Evidence map›Paper›PMID 42506179›Full record

ArticleJournal of imaging2026

Decadal Changes in Institutional Diagnostic Reference Levels for X-Ray Angiography: A Retrospective Comparative Study.

Ioannis Antonakos, Emmanouil Anousis, Tatiana Roko, Antonia Alexiadou, Maria Dimitropoulou, Dimitris Filippiadis, Stavros Spiliopoulos, Konstantinos Palialexis, Athanasios Giannakis, Niki Parmenidou and 1 more

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In one paragraph

Article in Journal of imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ioannis AntonakosDepartment of Applied Medical Physics, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-3165-9022
Emmanouil AnousisDepartment of Applied Medical Physics, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Tatiana RokoDepartment of Applied Medical Physics, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Antonia AlexiadouDepartment of Applied Medical Physics, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Maria DimitropoulouDepartment of Applied Medical Physics, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0009-0003-1080-1610
Dimitris Filippiadis2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.
Stavros Spiliopoulos2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.ORCID 0000-0003-1860-0568
Konstantinos Palialexis2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.
Athanasios Giannakis2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.
Niki Parmenidou2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.
Efstathios Efstathopoulos2nd Department of Radiology, National and Kapodistrian University of Athens, Chaidari Athens, 12461 Athens, Greece.ORCID 0000-0003-2747-3353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Angiography is a key imaging modality for the diagnosis and treatment of vascular diseases, and the growing sophistication of interventional procedures has heightened the need for radiation dose optimization. Diagnostic Reference Levels (DRLs) are widely used to monitor patient exposure and to support optimization in accordance with the ALARA principle. This study compared radiation dose metrics from a newly installed angiographic system at Attikon University Hospital with those obtained from the institution's previous system and with values reported in the published literature. Radiation dose and procedural parameters were retrospectively collected for digital cerebral subtraction angiography (DSA), embolization, nephrostomy, vertebroplasty, transjugular intrahepatic portosystemic shunt (TIPS), chemoembolization, and injection procedures. Dose area product (DAP), fluoroscopy-related DAP, patient entrance dose indicators, and fluoroscopy time were analyzed. Median DAP values ranged from 5.72 to 349.60 Gy·cm

Indexed as

angiography proceduresDiagnostic Reference Levelsdose area productfluoroscopyinterventional radiologyradiation protection

Identifiers

PMID42506179
PMCPMC13413074

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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.