ArticleInternational journal of cardiology. Heart & vasculature2015
Substantial radiation reduction in pediatric and adult congenital heart disease interventions with a novel X-ray imaging technology.
Article in International journal of cardiology. Heart & vasculature, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Transcatheter Embolization of Systemic-to-Pulmonary Collaterals: A New Approach Using Concerto™ Helix Nylon-Fibered Microcoils.Journal of clinical medicine · 2024Article
- Implementing Patient Protection Radiation Dose Alerts for Pediatric Cardiac Catheterization Examinations.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Early Intervention for Tetralogy of Fallot, But at What Cost?JACC. Advances · 2024Article
- Radiation Reduction in Paediatric Cardiac Catheterization: We Can Go Even Lower.CJC pediatric and congenital heart disease · 2024Article
- Cumulative Radiation Dose from Medical Imaging in Children with Congenital Heart Disease: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Generative learning approach for radiation dose reduction in X-ray guided cardiac interventions.Medical physics · 2022Article
- Estimating radiation exposure during paediatric cardiac catheterisation: a potential for radiation reduction with air gap technique.Cardiology in the young · 2019Article
- Safety and accuracy of spinal instrumentation surgery in a hybrid operating room with an intraoperative cone-beam computed tomography.Neurosurgical review · 2019Article
- Transcatheter Atrial Septal Defect Closure in Children with and without Fluoroscopy: A Comparison.Journal of interventional cardiology · 2019Observational
- Choice of tube extremity for emission of the lowest radiation dose in pediatric patients.International journal of cardiology. Heart & vasculature · 2018Article
- Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose.Cardiovascular and interventional radiology · 2018Article
- Reduction in Radiation Dose in a Pediatric Cardiac Catheterization Lab Using the Philips AlluraClarity X-ray System.Pediatric cardiology · 2017Article
- Reduced Patient Radiation Exposure during Neurodiagnostic and Interventional X-Ray Angiography with a New Imaging Platform.AJNR. American journal of neuroradiology · 2017Article
- Impact of Allura Clarity Technology on Radiation Dose Exposure During Left Atrial Appendage Closure.Polish journal of radiology · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPediatric catheterization exposes patients to varying radiation doses. Concerns over the effects of X-ray radiation dose on the patient population have increased in recent years. This study aims at quantifying the patient radiation dose reduction after the introduction of an X-ray imaging technology using advanced real time image noise reduction algorithms and optimized acquisition chain for fluoroscopy and exposure in a pediatric and adult population with congenital heart disease.
methodsPatient and radiation dose data was retrospectively collected (July 2012-February 2013) for 338 consecutive patients treated with a system using state of the art image processing and reference acquisition chain (referred as "reference system"). The same data was collected (March-October 2013) for 329 consecutive patients treated with the new imaging technology (Philips AlluraClarity, referred as "new system"). Patients were divided into three weight groups: A) below 10 kg, B) 10-40 kg, and C) over 40 kg. Radiation dose was quantified using dose area product (DAP), while procedure complexity using fluoroscopy time, procedure duration and volume of contrast medium.
resultsThe new system provides significant patient dose reduction compared to the reference system. Median DAP values were reduced in group A) from 140.6 cGy·cm
conclusionsDespite no other changes in procedural approach, the novel X-ray imaging technology provided substantial radiation dose reduction of 56% or higher.
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