DOI QR코드

DOI QR Code

Evaluation of Patient Exposure Dose during Cardiac Electrophysiology Study under Various Conditions

심장 전기생리학 검사 시 조건 변화에 따른 환자 피폭 선량 평가

  • Seong-Bhin Koh (Department of Radiological Science, Gachon University) ;
  • Sung-Min Ahn (Department of Radiological Science, Gachon University)
  • 고성빈 (가천대학교 방사선학과) ;
  • 안성민 (가천대학교 방사선학과)
  • Received : 2023.09.14
  • Accepted : 2023.11.04
  • Published : 2023.12.31

Abstract

This study used a adult absorption dose phantom (CIRS model 701-G, USA) made of human equivalent material and the vascular imaging equipment Allura Xper FD 20 (Philips, Netherlands). Optically stimulated luminescent dosimeters (OSLD) were inserted into the anatomical positions corresponding to each organ, and the exposure dose was measured. Dose area product (DAP) and air kerma (AK) measured by the dose meter in the equipment were compared. Continuous imaging was performed at two angles for a total of 20 minutes, with a frame per seconds of 3.75 and 7.5 fps and an FOV of 42 cm, 37 cm, and 31 cm, respectively, under the conditions of fluoflavor I, II, and III, each selected for 5 repetitions. This study was found that selecting a lower fps was the most effective way to reduce patient exposure dose, and adjusting the fluoflavor was a good alternative method for reducing patient exposure dose at high fps. Therefore the method of condition change with the greatest dose reduction effect is to set the minimum FPS and can reduce patient exposure dose according to geometric conditions and fluoflavor characteristics.

Keywords

References

  1. Lee CH, Jung DC, Lim SY, Kim JH, Ko SI, Park YB, Ham DH. Electrophysiology study & radiofrequency catheter ablation. Journal of Korean Society of Cardio-Vascular Interventional Technology. 2005;8(1):45-52. Retrieved from https://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01206956 
  2. On YK. Radiofreqeuncy catheter ablation for tachyarrhythmia. The Korean Journal of Internal Medicine. 2016;90(3):206-9. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002089168. DOI: http://dx.doi.org/10.3904/kjm.2016.90.3.206 
  3. Seo YH. Relation between ablation execution time and radiation exposure effect in the treatment of atrial-fibrillation using cryo-balloon and 3D radio-frequency ablation. Journal of the Korean Society of Radiology. 2022;16(4):427-34. DOI: https://doi.org/10.7742/JKSR.2022.16.4.427 
  4. Cho HO, Park HS, Choi HC, Cho YK, Yoon HJ, Kim HS, Hyun DW. Radiation dose and cancer risk of cardiac electrophysiology procedures. International Journal of Arrhythmia. 2015;16(1):4-10. Retrieved from https://kmbase.medric.or.kr/KMID/1011920150160010004  1011920150160010004
  5. Prames K, Michelle R, Lee C, John B, David L. Risk to patients from radiation associated with radiofrequency ablation for SVT. Circulation 1998;98(15):1534-40. DOI: https://doi.org/10.1161/01.CIR.98.15.1534 
  6. Marini M, Del Greco M, Ravanelli D, Cima A, Coser A, Porcedda G, Guarracini F, Valentini A, Bonmassari R. The benefit of a general, systematic use of mapping systems during electrophysiological procedures in children and teenagers: The experience of an adult EP laboratory. Pediatric Cardiology. 2016;37(4):802-9. DOI: https://doi.org/10.1007/s00246-016-1354-2 
  7. Kim YN. Significance of cardiac electrophysiological testing in the diagnosis and treatment of arrhythmias. Keimyung Medical Journal. 1992;11(3):337-44. Retrieved from https://kmbase.medric.or.kr/KMID/0352419920110030337  10030337
  8. Park TH, Eichling JO, Schechtman KB, Bromberg BI, Smith JM, Lindsay BD. Risk of radiation induced skin injuries from arrhythmia ablation procedures. Pacing and Clinical Electrophysiology: PACE. 1996;19(9):1363-9. DOI: https://doi.org/10.1111/j.1540-8159.1996.tb04216.x 
  9. Kang YH, Cho PK. Dose reduction according to the geometric characteristics of digital cardiovascular angiography devices. Journal of the Korean Society of Radiology. 2013;7(4):277-84. DOI: http://dx.doi.org/10.7742/jksr.2013.7.4.277 
  10. Jung HY. A study on the reduction of radiation dose in pediatric chest CT examinations using advanced model-based iterative reconstruction [master's thesis]. Graduate School of Gachon University; 2022. Retrieved from http://www.riss.kr/link?id=T16062485
  11. Kim JM, Jeon SD, Back GM, Jo YP, Yun HR, Kwon KT. A study on the dose characteristics of Optically Stimulated Luminescent Dosimeters (OSLD). Journal of the Korean Society for Radiation Therapy. 2010;22(2):123-9. Retrieved from https://scienceon.kisti.re.kr/srch/selectPORSrchArticle.do?cn=JAKO201029362559734  1029362559734
  12. Kim JR. A new concept and principle of Optically Stimulated Luminescence Dosimetry (OSLD). Journal of the Korean Society of Isotope. 2003;18(4):75-80. Retrieved from https://scienceon.kisti.re.kr/srch/selectPORSrchArticle.do?cn=JAKO200374057775143 
  13. Kim WH, Song JN, Han JB. Correlation analysis of frame rate changes in cardiovascular imaging devices: Focusing on FOV expansion and live zoom. Journal of the Korean Society of Radiology. 2018;12(7):845-52. DOI: http://doi.org/10.7742/jksr.2018.12.7.845 
  14. Park CW, Cho PG. Dose reduction strategies based on geometric characteristics in cerebral angiography. Journal of the Korean Society of Radiology. 2019;13(3):399-406. DOI: http://doi.org/10.7742/jksr.2019.13.3.399 
  15. Thibault B, et al. Reducing radiation exposure during procedures performed in the electrophysiology laboratory. Journal of Cardiovascular Electrophysiology. 2018;29(2):308-15. DOI: https://doi.org/10.1111/jce.13373