Based on published dosimetric measurements, the dose load received by the interventional cardiologist from scattered X-ray radiation was assessed for an angiographic LAD stenting procedure under X-ray guidance. An angiographic X-ray system “Philips Allura Xper FD10” was used for the study. The dose assessment calculations were made for three positions of the patient table—basic, lowest and highest—and for three measurement points—“head”, “gonads” and “feet”, in which the received dose was measured. Due to the fact that three different projections are used during the procedure (RAO-cranial, LAO-cranial and pure Cranial), and each of them can be basic, calculations are made for each of them as a basic procedure. The obtained results show that the dose load obtained from this procedure is mainly due to the work performed in the radiographic mode of operation. In order to reduce the received dose load, it is necessary to take into account the position of the patient table during work and the use of appropriate individual radiation protection devices.
Cite this paper
Ivanova, S. (2021). Dose Load during Angiographic Procedures LAD Stenting. Open Access Library Journal, 8, e7390. doi: http://dx.doi.org/10.4236/oalib.1107390.
Иванова, Н. (2013) Естествен радиационен фон, II Национален конгрес по физически науки и 41-ва Национална конференция по въпросите на обучението по физика, Софияг, 2013.
https://sites.google.com/a/bgphysics.eu/congress2013/dokladi
Ivanova, N. and Manusheva, B. (2018) Natural Radionuclides in Drinking Water. Chemistry: Bulgarian Journal of Science Education, 27, 460-465. http://khimiya.org/
Иванова, Н. and Ненкова, П. (2012) Макс фон Лауе-нобелов лауреат с безупречна репутация и мъжествено поведение в годините на нацизма. Сборник с доклади от 40-та Юбилейна Национална конференция по въпросите на обучението по физика, Габрово, 325-328.
Hofman, J.A.M. (2010) The Art of Medical Imaging: Philips and the Evolution of Medical X-Ray Technology. Clinical Applications, MEDICAMUNDI 54/1.
http://incenter.medical.philips.com/doclib/enc/fetch/2000/4504/577242/577256/588821/5050628/5313460/6391861/%5b04%5d_MM_54-1_Hofman.pdf%3fnodeid%3d6391873%26vernum%3d-2
Иванова, Н. (2011) Д. Гроздев “Ядрени централи-аварии и последствия”, Сборник с доклади от ХХХI Х национална конференция по въпросите на обучението по физика, 150-153.
Ivanova, N. and Ivanova, S. (2016) Radiation Incident in “Polimeri” Devnya, Actions and Safety Measures: A Case Study. Ecology & Safety, 10, 515-523.
https://www.scientific-publications.net/en/issue/1000017/
Ivanova, N. and Ivanova S. (2017) Calculation of the Expected Dose for a Radiation Incident Involving the Theft of Radioactive Sources. RAD Conference Proceedings, 2, 80-84. http://www.rad-proceedings.org
https://doi.org/10.21175/RadProc.2017.17
Белчева, Г. and Иванова, Н. (2015) Приложение на лазерите в рефрактивната корекция на зрението и диабетната ретинопатия. Сборник с доклади от ХХХII колоквиум “Физиката в опазването на човека и околната среда” на тема “Светлината в медицината. 407-412.
Ivanova, N. and Ivanova, S. (2016) Estimation of Doses from Patients Undergoing Treatments Whit Radiopharmaceuticals. RAD Conference Proceeding, 1, 33-35.
http://www.rad-proceedings.org/
https://doi.org/10.21175/RadProc.2016.09
Иванова, Н., Иванова, С. and Чаушев, Б. (2016) Качество на образа при рентгеновата диагностика. Proceeding of 3rd National Congress on Physical Sciences, Sofia, 29 September-2 October 2016, 1-6.
http://upb.phys.uni-sofia.bg/conference/3kongres/disk/html/Cont08.htm
Иванова, Н. and Иванова, С. (2014) Обновяване на медицинската рентгенова апаратура във Варненска, Шуменска и Добричка област. Сборник с доклади от 42-ра Национална конференция по въпросите на обучението по физика, 118-122, Стара Загора, 2014 г., Издателство “Херон Прес” ООД, София 2014.
Иванова, Н. (2018) Радиационна защита в медицината-професионална Квалификация. Сборник доклади от научна конференция “Радиационната безопасност в съвременния свят”. Електронно издание, 21-26.
Natasha, I. (2020) Interesting Moments of the Work during Specialized Training of Staff Working with Ionizing Radiations. Journal of Human Resource and Sustainability Studies, 8, 266-273. https://doi.org/10.4236/jhrss.2020.83015
Иванова, Н.И. (2020) Рентгенова система тип “С-рамо. Дозово натоварване на персонал и пациенти. монография, издателство на Медицински университет, Варна.
Иванова, Н.И. (2020) Ангиографска рентгенова система с G-рамо Дозово натоварване на персонал. монография, издателство на Медицински университет, Варна.
Natasha, I. (2020) Radiation Protection of a Patient Undergoing an Orthopedic Procedure by Using a Mobile C-Arm X-Ray System. International Journal of Medical Physics, Clinical Engineering and Radiation Oncology, 9, 41-156.
Natasha, I., Javor, I., Marin, M. and Miroslav, P. (2021) Dose Load during Orthopedic Procedures. Open Access Library Journal, 8, e7107.
https://www.scirp.org/pdf/oalibj_2021022012115970.pdf
Natasha, I., Javor, I., Miroslav, P. and Marin, M. (2021) Comparison of Dose Rate When Working with a C-Arm X-Ray System. Scripta Scientifica Medica, Scientific Online Resource System, Original Articles.
https://journals.mu-varna.bg/index.php/ssm/article/view/7154/6820
Natasha, I., Javor, I., Bistra, M., Ismet, T., Hrisimir, T. and Nikolai, A. (2020) Dose Load to the Interventional Cardiologist for Different Positions of the Patient Table—First Results. RAD Conference Proceedings, 4, 18-22.
http://www.rad-proceedings.org
http://doi.org/10.21175/RadProc.2020.04
Natasha, I., Javor, I., Bistra, M., Ismet, T., Hrisimir, T. and Nikolai, A. (2020) Dose Load to Different Parts of the Body of the Interventional Cardiologist—First Results. RAD Conference Proceedings, 4, 55-59. http://www.rad-proceedings.org
http://doi.org/10.21175/RadProc.2020.11
Natasha, I. and Javor, I. (2021) Dose Load during Angiographic Procedures. Open Access Library Journal, 8, e7109.
https://www.scirp.org/pdf/oalibj_2021022012125888.pdf
Guo, C., Xiong, Z., Vijayan, S., Rudin, S. and Bednarek, D.R. (2018) Developing a Database of 3-D Scattered Radiation Distributions for a c-Arm Fluoroscope as a Function of Exposure Parameters and Phantom. SPIE Medical Imaging 2018, Houston, 9 March 2018, Article ID: 1057360. https://doi.org/10.1117/12.2293788
Alnewaini, Z., Langer, E., Schaber, P., David, M., Kretz, D., Steil, V. and Hesser, J. (2017) Real-Time, Ray Casting-Based Scatter Dose Estimation for C-Arm X-Ray System. Journal of Applied Clinical Medical Physics, 18, 144-153.
https://doi.org/10.1002/acm2.12036
Sadick, V., Reed, W., Collins, L, Sadick, N., Heard, R. and Robinson, J. (2010) Impact of Biplane versus Single-Plane Imaging on Radiation Dose, Contrast Load and Procedural Time in Coronary Angioplasty. The British Journal of Radiology, 83, 379-394. https://doi.org/10.1259/bjr/21696839
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473578/
Mavrikou, I., Kottou, S., Tsapaki, V. and Neofotistou, V. (2008) High patient Doses in Interventional Cardiology Due to Physicians’ Negligence: How Can They Be Prevented? Radiation Protection Dosimetry, 129, 67-70.
https://pubmed.ncbi.nlm.nih.gov/18337290/
https://doi.org/10.1093/rpd/ncn005