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J Digit Imaging. 2015 Dec;28(6):684-94. doi: 10.1007/s10278-015-9773-9.

Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea.

Kim J1,2, Seo D3,4, Choi I5, Nam S6, Yoon Y7, Kim H8,9, Her J10, Han S11, Kwon S12,13, Park H14,15, Yang D16,17, Kim J18.

Author information

1
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. rtkjs@korea.ac.kr.
2
Department of Radio-technology, Wonkwang Health Science University, Jeonbuk-do, Republic of Korea. rtkjs@korea.ac.kr.
3
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. duck9298@korea.ac.kr.
4
Department of Diagnostic Radiology, Korea Institute of Radiological & Medical Sciences, Seoul, Republic of Korea. duck9298@korea.ac.kr.
5
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. joajoa1982@korea.ac.kr.
6
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. srnam@korea.ac.kr.
7
Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. doublewhys@korea.ac.kr.
8
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. taminylove@gmail.com.
9
Medical Radiation TF Team, Center for Disease Prevention, Korea Centers for Disease Control and Prevention, Chungcheongbuk-do, Republic of Korea. taminylove@gmail.com.
10
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. enisi2001@korea.ac.kr.
11
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. goodcoat@korea.ac.kr.
12
Department of Radiologic Science, College of Medical Science, Catholic University of Daegu, Daegu, Republic of Korea. kwoncine2@hanmail.net.
13
Department of Radiologic Technology, Daegu Health College, Daegu, Republic of Korea. kwoncine2@hanmail.net.
14
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Republic of Korea. hspark@knu.ac.kr.
15
Department of Heart & Brain Attack Center, Kyungpook National University Hospital, Daegu, Republic of Korea. hspark@knu.ac.kr.
16
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Republic of Korea. ddhyang@knu.ac.kr.
17
Department of Heart & Brain Attack Center, Kyungpook National University Hospital, Daegu, Republic of Korea. ddhyang@knu.ac.kr.
18
Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. minbogun@korea.ac.kr.

Abstract

Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product (DAP) DRL for coronary angiography of 75.6 Gy cm(2) and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm(2), and the DRL for fluoroscopic time was 1207.5 s.

KEYWORDS:

Cardiovascular centre; DICOM MPPS; Diagnostic reference levels; Order communication system; Radiation dose monitoring

PMID:
25700616
PMCID:
PMC4636713
DOI:
10.1007/s10278-015-9773-9
[Indexed for MEDLINE]
Free PMC Article

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