of 70% of the total DAP was a result of the acquisition of radiographic frames, leaving only 30% being applied by fluoroscopy.

CONCLUSIONS

Fluoroscopy capture should be used for documentation whenever possible. A registry of radiation exposure should not only comprise a sufficiently large number of interventions but also different intervention types to allow the development of interventional reference levels.

摘要

目的

通过使用透视采集而非数字减影血管造影(DSA)帧进行记录,来评估血管造影术的剂量减少。

材料与方法

回顾性分析了为期 1 年的 764 例连续血管介入手术,分析了透视时间和相应的剂量面积乘积(DAP)、放射帧的 DAP 以及总 DAP。

结果

总 DAP 的 70%是由拍摄放射帧导致的,只有 30%是由透视导致的。

结论

只要有可能,就应使用透视采集进行记录。辐射暴露登记不仅应包含足够数量的介入治疗,还应包含不同的介入类型,以便制定介入参考水平。

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