Efficiency of a minicourse in radiation reducing techniques: a pilot initiative to encourage less irradiating cardiological interventional techniques (ELICIT)

• Published in: Heart (British Cardiac Society) Vol. 91; no. 9; pp. 1221 - 1222
• Main Authors: Kuon, E, Empen, K, Robinson, D M, Pfahlberg, A, Gefeller, O, Dahm, J B
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Cardiovascular Society 01.09.2005; BMJ; BMJ Publishing Group LTD; Copyright 2005 by Heart
• Subjects: Biological and medical sciences; Cardiology. Vascular system; catheterisation; coronary angiography; Coronary Angiography - standards; DAP; DAPF; DAPR; Documentation; dose-area product fluoroscopic fraction; dose–area product; dose–area product radiographic fraction; education; Education, Medical, Continuing - methods; Efficiency; Germany; Humans; Medical imaging; Medical sciences; Patients; PCI; percutaneous coronary intervention; Pilot Projects; Radiation Dosage; radiation exposure; Radiation Protection - standards; Radiography, Interventional - standards; Radiology - education; Scientific Letters; Sensors; Veins & arteries; Germany; Circulatory system; Technique; Cardiology; Efficiency; Phlebology
• ISSN: 1355-6037; 1468-201X
• DOI: 10.1136/hrt.2004.048108

In this pilot study, mean DAP before and after the minicourse did not correlate with fluoroscopy time, which increased slightly. [...]the fact that DAPR significantly exceeded DAPF raises questions about the widely accepted predominant significance of fluoroscopy time for total patient DAP and the operator's efforts in reducing radiation. 1, 2 If DAPF and DAPR are recorded separately, the ratios of DAPR/frame to DAPF/s depends on the flat panel detector dose value, which-according to recommended "as low as reasonably achievable" principles 2 -should be reduced to an adequate, instead of best possible, image quality.