Safety and effectiveness of strategies to reduce radiation exposure to proceduralists performing cardiac catheterization procedures: a systematic review

AbstractNumerous studies have documented the adverse effects of high-dose radiation on hearing in patients. On the other hand, radiographers are exposed to a low dose of ionizing radiation, and the effect of a low dose of radiation on hearing is quite abstruse. Therefore, the present systematic review aimed to elucidate the effect of low-dose ionizing radiation on hearing. Two authors independently carried out a comprehensive data search in three electronic databases, including PUBMED/MEDLINE, CINAHL, and SCOPUS. Eligible articles were independently assessed for quality by two authors. Cochrane Risk of Bias tool was used assess quality of the included studies. Two articles met the low-dose radiation exposure criteria given by Atomic Energy Regulatory Board (AERB) and National Council on Radiation Protection (NCRP) guidelines. Both studies observed the behavioral symptoms, pure-tone hearing sensitivity at the standard, extended high frequencies, and the middle ear functioning in low-dose radiation-exposed individuals and compared with age and gender-matched controls. One study assessed the cochlear function using transient-evoked otoacoustic emissions (TEOAE). Both studies reported that behavioral symptoms of auditory dysfunction and hearing thresholds at extended high frequencies were higher in radiation-exposed individuals than in the controls. The current systematic review concludes that the low-dose ionizing radiation may affect the hearing adversely. Nevertheless, further studies with robust research design are required to explicate the cause and effect relationship between the occupational low-dose ionizing radiation exposure and hearing.

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Advances in Cardiac SPECT and PET Imaging: Overcoming the Challenges to Reduce Radiation Exposure and Improve Accuracy

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2012.10.003 ◽

2013 ◽

Vol 29 (3) ◽

pp. 275-284 ◽

Cited By ~ 14

Author(s):

Gary R. Small ◽

R. Glenn Wells ◽

Thomas Schindler ◽

Benjamin J.W. Chow ◽

Terrence D. Ruddy

Keyword(s):

Radiation Exposure ◽

Pet Imaging ◽

Cardiac Spect ◽

Reduce Radiation Exposure ◽

Improve Accuracy

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A novel nonfluoroscopic catheter visualization system (LocaLisa) to reduce radiation exposure during catheter ablation of supraventricular tachycardias

The American Journal of Cardiology ◽

10.1016/s0002-9149(02)02481-5 ◽

2002 ◽

Vol 90 (3) ◽

pp. 340-343 ◽

Cited By ~ 24

Author(s):

Paulus Kirchhof ◽

Peter Loh ◽

Lars Eckardt ◽

Michael Ribbing ◽

Sascha Rolf ◽

...

Keyword(s):

Catheter Ablation ◽

Radiation Exposure ◽

Visualization System ◽

Reduce Radiation Exposure ◽

Supraventricular Tachycardias

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Optimizing the Use of Pulsed Fluoroscopy to Reduce Radiation Exposure to Children

Journal of the American College of Radiology ◽

10.1016/j.jacr.2007.09.014 ◽

2008 ◽

Vol 5 (3) ◽

pp. 205-209 ◽

Cited By ~ 18

Author(s):

Mervyn D. Cohen

Keyword(s):

Radiation Exposure ◽

Reduce Radiation Exposure

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Reducing radiation exposure in newborns with birth head trauma

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors5424-30 ◽

2017 ◽

Vol 5 (4) ◽

pp. 24-30

Author(s):

Irina A. Kriukova ◽

Evgeniy Y. Kriukov ◽

Danil A. Kozyrev ◽

Semen A. Sotniкov ◽

Dmitriy A. Iova ◽

...

Keyword(s):

Computed Tomography ◽

Radiation Exposure ◽

Head Trauma ◽

Bone Structure ◽

Bone Fractures ◽

Diagnostic Methods ◽

Cranial Bone ◽

X Ray ◽

Reduce Radiation Exposure ◽

Risk Of Cancer

Background. Birth head trauma causing intracranial injury is one of the most common causes of neonatal mortality and morbidity. In case of suspected cranial fractures and intracranial hematomas, diagnostic methods involving radiation, such as x-ray radiography and computed tomography, are recommended. Recently, an increasing number of studies have highlighted the risk of cancer complications associated with computed tomography in infants. Therefore, diagnostic methods that reduce radiation exposure in neonates are important. One such method is ultrasonography (US). Aim. We evaluated US as a non-ionizing radiation method for diagnosis of cranial bone fractures and epidural hematomas in newborns with cephalohematomas or other birth head traumas. Material and methods. The study group included 449 newborns with the most common variant of birth head trauma: cephalohematomas. All newborns underwent transcranial-transfontanelle US for detection of intracranial changes and cranial US for visualization of bone structure in the cephalohematoma region. Children with ultrasonic signs of cranial fractures and epidural hematomas were further examined at a children’s hospital by x-ray radiography and/or computed tomography. Results and discussion. We found that cranial US for diagnosis of cranial fractures and transcranial-transfontanelle US for diagnosis of epidural hematomas in newborns were highly effective. In newborns with parietal cephalohematomas (444 children), 17 (3.8%) had US signs of linear fracture of the parietal bone, and 5 (1.1%) had signs of ipsilateral epidural hematoma. Epidural hematomas were visualized only when US was performed through the temporal bone and not by using the transfontanelle approach. Sixteen cases of linear fractures and all epidural hematomas were confirmed by computed tomography. Conclusion. The use of US diagnostic methods reduced radiation exposure in newborns with birth head trauma. US methods (transcranial-transfontanelle and cranial) can be used in screening for diagnosis and personalized monitoring of changes in birth head trauma as well as to reduce radiation exposure.

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