ArticlePediatric cardiology2013
Effective radiation dose in computed tomographic angiography of the chest and diagnostic cardiac catheterization in pediatric patients.
Article in Pediatric cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Radiation Safety in Children With Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization From the Image Gently Alliance.JACC. Cardiovascular imaging · 2017Guideline
- PDA Stenting with Versus Without Pre-Procedural 3D Reconstruction: Impact on Radiation Exposure and Procedural Outcomes.Pediatric cardiology · 2026Article
- Decreasing radiation exposure in interventional pediatric cardiology: a 10-year European single-center analysis of 3683 procedures.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Pre-Glenn CT: how I do it.Pediatric radiology · 2025Review
- Pre-operative Imaging of Critical Coarctation of the Aorta: Impact on Surgical Approach and Outcomes.Pediatric cardiology · 2024Article
- The Utility of CT Angiography in Neonates with Pulmonary Atresia with Intact Ventricular Septum and Concern for Right Ventricular Dependent Coronary Circulation: Case Series.Pediatric cardiology · 2023Article
- Cardiac computed tomography assessment of congenital aortic diseases: a case series.European heart journal. Case reports · 2023Article
- Cumulative Radiation Dose from Medical Imaging in Children with Congenital Heart Disease: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Variation in Advanced Diagnostic Imaging Practice Patterns and Associated Risks Prior to Superior Cavopulmonary Connection: A Multicenter Analysis.Pediatric cardiology · 2022Article
- Evaluation of complex congenital heart disease in infants using low dose cardiac computed tomography.The international journal of cardiovascular imaging · 2021Article
- Preprocedural three-dimensional planning aids in transcatheter ductal stent placement: A single-center experience.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2020Article
- Anomalous Coronary Anatomy with Fistula Diagnosed on Coronary Computed Tomography Angiography.Cureus · 2019Article
- Dramatic Dose Reduction in Three-Dimensional Rotational Angiography After Implementation of a Simple Dose Reduction Protocol.Pediatric cardiology · 2018Article
- Diagnostic accuracy of low-dose dual-source cardiac computed tomography as compared to surgery in univentricular heart patients.Journal of cardiothoracic surgery · 2018Article
- Usefulness of Routine Coronary CT Angiography in Patients with Transposition of the Great Arteries After an Arterial Switch Operation.Pediatric cardiology · 2018Article
- Reduction in Radiation Dose in a Pediatric Cardiac Catheterization Lab Using the Philips AlluraClarity X-ray System.Pediatric cardiology · 2017Article
- Radiation dose reduction in paediatric coronary computed tomography: assessment of effective dose and image quality.European radiology · 2016Article
- The lateral plane delivers higher dose than the frontal plane in biplane cardiac catheterization systems.Pediatric cardiology · 2015Article
- Response to letters regarding article, "Cumulative radiation exposure and cancer risk estimation in children with heart disease".Circulation · 2015Article
- Cardiovascular magnetic resonance catheterization derived pulmonary vascular resistance and medium-term outcomes in congenital heart disease.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Computed tomographic angiography (CTA) and cardiac catheterization are useful adjuncts to echocardiography for delineating cardiovascular anatomy in pediatric patients. These studies require ionizing radiation, and it is paramount to understand the amount of radiation pediatric patients receive when these tests are performed. Modern dosimetry methods facilitate the conversion of radiation doses of varying units into an effective radiation dose. To compare the effective radiation dose between nongated CTA of the chest and diagnostic cardiac catheterization in pediatric patients. This is a retrospective cohort study of patients of patients who underwent either nongated CTA of the chest or diagnostic cardiac catheterization between July 2009 and April 2010. Fifty patients were included in each group as consecutive samples at a single tertiary care center. An effective radiation dose (mSv) was formulated using conversion factors for each group. The median effective dose (ED) for the CTA group was 0.74 mSv compared with 10.8 mSv for the catheterization group (p < 0.0001). The median ED for children <1 year of age in the CTA group was 0.76 mSv compared with 13.4 mSv for the catheterization group (p < 0.0001). Nongated CTA of the chest exposes children to 15 times less radiation than diagnostic cardiac catheterization. Unless hemodynamic data are necessary, CTA of the chest should be considered in lieu of diagnostic cardiac catheterization in patients with known or presumed cardiac disease who need additional imaging beyond echocardiography.
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