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RADIATION DOSES TO PATIENTS UNDERGOING CORONARY ANGIOGRAPHY AND PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY

机译:接受冠状动脉造影和经皮穿刺腔冠状血管成形术的患者的放射剂量

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摘要

A detailed study of radiation doses received by 168 patients who underwent coronary angiography (CAG) and 102 patients who underwent percutaneous transluminal coronary angioplasty (PTCA) in two Greek hospitals is presented. Radiation dose was measured in terms of dose-area product (DAP). The contribution of fluoroscopy and cineradiography to the total DAP was examined separately for each radiological projection used in both procedures. Effective dose and doses to various organs were estimated with the help of the ODS-60 software. Total DAP was found to correlate linearly to fluoroscopy time and cine film length. Mean DAP values were found to be 80.8 +- 28.0 Gy cm~2 for CAG and 86.2+- 65.6 Gy cm~2 for PTCAs, whereas the estimated mean values of effective dose were 20.9 +- 7.5 and 23.2 +-18.1 mSv respectively. DAP to effective dose conversion coefficients were estimated to be 0.26 mSv/Gy cm~2 for CAG and 0.27 mSv/Gy cm~2 for PTCAs.
机译:介绍了在两家希腊医院对168例行冠状动脉造影(CAG)的患者和102例行经皮腔内冠状动脉成形术(PTCA)的患者接受的辐射剂量的详细研究。辐射剂量是根据剂量面积积(DAP)进行测量的。对于两种手术中使用的每种放射学投影,均需分别检查透视和X线摄影对总DAP的贡献。借助于ODS-60软件估计了有效剂量和对各种器官的剂量。发现总DAP与荧光检查时间和电影胶片长度线性相关。发现CAG的平均DAP值为80.8±28.0 Gy cm〜2,PTCA的平均DAP值为86.2±65.6 Gy cm〜2,而有效剂量的估计平均值分别为20.9±7.5和23.2±-18.1 mSv。 DAP的有效剂量转换系数对于CAG估计为0.26 mSv / Gy cm〜2,对于PTCA为0.27 mSv / Gy cm〜2。

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