Assessment of peak skin dose in interventional cardiology: A comparison between Gafchromic film and dosimetric software em.dose

2017 ◽  
Vol 38 ◽  
pp. 16-22 ◽  
Author(s):  
J. Greffier ◽  
C. Van Ngoc Ty ◽  
G. Bonniaud ◽  
G. Moliner ◽  
B. Ledermann ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Gafchromic Film ◽  
Peak Skin Dose

SKIN DOSE MAPPING IN INTERVENTIONAL CARDIOLOGY: A PRACTICAL SOLUTION

2020 ◽  
Vol 188 (4) ◽  
pp. 508-515 ◽  
Author(s):  
M Krajinović ◽  
M Dobrić ◽  
O Ciraj-Bjelac
Keyword(s):  
Interventional Cardiology ◽  
Mean Deviation ◽  
Skin Dose ◽  
Suitable Alternative ◽  
Gafchromic Film ◽  
Radiation Induced ◽  
The Mean ◽  
Dose Mapping ◽  
Tissue Reactions ◽  
Peak Skin Dose

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.

scholarly journals Patient Peak Skin Dose and Dose Area Product from Interventional Cardiology Procedures

2015 ◽  
Vol 04 (01) ◽  
pp. 7-12 ◽  
Author(s):  
Antar E. Aly ◽  
Ibrahim M. Duhaini ◽  
Samia M. Manaa ◽  
Sayed M. Tarique ◽  
Shehim E. Kuniyil ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Dose Area Product ◽  
Area Product ◽  
Peak Skin Dose

Establishing a priori and a posteriori predictive models to assess patients’ peak skin dose in interventional cardiology. Part 2: results of the VERIDIC project

2021 ◽  
pp. 028418512110620
Author(s):  
Joelle Ann Feghali ◽  
Julie Delépierre ◽  
Olivera Ciraj Belac ◽  
Jérémie Dabin ◽  
Marine Deleu ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Predictive Models ◽  
A Priori ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Skin Dose ◽  
A Posteriori ◽  
Tube Voltage ◽  
Percutaneous Coronary ◽  
Peak Skin Dose

Background Optimizing patient exposure in interventional cardiology is key to avoid skin injuries. Purpose To establish predictive models of peak skin dose (PSD) during percutaneous coronary intervention (PCI), chronic total occlusion percutaneous coronary intervention (CTO), and transcatheter aortic valve implantation (TAVI) procedures. Material and Methods A total of 534 PCI, 219 CTO, and 209 TAVI were collected from 12 hospitals in eight European countries. Independent associations between PSD and clinical and technical dose determinants were examined for those procedures using multivariate statistical analysis. A priori and a posteriori predictive models were built using stepwise multiple linear regressions. A fourfold cross-validation was performed, and models’ performance was evaluated using the root mean square error (RMSE), mean absolute percentage error (MAPE), coefficient of determination (R²), and linear correlation coefficient (r). Results Multivariate analysis proved technical parameters to overweight clinical complexity indices with PSD mainly affected by fluoroscopy time, tube voltage, tube current, distance to detector, and tube angulation for PCI. For CTO, these were body mass index, tube voltage, and fluoroscopy contribution. For TAVI, these parameters were sex, fluoroscopy time, tube voltage, and cine acquisitions. When benchmarking the predictive models, the correlation coefficients were r = 0.45 for the a priori model and r = 0.89 for the a posteriori model for PCI. These were 0.44 and 0.67, respectively, for the CTO a priori and a posteriori models, and 0.58 and 0.74, respectively, for the TAVI a priori and a posteriori models. Conclusion A priori predictive models can help operators estimate the PSD before performing the intervention while a posteriori models are more accurate estimates and can be useful in the absence of skin dose mapping solutions

scholarly journals C-arm rotation as a method for reducing peak skin dose in interventional cardiology

Open Heart ◽  
2014 ◽  
Vol 1 (1) ◽  
pp. e000141 ◽  
Author(s):  
Alexander S Pasciak ◽  
Austin C Bourgeois ◽  
A Kyle Jones
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Peak Skin Dose

BENCHMARKING THE DOSE MAP SOFTWARE FOR CLINICAL IMPLEMENTATION AND ESTABLISHMENT OF A LOCAL FOLLOW-UP PROTOCOL FOR THE MANAGEMENT OF SKIN INJURES FOLLOWING COMPLEX INTERVENTIONAL CARDIOLOGY PROCEDURES

2020 ◽  
Vol 190 (4) ◽  
pp. 392-399
Author(s):  
Chadia Rizk ◽  
Antoine Sarkis ◽  
Alice Bejjani ◽  
Jérémie Dabin ◽  
Jad Farah
Keyword(s):  
Confidence Interval ◽  
Interventional Cardiology ◽  
Skin Dose ◽  
Clinical Implementation ◽  
Average Deviation ◽  
Skin Exposure ◽  
Acceptable Accuracy ◽  
Peak Skin Dose ◽  
Thermoluminescent Dosemeters

Abstract This paper aims to validate the accuracy of the peak skin dose (Dskin,max) computed by the Dose Map software (DMS)—general electric and establish a local follow-up protocol for the management of patient skin injuries following complex interventional cardiology procedures (ICPs). Dskin,max was computed by the DMS and was simultaneously measured by a dense mesh of 72 thermoluminescent dosemeters for 20 ICP. Measured and computed Dskin,max were compared using Lin’s concordance coefficient (${\rho}_c$). The implementation of a local follow-up strategy was based on a computed Dskin,max of 2 Gy. After eliminating 2 outliers, the average deviation between the two methods was 6% (range: −36 to +40%). Concordance between the two methods was moderate with ${\rho}_c$ (confidence interval) of 0.9128 (0.8541–0.9486). DMS computes Dskin,max with an acceptable accuracy and can be used to setup an individual follow-up process for patients with high skin exposure and risks.

Evaluation of effective and peak skin dose of patients undergoing interventional cardiology procedures

2019 ◽  
Vol 68 ◽  
pp. 159
Author(s):  
Katerina Romanova ◽  
Desislava Ivanova ◽  
Velko Rangelov ◽  
Mitko Alyakov
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Peak Skin Dose

SU-E-I-24: How Does C-Arm Rotation Affect Peak Skin Dose in Interventional Cardiology?

2013 ◽  
Vol 40 (6Part5) ◽  
pp. 130-130 ◽  
Author(s):  
A Pasciak ◽  
A Jones
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Peak Skin Dose

Patient’s Peak Skin Dose evaluation using Gafchromic films in interventional cardiology procedures and its correlation with other dose indicators

2018 ◽  
Vol 53 ◽  
pp. 103-107 ◽  
Author(s):  
M. Pasquino ◽  
C. Cutaia ◽  
M. Poli ◽  
C. Valero ◽  
G. Peroni ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Dose Evaluation ◽  
Gafchromic Films ◽  
Peak Skin Dose

In vivo validation of Dosemap software use in interventional cardiology with dosimetrics indicators and peak skin dose evaluation

2019 ◽  
Vol 94 (2) ◽  
pp. 216-222 ◽  
Author(s):  
Romain Didier ◽  
David Bourhis ◽  
Chaker Oueslati ◽  
Bahaa Nasr ◽  
Florent Le Ven ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Skin Dose ◽  
Dose Evaluation ◽  
Peak Skin Dose ◽  
In Vivo Validation
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