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介入心脏病学中的皮肤剂量测绘:实用解决方案。

SKIN DOSE MAPPING IN INTERVENTIONAL CARDIOLOGY: A PRACTICAL SOLUTION.

机构信息

School of Electrical Engineering, University of Belgrade, Studentski trg 1, 11000 Belgrade, Serbia.

Vinča Institute of Nuclear Sciences, University of Belgrade, Studentski trg 1, 11000 Belgrade, Serbia.

出版信息

Radiat Prot Dosimetry. 2020 Jul 2;188(4):508-515. doi: 10.1093/rpd/ncaa002.

DOI:10.1093/rpd/ncaa002
PMID:32614065
Abstract

Numerous cases of radiation-induced tissue reactions following interventional cardiology (IC) procedures have been reported, resulting in the need for an optimized and personalized dosimetry. At present, there are many fluoroscopy units without Digital Imaging and Communications in Medicine (DICOM) Radiation Dose Structured Report globally installed. Many of these have not been updated yet, and may never be, therefore, the main objectives of this paper are to develop an offline skin dose mapping application, which uses DICOM headers for the peak skin dose (PSD) assessment and to compare the PSD assessment results to XR-RV3 Gafchromic film for common IC procedures. The mean deviation between the measured and the calculated PSD was 8.7 ± 26.3%. Simulated skin dose map showed good matching with XR-RV3 Gafchromic film. The skin dose mapping application presented in this paper is an elegant solution and a suitable alternative to XR-RV3 Gafchromic film.

摘要

已有大量介入心脏病学(IC)术后辐射诱导组织反应的病例报告,这就需要对放射剂量进行优化和个体化评估。目前,全球仍有许多未安装数字成像和通信医学(DICOM)辐射剂量结构化报告的透视设备。其中许多设备尚未更新,而且可能永远不会更新,因此,本文的主要目标是开发一种离线皮肤剂量测绘应用程序,该程序使用 DICOM 标题来评估峰值皮肤剂量(PSD),并将 PSD 评估结果与 XR-RV3 Gafchromic 胶片进行比较,以评估常见的 IC 程序。测量的 PSD 与计算的 PSD 之间的平均偏差为 8.7 ± 26.3%。模拟皮肤剂量图与 XR-RV3 Gafchromic 胶片显示出良好的匹配。本文提出的皮肤剂量测绘应用程序是一种优雅的解决方案,是 XR-RV3 Gafchromic 胶片的合适替代方案。

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引用本文的文献

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Diagnostics (Basel). 2020 Dec 23;11(1):14. doi: 10.3390/diagnostics11010014.