Comparison of Patient Dose in Two-Dimensional Carotid Arteriography and Three-Dimensional Rotational Angiography |
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Authors: | Virginia Tsapaki Eliseo Vano Irini Μavrikou Vassiliki Νeofotistou Juan Jose Gallego Jose Miguel Fernandez Ernesto Santos Jose Mendez |
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Institution: | (1) Medical Physics Department, Konstantopoulio Hospital, 1 Ifaistou Str, 14569, Anixi, Athens, Greece;(2) Department of Medical Physics Service and Radiology, San Carlos University Hospital and Complutense University, 28040 Madrid, Spain;(3) Medical Physics Department, Athens General Hospital “G. Gennimatas”, 154 Mesogion Str, Athens, Greece;(4) Diagnostic Radiology Service, San Carlos University Hospital, 28040 Madrid, Spain |
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Abstract: | Background and Purpose It is known that interventional neuroradiology (IN) involves high radiation dose to both patients and staff even if performed
by trained operators using modern fluoroscopic X-ray equipment and dose-reducing technology. Therefore, every new technology
or imaging tool introduced, such as three-dimensional rotational angiography (3D RA), should be evaluated in terms of radiation
dose. 3D RA requires a series with a large number of images in comparison with 2D angiography and it is sometimes considered
a high-dose IN procedure. The literature is scarce on the 3D RA radiation dose and in particular there are no data on carotid
arteriography (CA). The aim of this study was to investigate patient dose differences between 2D and 3D CA.
Methods The study included 35 patients undergoing 2D CA in hospital 1 and 25 patients undergoing 3D CA in hospital 2. Patient technical
data collection included information on the kerma area product (KAP), fluoroscopy time (T), total number of series (S), and
total number of acquired images (F).
Results Median KAP was 112 Gy cm2 and 41 Gy cm2 for hospitals 1 and 2, respectively, median T was 8.2 min and 5.1 min, median S was 13 and 4, and median F was 247 and 242.
Entrance surface air-kerma rate, as measured in “medium” fluoroscopy mode measured in 2D acquisition using a 20 cm phantom
of polymethylmethacrylate, was 17.3 mGy/min for hospital 1 and 9.2 mGy/min for hospital 2.
Conclusion 3D CA allows a substantial reduction in patient radiation dose compared with 2D CA, while providing the necessary diagnostic
information. |
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Keywords: | 2D carotid arteriography 3D rotational angiography Patient dose |
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