[Estimation of Maximum Entrance Skin Dose during Cerebral Angiography]

Nihon Hoshasen Gijutsu Gakkai Zasshi. 2015 Sep;71(9):746-57. doi: 10.6009/jjrt.2015_JSRT_71.9.746.
[Article in Japanese]

Abstract

Using radio-photoluminescence glass dosimeter, we measured the entrance skin dose (ESD) in 46 cases and analyzed the correlations between maximum ESD and angiographic parameters [total fluoroscopic time (TFT); number of digital subtraction angiography (DSA) frames, air kerma at the interventional reference point (AK), and dose-area product (DAP)] to estimate the maximum ESD in real time. Mean (± standard deviation) maximum ESD, dose of the right lens, and dose of the left lens were 431.2 ± 135.8 mGy, 33.6 ± 15.5 mGy, and 58.5 ± 35.0 mGy, respectively. Correlation coefficients (r) between maximum ESD and TFT, number of DSA frames, AK, and DAP were r=0.379 (P<0.01), r=0.702 (P<0.001), r=0.825 (P<0.001), and r=0.709 (P<0.001), respectively. AK was identified as the most useful parameter for real-time prediction of maximum ESD. This study should contribute to the development of new diagnostic reference levels in our country.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Cerebral Angiography*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radiation Dosage*
  • Reference Values
  • Skin / radiation effects
  • Thermoluminescent Dosimetry