Low-Dose Fluoroscopy Protocol for Diagnostic Cerebral Angiography

• Published in: Neurointervention 2020, 15(2), , pp.67-73
• Main Authors: Song, Yunsun, Han, Seongsik, Kim, Byung Jun, Oh, Seong Heum, Kim, Jin Su, Kim, Tae Il, Lee, Deok Hee
• Format: Article
• Language: English
• Subjects: cerebral angiography; fluoroscopy; Original Paper; radiation; 방사선과학
• ISSN: 2093-9043; 2233-6273
• DOI: 10.5469/neuroint.2020.00129

We applied a low-dose fluoroscopic protocol in routine diagnostic cerebral angiography and evaluated the feasibility of the protocol. We retrospectively reviewed a total of 60 patients who underwent diagnostic cerebral angiography for various neurovascular diseases from September to November 2019. Routine protocols were used for patients in the first phase and low-dose protocols in the second phase. We compared radiation dose, fluoroscopy time, and complications between groups. Age, diseases, and operators were not significantly different between the two groups. The mean fluoroscopy dose significantly decreased by 52% in the low-dose group (3.09 vs. 6.38 Gy·cm ); however, the total dose was not significantly different between the two groups (34.07 vs. 33.70 Gy·cm ). The total fluoroscopic time was slightly longer in the low-dose group, but the difference was not statistically significant (12.2. vs. 12.5 minutes). In all patients, angiography was successfully performed without complications. The low-dose fluoroscopy protocol is feasible to apply for diagnostic cerebral angiography in that this protocol could significantly reduce the fluoroscopic dose.