심장 전기생리학 검사 시 조건 변화에 따른 환자 피폭 선량 평가

Evaluation of Patient Exposure Dose during Cardiac Electrophysiology Study under Various Conditions

초록

This study used a adult absorption dose phantom (CIRS model 701-G, USA) made of human equivalent material and the vascular imaging equipment Allura Xper FD 20 (Philips, Netherlands). Optically stimulated luminescent dosimeters (OSLD) were inserted into the anatomical positions corresponding to each organ, and the exposure dose was measured. Dose area product (DAP) and air kerma (AK) measured by the dose meter in the equipment were compared. Continuous imaging was performed at two angles for a total of 20 minutes, with a frame per seconds of 3.75 and 7.5 fps and an FOV of 42cm, 37cm, and 31cm, respectively, under the conditions of fluoflavor I, II, and III, each selected for 5 repetitions. This study was found that selecting a lower fps was the most effective way to reduce patient exposure dose, and adjusting the fluoflavor was a good alternative method for reducing patient exposure dose at high fps. Therefore the method of condition change with the greatest dose reduction effect is to set the minimum FPS and can reduce patient exposure dose according to geometric conditions and fluoflavor characteristics.

키워드

Electrophysiology Study; Fluoroscopy; FPS; Fluoflavor; Dose Reduction; 심장 전기생리학 검사; 연속 투시촬영; 초당 프레임 수; Fluoflavor; 피폭선량 감소
제목
심장 전기생리학 검사 시 조건 변화에 따른 환자 피폭 선량 평가
제목 (타언어)
Evaluation of Patient Exposure Dose during Cardiac Electrophysiology Study under Various Conditions
저자
고성빈; 안성민
DOI
10.17946/JRST.2023.46.6.501
발행일
2023-12
저널명
방사선기술과학
권
46
호
6
페이지
501 ~ 508