ArticleJACC. Asia2023
Body Surface Radiation Exposure in Interventional Echocardiographers During Structural Heart Disease Procedures.
Article in JACC. Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Occupational Pelvic and Chest-Level Radiation Exposure Among Interventional Echocardiographers During Percutaneous Structural Heart Interventions.JACC. Advances · 2026Article
- ALARA+: Summit on Radiation and Orthopedic Risks in Fluoroscopic Laboratories.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Review
- Radiation Realities: Radiation Safety Practices and Awareness Among Interventional Echocardiographers in the United States.Structural heart : the journal of the Heart Team · 2026Article
- A Novel Radiation Shield for Interventional Echocardiographers With Application During Structural Heart Disease Procedures.JACC. Asia · 2025Article
- Shielding Interventional Echocardiographers From Radiation Hazards.JACC. Asia · 2025Article
- Intracardiac Echocardiography Guided Transcatheter Aortic Valve Replacement in a Severe Chronic Obstructive Pulmonary Disease Patient Ineligible for Standard Echocardiography.Clinical case reports · 2025Article
- Real-World Reductions in Lead-Free Radiation Exposure with the Rampart System during Endovascular Procedures.The American journal of cardiology · 2025Article
- EACVI survey on radiation exposure in interventional echocardiography.European heart journal. Cardiovascular Imaging · 2024Article
- Feasibility and Outcome of Transjugular Intracardiac Echocardiography-Guided Transcatheter Aortic Valve Replacement.JACC. Asia · 2023Article
- Radiation Exposure of Interventional Echocardiographers: Protecting and Nurturing a New Subspecialty.JACC. Asia · 2023Article
Corrections and comments
- Commented on by
Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The distribution of radiation exposure on the body surface of interventional echocardiographers during structural heart disease (SHD) procedures is unclear. Objectives: This study estimated and visualized radiation exposure on the body surface of interventional echocardiographers performing transesophageal echocardiography by computer simulations and real-life measurements of radiation exposure during SHD procedures. Methods: A Monte Carlo simulation was performed to clarify the absorbed dose distribution of radiation on the body surface of interventional echocardiographers. The real-life radiation exposure was measured during 79 consecutive procedures (44 transcatheter edge-to-edge repairs of the mitral valve and 35 transcatheter aortic valve replacements [TAVRs]). Results: The simulation demonstrated high-dose exposure areas (>20 μGy/h) in the right half of the body, especially the waist and lower body, in all fluoroscopic directions caused by scattered radiation from the bottom edge of the patient bed. High-dose exposure occurred when obtaining posterior-anterior and cusp-overlap views. The real-life exposure measurements were consistent with the simulation estimates: interventional echocardiographers were more exposed to radiation at their waist in transcatheter edge-to-edge repair than in TAVR procedures (median 0.334 μSv/mGy vs 0.053 μSv/mGy; Conclusions: During SHD procedures, the right waist and lower body of interventional echocardiographers were exposed to high radiation doses. Exposure dose varied between different C-arm projections. Interventional echocardiographers, especially young women, should be educated regarding radiation exposure during these procedures. (The development of radiation protection shield for catheter-based treatment of structural heart disease [for echocardiologists and anesthesiologists]; UMIN000046478).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.