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The establishment of local diagnostic reference levels for paediatric interventional cardiology

McFadden, Sonyia, Hughes, Ciara, D’Helft, CI, McGee, A, Rainford, L, Brennan, PC, McCrum-Gardner, Evie and Winder, J. R. (2013) The establishment of local diagnostic reference levels for paediatric interventional cardiology. Radiography, 1 . pp. 1-7. [Journal article]

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Abstract

Background: There is a paucity of information worldwide on radiation exposure in paediatric interventional cardiology. At present Nationally established Diagnostic Reference Levels exist for adult interventional cardiology procedures in the UK but little data is available for paediatrics. In addition,interventional cardiology has been identified as one the highest contributors to medical exposure to ionising radiation and children are more radiosensitive than adults. Objective: This study sought to determine current radiation dose levels in paediatric interventional cardiology (IC) with a view to establishing local diagnostic reference levels (LDRL). Methods: Radiation dose and examination details were recorded for 354 paediatric patients examined by IC in a specialised paediatric centre in Europe. Radiation doses were recorded using a Dose Area Product meter along with examination details. Procedures were categorised as either diagnostic (A) or therapeutic (B). Data was further sub-divided into five age ranges; (1) newborn <1 year (2) 1 <5 years (3) 5<10 years (4) 10 <15 years (5) 15 years and over. Proposed LDRL were calculated from the mean dose area product readings. Results: The mean patient age was 2.6 years (range 0.0 days-16 years) and weight was 14.9 kg (range 2.4-112 kg). LDRL for the five age groupings were calculated as 190, 421, 582, 1289 and 1776 cGycm2 respectively. Conclusion: Local dose reference levels have been proposed for paediatric IC and can be used as a benchmark for other hospitals to compare against their own radiation doses.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
ID Code:27589
Deposited By: Dr Sonyia McFadden
Deposited On:07 Apr 2014 08:33
Last Modified:17 Oct 2017 16:11

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