ArticleThe British journal of radiology2015
Radiation doses from fluoroscopically guided cardiac catheterization procedures in children and young adults in the United Kingdom: a multicentre study.
Article in The British journal of radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Incidence of Malignancy in Children After Cardiac Catheterization Within the First 8 Years of Life Between 1999 and 2013-A Single-Center Experience.Journal of clinical medicine · 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
- Retrograde transcatheter closure of perimembranous and muscular ventricular septal defects in pediatric and adult patients: 12month outcomes in a case series of 60 patients from Iran.ARYA atherosclerosis · 2026Article
- Use of ionizing radiation in a Norwegian cohort of children with congenital heart disease: imaging frequency and radiation dose for the Health Effects of Cardiac Fluoroscopy and Modern Radiotherapy in Pediatrics (HARMONIC) study.Pediatric radiology · 2023Article
- Cumulative Radiation Dose from Medical Imaging in Children with Congenital Heart Disease: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Automatic image-based tracking of gadolinium-filled balloon wedge catheters for MRI-guided cardiac catheterization using deep learning.Frontiers in cardiovascular medicine · 2023Article
- Radiation Exposure in Pediatric Interventional Procedures.Cardiovascular and interventional radiology · 2021Review
- Percutaneous closure of ventricular septal defects in children: key parameters affecting patient radiation exposure.American journal of cardiovascular disease · 2021Article
- Age-specific and gender-specific radiation risks in paediatric angiography and interventional cardiology: conversion coefficients and risk reference values.The British journal of radiology · 2020Article
- Increased Cancer Incidence Following up to 15 Years after Cardiac Catheterization in Infants under One Year between 1980 and 1998-A Single Center Observational Study.Journal of clinical medicine · 2020Article
- Assessment of PCXMC for patients with different body size in chest and abdominal x ray examinations: a Monte Carlo simulation study.Physics in medicine and biology · 2018Article
- Evaluation of the UF/NCI hybrid computational phantoms for use in organ dosimetry of pediatric patients undergoing fluoroscopically guided cardiac procedures.Physics in medicine and biology · 2018Article
- Recent advances in cardiac catheterization for congenital heart disease.F1000Research · 2018Review
- Survival adjusted cancer risks attributable to radiation exposure from cardiac catheterisations in children.Heart (British Cardiac Society) · 2017Article
- Update on the Role of Cardiac Magnetic Resonance Imaging in Congenital Heart Disease.Current treatment options in cardiovascular medicine · 2017Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo gather data on radiation doses from fluoroscopically guided cardiac catheterization procedures in patients aged under 22 years at multiple centres and over a prolonged period in the UK. To evaluate and explain variation in doses. To estimate patient-specific organ doses and allow for possible future epidemiological analysis of associated cancer risks.
methodsPatient-specific data including kerma area product and screening times from 10,257 procedures carried out on 7726 patients at 3 UK hospitals from 1994 until 2013 were collected. Organ doses were estimated from these data using a dedicated dosimetry system based on Monte Carlo computer simulations.
resultsRadiation doses from these procedures have fallen significantly over the past two decades. The organs receiving the highest doses per procedure were the lungs (median across whole cohort, 20.5 mSv), heart (19.7 mSv) and breasts (13.1 mSv). Median cumulative doses, taking into account multiple procedures, were 23.2, 22.2 and 16.7 mSv for these organs, respectively. Bone marrow doses were relatively low (median per procedure, 3.2 mSv; cumulative, 3.6 mSv).
conclusionMost modern cardiac catheterizations in children are moderately low-dose procedures. Technological advances appear to be the single most important factor in the fall in doses. Patients undergoing heart transplants undergo the most procedures. An epidemiological assessment of cancer risks following these procedures may be possible, especially using older data when doses were higher. ADVANCES IN KNOWLEDGE: This is the first large-scale, patient-specific assessment of organ doses from these procedures in a young population.
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