[논문]심혈관조영술 및 중재술 시 환자 선량 감소방안

임도형; 안성민

doi:10.17946/jrst.2022.45.1.69

심혈관조영술 및 중재술 시 환자 선량 감소방안
Patient Exposure Dose Reduction in Coronary Angiography & Intervention 원문보기

방사선기술과학 = Journal of radiological science and technology, v.45 no.1, 2022년, pp.69 - 76

임도형 (가톨릭대학교 인천성모병원 심혈관촬영실) , 안성민 (가천대학교 방사선학과)

Abstract ▼ AI-Helper

This study, the method of reducing the exposure dose by changing the geometrical requirements among the preceding studies and the method of directly wearing a protector on the patient were used to expose the patient. A comparative experiment was conducted on the method of reducing the dose and the most effective method for reducing the exposure dose was investigated. Using the phantom, the dose of the lens, thyroid gland, and gonad gland in the 5 views most used in coronary angiography and intervention accumulated 5 times for 10 seconds at 60~70 kV, 200~250 mA as an automatic controller of the angiography system, and measured by Optically Stimulated Luminescent Dosimeter(OSLD). SID 100 cm and Cine 15 f/s as a control group the experiment was conducted by dividing the experimental group into 3 groups: a group lowered to Cine 7.5 f/s, a phantom protector, and a group lowered to 95 cm SID. As a result of the experiment, showing decrease in exposure dose compared to the control group. Lowering the cine frame may be the simplest and most effective method to reduce the exposure dose, but there is a limit that it cannot be applied if the operator judges that the diagnostic value is small or feels uncomfortable with the procedure. Conclusion as fallow reducing the exposure dose by directly wearing protector is the next best solution, and it is hoped that the conclusions obtained through this study will help reduce the exposure dose to unnecessary organ.

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참고문헌 (16)

Statistics Korea. Report on cause of death statistics; 2020.
Korea Disease Control and Prevention Agency. A study on the evaluation of national radiation volume according to the use of medical radiation; 2021.
Wall BF, Hart D. Revised radiation doses for typical X-ray examinations. Report on a recent review of doses to patients from medical X-ray examinations in the UK by NRPB. National Radiological Protection Board. The British Journal of Radiology. 2014;70: 833.
Health Insurance Review & Assessment Service. Population mortality statistics 2020.
Ministry of Food and Drug Safety Korea. The CT patient radiation exposure recording and management project was implemented nationwide; 2014.
Kang Y, Cho PK. Reduction of radiation dose according to geometric parameter from digital coronary angiography. Journal of the Korean Society of Radiology. 2013;7(4):277-84.

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Shore RE. Issues and epidemiological evidence regarding radiation-induced thyroid cancer. Radiation Research. 1992;131(1):98-11.

상세보기
Sadamatsu K, Nakano Y. The Effect of Low Frame Rate Fluoroscopy on the X-ray Dose during Coronary Intervention. Intern Med. 2016;55:1943-6.

상세보기
Farajollahi A, et al. Patient's Radiation Exposure in Coronary Angiography and Angioplasty: The Impact of Different Projections. J Cardiovasc Thorac Res. 2014;6(4):247-52.

상세보기
Shortt CP, et al. Radiation protection to the eye and thyroid during diagnostic cerebral angiography: A phantom study. Journal of Medical Imaging and Radiation Oncology. 2008;52:365-69.

상세보기
Hansen JW, et al. Fluoroscopy Pulse Rate Reduction during Diagnostic and Therapeutic Imaging in the Cardiac Catheterization Laboratory: An Evaluation of Radiation Dose, Procedure Complications and Outcomes. Catheterization and Cardiovascular Interventions. 2017;89:665-70.

상세보기
Hwang JM, et al. Radiation Exposure in Coronary Angiography: A Comparison of Cineangiography and Fluorography. Korean Circ J. 2015;45(6):451-6.

상세보기
Kastrati M, et al. Reducing Radiation Dose in Coronary Angiography and Angioplasty Using Image Noise Reduction Technology. Am J Cardio. 2016;118:353-6.

상세보기
Ertel A, et al. Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape, International Scholarly Research Network ISRN Cardiology. 2012:769167. DOI: https://doi.org/10.5402/2012/769167

상세보기
Chon MK, et al. Radiation reduction during percutaneous coronary intervention: A new protocol with a low frame rate and selective fluoroscopic image storage. Medicine. 2017;96(30):e7517.

상세보기
Cho YI. Feasibility of the 3D Printing Materials for Radiation Dose Reduction in Interventional Radiology. Journal of the Korean Society of Radiology. 2020;43(3):169-76.

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심혈관조영술 및 중재술 시 환자 선량 감소방안
Patient Exposure Dose Reduction in Coronary Angiography & Intervention 원문보기

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심혈관조영술 및 중재술 시 환자 선량 감소방안 Patient Exposure Dose Reduction in Coronary Angiography & Intervention 원문보기

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심혈관조영술 및 중재술 시 환자 선량 감소방안
Patient Exposure Dose Reduction in Coronary Angiography & Intervention 원문보기