Publications by authors named "Joelle A Feghali"

Background: Radiation exposure from interventional radiology (IR) could lead to potential risk of skin injury in patients. Several dose monitoring software like radiation dose monitor (RDM) were developed to estimate the patient skin dose (PSD) distribution in IR.

Purpose: This study benchmarked the accuracy of RDM software in estimating PSD as compared to GafChromic film baseline in-vivo measurements on patients during cardiac, abdominal, and neurology IR procedures.

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Background: Low-dose thoracic protocols were developed massively during the COVID-19 outbreak.

Purpose: To study the impact on image quality (IQ) and the diagnosis reliability of COVID-19 low-dose chest computed tomography (CT) protocols.

Material And Methods: COVID-19 low-dose protocols were implemented on third- and second-generation CT scanners considering two body mass index (BMI) subgroups (<25 kg/m and >25 kg/m).

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Purpose: Evaluation of perfusion CT and dual-energy CT (DECT) quantitative parameters for predicting microvascular invasion (MVI) of hepatocellular carcinoma (HCC) prior to surgery.

Methods: This prospective single-center study included fifty-six patients (44 men; median age 67; range 31-84) who provided written informed consent. Inclusion criteria were (1) treatment-naïve patients with a diagnosis of HCC, (2) an indication for hepatic resection, and (3) available arterial DECT phase and perfusion CT (GE revolution HD-GSI).

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Article Synopsis
  • Patients undergoing complex interventional cardiology procedures can receive high skin doses, which raises concerns about radiation exposure.
  • A study called VERIDIC analyzed patient data from 12 hospitals in Europe to identify clinical and technical factors influencing patient exposure and to set dose reference levels for different procedure complexities.
  • Key factors affecting peak skin dose were identified for various procedures, such as body mass index and stent length, enabling better radiation protection for patients during these interventions.
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Background: Optimizing patient exposure in interventional cardiology is key to avoid skin injuries.

Purpose: To establish predictive models of peak skin dose (PSD) during percutaneous coronary intervention (PCI), chronic total occlusion percutaneous coronary intervention (CTO), and transcatheter aortic valve implantation (TAVI) procedures.

Material And Methods: A total of 534 PCI, 219 CTO, and 209 TAVI were collected from 12 hospitals in eight European countries.

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Purpose: To test our hypothesis that, for young children with intracranial tumors, proton radiotherapy in a high-income country does not reduce the risk of a fatal subsequent malignant neoplasm (SMN) compared with photon radiotherapy in low- and middle-income countries.

Materials And Methods: We retrospectively selected 9 pediatric patients with low-grade brain tumors who were treated with 3-dimensional conformal radiation therapy in low- and middle-income countries. Images and contours were deidentified and transferred to a high-income country proton therapy center.

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Purpose: Online and offline software products can estimate the maximum skin dose (MSD) delivered to the patient during interventional cardiology procedures. The capabilities and accuracy of several skin dose mapping (SDM) software products were assessed on X-ray systems from the main manufacturers following a common protocol.

Methods: Skin dose was measured on four X-ray systems following a protocol composed of nine fundamental irradiation set-ups and three set-ups simulating short, clinical procedures.

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Purpose: The purpose of this study was to test a new post-processing and denoising engine for patient dose reduction while maintaining diagnostic image quality (IQ) in pediatric digital radiography (DR).

Materials And Methods: Pediatric DR images of the thorax, pelvis, abdomen and spine obtained in 174 patients (102 males, 72 females; mean age, 2±1.8 [SD] years; age range: 6 months-9 years) were retrieved.

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The purpose of this study was to develop a straightforward method of supplementing patient anatomy and estimating out-of-field absorbed dose for a cohort of pediatric radiotherapy patients with limited recorded anatomy. A cohort of nine children, aged 2-14 years, who received 3D conformal radiotherapy for low-grade localized brain tumors (LBTs), were randomly selected for this study. The extent of these patients' computed tomography simulation image sets were cranial only.

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