Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece

•The aim was to evaluate paediatric radiation doses in a dedicated cardiac hospital.•The large range of patient dose data observed mainly depends on procedure complexity.•The lack of paediatric IC DRLs makes the identification of good practices harder.•Data analysis is difficult due to the lack of e...

Full description

Saved in:
Bibliographic Details
Published in:Physica medica 2018-02, Vol.46, p.52-58
Main Authors: Kottou, S., Kollaros, N., Plemmenos, C., Mastorakou, I., Apostolopoulou, S.C., Tsapaki, V.
Format: Article
Language:English
Subjects:
Institutional Local Diagnostic Reference Levels
Interventional Cardiology
Kerma Area Product
Paediatric patients
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743
cites cdi_FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743
container_end_page 58
container_issue
container_start_page 52
container_title Physica medica
container_volume 46
creator Kottou, S.
Kollaros, N.
Plemmenos, C.
Mastorakou, I.
Apostolopoulou, S.C.
Tsapaki, V.
description •The aim was to evaluate paediatric radiation doses in a dedicated cardiac hospital.•The large range of patient dose data observed mainly depends on procedure complexity.•The lack of paediatric IC DRLs makes the identification of good practices harder.•Data analysis is difficult due to the lack of examination nomenclature standardisation.•A consensus is needed on IC patient grouping in order to allow a common assessment. This study aimed to evaluate paediatric radiation doses in a dedicated cardiology hospital, with the objective of characterising patterns in dose variation. The ultimate purpose was to define Local (Institutional) Diagnostic Reference Levels (LDRLs) for different types of paediatric cardiac interventional procedures (IC), according to patient age. From a total of 710 cases performed during three consecutive years, by operators with more than 15 years of experience, the age was noted in only 477 IC procedures. The median values obtained for Fluoroscopy Time (FT), Number of Frames (N) and Kerma Area Product (PKA) by age range were 5.8 min, 1322 and 2.0 Gy.cm2 for 
doi_str_mv 10.1016/j.ejmp.2018.01.009
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2012918075</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1120179718300097</els_id><sourcerecordid>2012918075</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743</originalsourceid><addsrcrecordid>eNp9kM1u1DAUhaOKqn_wAiyQl2wS7vWMnVhig6pSKlViM4vurMS-KR5l7MF2BnXHo-MwQ5es_Pedo-uvqt4jNAgoP20b2u72DQfsGsAGQJ1VV9jydY0Kn96UPXKosVXtZXWd0hZgxbkQF9UlVwLVGtRV9XsTfvXRJpZ_ELM0Ou-yC56FkT34lF2el2M_Mev6Zx_KjWGRRorkDbGJDjQl5jzb91SIHMuz85nigfwpaEq9C1N4fmH7GAzZOdLfyH0kMvS2Oh_7KdG703pTbb7ebW6_1Y_f7x9uvzzWZiVkrjnnVqqhlWDEIJXpUIoWia859giEcgVWkpB8wJGUkAPIdoBOmCIH2_Xqpvp4rC0z_JwpZb1zydA09Z7CnHSRyBV20IqC8iNqYkipfFbvo9v18UUj6EW83upF_JLpNKAu4kvow6l_HnZkXyP_TBfg8xEowujgKOpk3CLRukgmaxvc__r_AMrblm8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2012918075</pqid></control><display><type>article</type><title>Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece</title><source>ScienceDirect Freedom Collection</source><creator>Kottou, S. ; Kollaros, N. ; Plemmenos, C. ; Mastorakou, I. ; Apostolopoulou, S.C. ; Tsapaki, V.</creator><creatorcontrib>Kottou, S. ; Kollaros, N. ; Plemmenos, C. ; Mastorakou, I. ; Apostolopoulou, S.C. ; Tsapaki, V.</creatorcontrib><description>•The aim was to evaluate paediatric radiation doses in a dedicated cardiac hospital.•The large range of patient dose data observed mainly depends on procedure complexity.•The lack of paediatric IC DRLs makes the identification of good practices harder.•Data analysis is difficult due to the lack of examination nomenclature standardisation.•A consensus is needed on IC patient grouping in order to allow a common assessment. This study aimed to evaluate paediatric radiation doses in a dedicated cardiology hospital, with the objective of characterising patterns in dose variation. The ultimate purpose was to define Local (Institutional) Diagnostic Reference Levels (LDRLs) for different types of paediatric cardiac interventional procedures (IC), according to patient age. From a total of 710 cases performed during three consecutive years, by operators with more than 15 years of experience, the age was noted in only 477 IC procedures. The median values obtained for Fluoroscopy Time (FT), Number of Frames (N) and Kerma Area Product (PKA) by age range were 5.8 min, 1322 and 2.0 Gy.cm2 for &lt;1 y; 6.5 min, 1403 and 3.0 Gy.cm2 for 1 to &lt;5 y; 5.9 min, 950 and 7.0 Gy.cm2 for 5 to &lt;10 y; 5.7 min, 940 and 14.0 Gy.cm2 for 10 to &lt;16 y, respectively. A large range of patient dose data is observed, depending greatly on procedure type and patient age. In all age groups the range of median FT, N and PKA values was 3.1–15.8 min, 579–1779 and 1.0–20.8 Gy.cm2 respectively. Consequently, the definition of LDRLs presents challenges mainly due to the multiple clinical and technical factors affecting the outcome. On the other hand the lack of paediatric IC DRLs makes the identification of good practices more difficult. A consensus is needed on IC procedures nomenclature and grouping in order to allow a common assessment and comparison of doses.</description><identifier>ISSN: 1120-1797</identifier><identifier>EISSN: 1724-191X</identifier><identifier>DOI: 10.1016/j.ejmp.2018.01.009</identifier><identifier>PMID: 29519409</identifier><language>eng</language><publisher>Italy: Elsevier Ltd</publisher><subject>Institutional Local Diagnostic Reference Levels ; Interventional Cardiology ; Kerma Area Product ; Paediatric patients</subject><ispartof>Physica medica, 2018-02, Vol.46, p.52-58</ispartof><rights>2018 Associazione Italiana di Fisica Medica</rights><rights>Copyright © 2018 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743</citedby><cites>FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29519409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kottou, S.</creatorcontrib><creatorcontrib>Kollaros, N.</creatorcontrib><creatorcontrib>Plemmenos, C.</creatorcontrib><creatorcontrib>Mastorakou, I.</creatorcontrib><creatorcontrib>Apostolopoulou, S.C.</creatorcontrib><creatorcontrib>Tsapaki, V.</creatorcontrib><title>Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece</title><title>Physica medica</title><addtitle>Phys Med</addtitle><description>•The aim was to evaluate paediatric radiation doses in a dedicated cardiac hospital.•The large range of patient dose data observed mainly depends on procedure complexity.•The lack of paediatric IC DRLs makes the identification of good practices harder.•Data analysis is difficult due to the lack of examination nomenclature standardisation.•A consensus is needed on IC patient grouping in order to allow a common assessment. This study aimed to evaluate paediatric radiation doses in a dedicated cardiology hospital, with the objective of characterising patterns in dose variation. The ultimate purpose was to define Local (Institutional) Diagnostic Reference Levels (LDRLs) for different types of paediatric cardiac interventional procedures (IC), according to patient age. From a total of 710 cases performed during three consecutive years, by operators with more than 15 years of experience, the age was noted in only 477 IC procedures. The median values obtained for Fluoroscopy Time (FT), Number of Frames (N) and Kerma Area Product (PKA) by age range were 5.8 min, 1322 and 2.0 Gy.cm2 for &lt;1 y; 6.5 min, 1403 and 3.0 Gy.cm2 for 1 to &lt;5 y; 5.9 min, 950 and 7.0 Gy.cm2 for 5 to &lt;10 y; 5.7 min, 940 and 14.0 Gy.cm2 for 10 to &lt;16 y, respectively. A large range of patient dose data is observed, depending greatly on procedure type and patient age. In all age groups the range of median FT, N and PKA values was 3.1–15.8 min, 579–1779 and 1.0–20.8 Gy.cm2 respectively. Consequently, the definition of LDRLs presents challenges mainly due to the multiple clinical and technical factors affecting the outcome. On the other hand the lack of paediatric IC DRLs makes the identification of good practices more difficult. A consensus is needed on IC procedures nomenclature and grouping in order to allow a common assessment and comparison of doses.</description><subject>Institutional Local Diagnostic Reference Levels</subject><subject>Interventional Cardiology</subject><subject>Kerma Area Product</subject><subject>Paediatric patients</subject><issn>1120-1797</issn><issn>1724-191X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kM1u1DAUhaOKqn_wAiyQl2wS7vWMnVhig6pSKlViM4vurMS-KR5l7MF2BnXHo-MwQ5es_Pedo-uvqt4jNAgoP20b2u72DQfsGsAGQJ1VV9jydY0Kn96UPXKosVXtZXWd0hZgxbkQF9UlVwLVGtRV9XsTfvXRJpZ_ELM0Ou-yC56FkT34lF2el2M_Mev6Zx_KjWGRRorkDbGJDjQl5jzb91SIHMuz85nigfwpaEq9C1N4fmH7GAzZOdLfyH0kMvS2Oh_7KdG703pTbb7ebW6_1Y_f7x9uvzzWZiVkrjnnVqqhlWDEIJXpUIoWia859giEcgVWkpB8wJGUkAPIdoBOmCIH2_Xqpvp4rC0z_JwpZb1zydA09Z7CnHSRyBV20IqC8iNqYkipfFbvo9v18UUj6EW83upF_JLpNKAu4kvow6l_HnZkXyP_TBfg8xEowujgKOpk3CLRukgmaxvc__r_AMrblm8</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Kottou, S.</creator><creator>Kollaros, N.</creator><creator>Plemmenos, C.</creator><creator>Mastorakou, I.</creator><creator>Apostolopoulou, S.C.</creator><creator>Tsapaki, V.</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201802</creationdate><title>Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece</title><author>Kottou, S. ; Kollaros, N. ; Plemmenos, C. ; Mastorakou, I. ; Apostolopoulou, S.C. ; Tsapaki, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Institutional Local Diagnostic Reference Levels</topic><topic>Interventional Cardiology</topic><topic>Kerma Area Product</topic><topic>Paediatric patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kottou, S.</creatorcontrib><creatorcontrib>Kollaros, N.</creatorcontrib><creatorcontrib>Plemmenos, C.</creatorcontrib><creatorcontrib>Mastorakou, I.</creatorcontrib><creatorcontrib>Apostolopoulou, S.C.</creatorcontrib><creatorcontrib>Tsapaki, V.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physica medica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kottou, S.</au><au>Kollaros, N.</au><au>Plemmenos, C.</au><au>Mastorakou, I.</au><au>Apostolopoulou, S.C.</au><au>Tsapaki, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece</atitle><jtitle>Physica medica</jtitle><addtitle>Phys Med</addtitle><date>2018-02</date><risdate>2018</risdate><volume>46</volume><spage>52</spage><epage>58</epage><pages>52-58</pages><issn>1120-1797</issn><eissn>1724-191X</eissn><abstract>•The aim was to evaluate paediatric radiation doses in a dedicated cardiac hospital.•The large range of patient dose data observed mainly depends on procedure complexity.•The lack of paediatric IC DRLs makes the identification of good practices harder.•Data analysis is difficult due to the lack of examination nomenclature standardisation.•A consensus is needed on IC patient grouping in order to allow a common assessment. This study aimed to evaluate paediatric radiation doses in a dedicated cardiology hospital, with the objective of characterising patterns in dose variation. The ultimate purpose was to define Local (Institutional) Diagnostic Reference Levels (LDRLs) for different types of paediatric cardiac interventional procedures (IC), according to patient age. From a total of 710 cases performed during three consecutive years, by operators with more than 15 years of experience, the age was noted in only 477 IC procedures. The median values obtained for Fluoroscopy Time (FT), Number of Frames (N) and Kerma Area Product (PKA) by age range were 5.8 min, 1322 and 2.0 Gy.cm2 for &lt;1 y; 6.5 min, 1403 and 3.0 Gy.cm2 for 1 to &lt;5 y; 5.9 min, 950 and 7.0 Gy.cm2 for 5 to &lt;10 y; 5.7 min, 940 and 14.0 Gy.cm2 for 10 to &lt;16 y, respectively. A large range of patient dose data is observed, depending greatly on procedure type and patient age. In all age groups the range of median FT, N and PKA values was 3.1–15.8 min, 579–1779 and 1.0–20.8 Gy.cm2 respectively. Consequently, the definition of LDRLs presents challenges mainly due to the multiple clinical and technical factors affecting the outcome. On the other hand the lack of paediatric IC DRLs makes the identification of good practices more difficult. A consensus is needed on IC procedures nomenclature and grouping in order to allow a common assessment and comparison of doses.</abstract><cop>Italy</cop><pub>Elsevier Ltd</pub><pmid>29519409</pmid><doi>10.1016/j.ejmp.2018.01.009</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1120-1797
ispartof Physica medica, 2018-02, Vol.46, p.52-58
issn 1120-1797
1724-191X
language eng
recordid cdi_proquest_miscellaneous_2012918075
source ScienceDirect Freedom Collection
subjects Institutional Local Diagnostic Reference Levels
Interventional Cardiology
Kerma Area Product
Paediatric patients
title Towards the definition of Institutional diagnostic reference levels in paediatric interventional cardiology procedures in Greece
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T12%3A32%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Towards%20the%20definition%20of%20Institutional%20diagnostic%20reference%20levels%20in%20paediatric%20interventional%20cardiology%20procedures%20in%20Greece&rft.jtitle=Physica%20medica&rft.au=Kottou,%20S.&rft.date=2018-02&rft.volume=46&rft.spage=52&rft.epage=58&rft.pages=52-58&rft.issn=1120-1797&rft.eissn=1724-191X&rft_id=info:doi/10.1016/j.ejmp.2018.01.009&rft_dat=%3Cproquest_cross%3E2012918075%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c356t-222d69b760c5b69c816571e2421a10e1630d6e562b1fe956b067b085c0181743%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2012918075&rft_id=info:pmid/29519409&rfr_iscdi=true