AI Article Synopsis

  • Coronary angiography (CAG) is the most common cardiac interventional procedure performed in cardiac catheterization labs.
  • The study aimed to set diagnostic reference levels (DRLs) for radiation exposure during CAG at a private hospital in Colombo, Sri Lanka, using data from 325 procedures.
  • The established DRLs were a cumulative dose length product of 10,610 mGycm² and fluoroscopic time of 2.31 minutes, with a recommendation to develop national DRLs for broader application across Sri Lanka.

Article Abstract

Amongst many interventional procedures performed in a cardiac catheterisation laboratory, the coronary angiography (CAG) is the most frequently performed cardiac interventional procedure. A diagnostic reference level (DRL) is an effective tool to optimise the radiation exposure to patients and staff whilst maintaining the adequate diagnostic image quality. The aim of the study was to establish institutional DRLs for the CAG procedures performed at a selected private hospital in Colombo, Sri Lanka. A total of 325 CAG procedures were selected for this study from two C-arm machines. The institutional DRLs of cumulative dose length product (DAP) and fluoroscopic time for the CAG procedure were calculated. The established institutional DRL for accumulated DAP and fluoroscopic time are 10 610 mGycm2 and 2.31 min, respectively. As this study conducted at only one institute we recommend to develop national DRLs for mostly performing interventional procedures in Sri Lanka by considering all influencing factors to optimise the patient dose.

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Source
http://dx.doi.org/10.1093/rpd/ncad238DOI Listing

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