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Patient cumulative radiation exposure in interventional cardiology

Published online by Cambridge University Press:  21 March 2012

M.-O. Bernier ,
S. Jacob ,
C. Maccia ,
O. Bar ,
O. Catelinois ,
D. Blanchard  and
D. Laurier
M.-O. Bernier
Affiliation:
Institut de radioprotection et de sûreté nucléaire (IRSN), DRPH, SRBE, LEPID, Fontenay-aux-Roses, France
S. Jacob
Affiliation:
Institut de radioprotection et de sûreté nucléaire (IRSN), DRPH, SRBE, LEPID, Fontenay-aux-Roses, France
C. Maccia
Affiliation:
Centre d’assurance de qualité des applications technologiques dans le domaine de la santé (CAATS), Bourg-la-Reine, France
O. Bar
Affiliation:
Clinique Saint-Gatien, Tours, France
O. Catelinois
Affiliation:
Institut de veille sanitaire, St Maurice, France
D. Blanchard
Affiliation:
Clinique Saint-Gatien, Tours, France
D. Laurier
Affiliation:
Institut de radioprotection et de sûreté nucléaire (IRSN), DRPH, SRBE, LEPID, Fontenay-aux-Roses, France
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Abstract

Interventional cardiology procedures can involve potentially high doses of radiation to the patients. Stochastic effects of ionising radiation – radiation-induced cancers in the long term – may occur. We analysed clinical characteristics and dosimetric data in a population of patients undergoing interventional cardiology. In all, 1 591 patients who had undergone coronarography and/or angioplasty in the course of a year at the Saint-Gatien Clinic in Tours (France) were included. Information on patients’ individual clinical characteristics and Dose-Area Product values were collected. Organ doses to the lung, oesophagus, bone marrow and breast were mathematically evaluated. The median age of patients was 70 years. Their median cumulative dose-area product value was 48.4 Gy.cm2 for the whole year and the median effective dose was 9.7 mSv. The median organ doses were 41 mGy for the lung, 31 mGy for the oesophagus, 10 mGy for the bone marrow and 4 mGy for the breast. Levels of doses close to the heart appear to be rather high in the case of repeated interventional cardiology procedures. Clinical characteristics should be taken into account when planning epidemiological studies on potential radiation-induced cancers.

Keywords

Interventional cardiologyexposure to ionising radiationpatientsepidemiologydosimetry
Type
Research Article
Information
Radioprotection , Volume 47 , Issue 1 , January 2012 , pp. 93 - 103
Copyright
© EDP Sciences, 2012

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