First local diagnostic reference levels for fluoroscopically guided cardiac procedures in adult patients in Chile

IF 0.9 4区工程技术 Q3 NUCLEAR SCIENCE & TECHNOLOGY

Nuclear Technology & Radiation Protection Pub Date : 2022-01-01 DOI:10.2298/ntrp2201084u

C. Ubeda, Dario Martinez, Luis Ramos, Juan Vega-Vargas, Teodoro Rivera, Marcus Oliveira, Dandaro Dalmazzo

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引用次数: 0

Abstract

The goal of this study was to generate the first values of local diagnostic reference levels for a range of fluoroscopically guided cardiac diagnostic and therapeutic procedures in adult patients in Chile and to compare radiation dose levels with others presented in the literature. The dosimetric data collection period was conducted over the whole of 2020. The local diagnostic reference levels were calculated as the 75th percentile of patient dose data distributions for kerma area-product values. The sample of collected clinical procedures (480) was divided into diagnostic and therapeutic procedures. The kerma area-product differences found between diagnostic and therapeutic procedures were statistically significant. The local diagnostic reference levels were 81.6 Gy cm2 and 166.9 Gycm2 for fluoroscopically guided cardiac diagnostic and therapeutic procedures, respectively. A comparison of our results with results found in the literature for the last 10 years, showed that there are no published papers for hospitals in Latin America and the Caribbean. It becomes urgent to be able to carry out more research of this type, given that the health reality between countries on different continents is very different. While in some the establishment of diagnostic reference levels is a legal obligation, in others it is a matter of good or bad will.

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智利成人患者透视引导心脏手术的首个当地诊断参考水平

本研究的目的是为智利成人患者的一系列透视指导心脏诊断和治疗程序产生当地诊断参考水平的第一个值，并将辐射剂量水平与文献中提出的其他剂量水平进行比较。剂量学数据收集期为2020年全年。局部诊断参考水平计算为患者剂量数据分布的第75百分位数的kerma面积积值。收集的临床程序样本(480例)分为诊断程序和治疗程序。在诊断和治疗过程中发现的kerma面积积差异具有统计学意义。局部诊断参考水平分别为81.6 Gycm2和166.9 Gycm2，用于透视指导下的心脏诊断和治疗程序。将我们的结果与过去10年的文献结果进行比较，发现没有针对拉丁美洲和加勒比地区医院的已发表论文。鉴于不同大陆国家之间的卫生现实非常不同，迫切需要能够开展更多这类研究。虽然在一些国家，确定诊断参考水平是一项法律义务，但在另一些国家，这是一个善意或恶意的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nuclear Technology & Radiation Protection NUCLEAR SCIENCE & TECHNOLOGY-

CiteScore

2.00

自引率

41.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Nuclear Technology & Radiation Protection is an international scientific journal covering the wide range of disciplines involved in nuclear science and technology as well as in the field of radiation protection. The journal is open for scientific papers, short papers, review articles, and technical papers dealing with nuclear power, research reactors, accelerators, nuclear materials, waste management, radiation measurements, and environmental problems. However, basic reactor physics and design, particle and radiation transport theory, and development of numerical methods and codes will also be important aspects of the editorial policy.