The study of the dose load received by the personnel working with x-ray equipment is a very important task in the modern world. The purpose of this article is to assess the dose load based on published dosimetric measurements obtained by an interventional cardiologist from scattered X-ray during the angiographic procedure LCx stenting. The procedure is carried out under X-ray guidance using a Philips Allura Xper FD10 system. The dose calculations and assessments are made for three positions of the patient table—basic (zero), lowest and highest position, and for three control points—“Head”, “Gonads” and “Steps” where the dosimetric measurements of the received effective dose were performed. During the angiographic procedure, three different projections are used (RAO-caudal, LAO-caudal and Pure Cranial), each of which can be basic and the other two non-basic. In this regard, calculations have been made for each of them as a basic one. The results show that the dose load obtained from this procedure is mainly due to the work in the radiographic mode. To reduce the received dose it is necessary to take into account the position of the patient table at each projection, used as basic projection. To reduce the dose load on the body of the interventional cardiologist, it is important to wear appropriate individual radiation protection.
Cite this paper
Manusheva, B. (2021). Dose Load during Angiographic Procedures LCx Stenting
. Open Access Library Journal, 8, e7394. doi: http://dx.doi.org/10.4236/oalib.1107394.
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, 325-328.
Иванова, Н. Гроздев, Д. (2011) Ядрени централи-аварии и последствия. Сборник с доклади от ХХХIХ национална конференция по въпросите на обучението по физика, 150-153.
Natasha, I. and Severina, I. (2017) Calculation of the Expected Dose for a Radiation Incident Involving the Theft of Radioactive Sourses. RAD Conference Proceedings, 2, 80-84. http://www.rad-proceedings.org
Ivanova, N. and Ivanova, S. (2016) Radiation Incident in “Polimeri” Devnya, Actions and Safety Measures: A Case Study. Journal of International Scientific Publications: Ecology & Safety, 10, 515-523.
Иванова, Н. (2013) Естествен радиационен фон. II Национален конгрес по физически науки и 41-ва Национална конференция по въпросите на обучението по физика, София 2013 г., CD, (ISBN 978-954-580-333-8) публикуван онлайн в сайта на конференцията:
https://sites.google.com/a/bgphysics.eu/congress2013/41-va-konferencia
Ivanova, N., Manusheva, B. (2018) Natural Radionuclides in Drinking Water. Chemistry: Bulgarian Journal of Science Education, 27, 460-465. http://khimiya.org/
Natasha, I. and Severina, I. (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”, София, 2015 г., стр. 407-412.
Ivanova, N. and Ivanova, S. (2017) 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,Стара Загора, Издателство "Херон Прес” ООД, София 2014, стр.118-122,.
Иванова, Н. (2018) Радиационна защита в медицината-професионална Квалификация. Сборник доклади от научна конференция "Радиационната безопасност в съвременния свят”, Електронно издание, 21-26, Велико Търново, 2018 г.
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, 141-156.
https://doi.org/10.4236/ijmpcero.2020.93013
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., 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. 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://doi.org/10.4236/oalib.1107109
https://www.scirp.org/pdf/oalibj_2021022012125888.pdf
Osanai, M., Kudo, K., Hosoda, M., Tazoe, H., Akata, N., Kitajima, M., Tsushima, M., Komiya, N., Kudo, M., Tsujiguchi, T., Takagi, M., Hosokawa, Y. and Saito, Y. (2020) The Impact on the Eye Lens of Radiation Emitted by Natural Radionuclides (Lead-210) Present in Radiation Protection Glasses. Radiation Protection Dosimetry, 188, 13-21. https://pubmed.ncbi.nlm.nih.gov/31711199/
https://doi.org/10.1093/rpd/ncz252
Haga, Y., Chida, K., Kaga, Y., Sota, M., Meguro, T. and Zuguchi, M. (2017) Occupational Eye Dose in Interventional Cardiology Procedures. Scientific Reports, 7, Article No. 569. https://doi.org/10.1038/s41598-017-00556-3
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
