Local Diagnostic Reference Levels for Pediatric Interventional Cardiology Procedures in Argentina-Reference-Cited by-同舟云学术

Local Diagnostic Reference Levels for Pediatric Interventional Cardiology Procedures in Argentina

Published:2023-11-30 Issue:12 Volume:10 Page:1877
ISSN:2227-9067
Container-title:Children
language:en
Short-container-title:Children

Author:

Azcurra Patricia¹,Leyton Fernando²^ORCID,Lucini Victorio¹,Rivarola Marcelo¹,Trentacoste Luis¹,Marques Adela¹,Chiabrando Juan¹,Seropian Ignacio¹,Mundo Nicolas¹,Ubeda Carlos²^ORCID,Agatiello Carla¹

Affiliation:

1. Interventional Cardiology Department, Hospital Italiano de Buenos Aires, Buenos Aires C1199ABB, Argentina

2. Personal Dosimetry Laboratory (LABODOP), School of Medical Technology, Faculty of Health Sciences, University of Tarapacá, Arica 1010072, Chile

Abstract

The aim of this work was to propose a preliminary local diagnostic reference levels (DRL) for pediatric interventional cardiology (PIC) procedures in Argentina, for different ranges of age and weight. This work has been conducted in the framework of the “Optimization of Protection in Pediatric Interventional Radiology in Latin America and the Caribbean” (OPRIPALC) program coordinated by the World Health Organization and the Pan American Health Organization in cooperation with the International Atomic Energy Agency to ensuring that radiation exposures of pediatric patients are the minimum necessary during fluoroscopy-guided interventional procedures. The local DRL values presented in this paper by weight group and age group were 7.1 Gy·cm2 (<5 kg), 10.7 Gy·cm2 (5–15 kg), 18.0 Gy·cm2 (15–30 kg), 15.9 Gy·cm2 (30–50 kg), and 28.2 Gy·cm2 (50–80 kg) and 5.3 Gy·cm2 (<1), 11.2 Gy·cm2 (1 to 5<), 19.6 Gy·cm2 (5 to 10<), and 21.4 Gy·cm2 (10 to 16<), respectively. Our dose results are among the values found in other international studies; however, there is great potential for dose optimization.

Funder

European Commission, Directorate-General for International Cooperation and Development

Universidad de Tarapacá

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Link

https://www.mdpi.com/2227-9067/10/12/1877/pdf

Reference35 articles.

1. National Council on Radiation Protection and Measurements (2009). Ionizing Radiation Exposure of the Population of the United States, NCRP. NCRP Report 160.

2. United Nations Scientific Committee on the Effects of Atomic Radiation, UNSCEAR (2008). Sources and Effects of Ionizing Radiation. UNSCEAR 2008 Report. Volume I: Sources. Scientific Annex A: Medical Radiation Exposures, United Nations. Available online: https://www.unscear.org/unscear/en/publications/2008_1.html.

3. United Nations Scientific Committee on Effects of Atomic Radiations (2013). Source and Effects of Ionizing Radiation 2013 Report to the General Assembly with Scientific, Annexes B Vol II, United Nations. Available online: https://www.unscear.org/unscear/en/publications/2013_2.html.

4. United Nations Scientific Committee on the Effects of Atomic Radiation, UNSCEAR (2022). Sources, Effects and Risks of Ionizing Radiation. UNSCEAR 2020/2021 Report. Volume I. Scientific Annex A. Evaluation of medical Exposure to Ionizing Radiation, United Nations. Available online: https://www.unscear.org/unscear/en/publications/2020_2021_1.html.

5. Boyd, M., Bushberg, J., Ebdon-Jackson, S., Frush, D., Mikhail, M., Miller, D., Murphy, M., Perez, M., Prasopa-Plaizier, N., and Remedios, D. (2023, August 10). Communicating Radiation Risks in Paediatric Imaging: Information to Support Health Care Discussions about Benefit and Risk, Available online: https://www.who.int/publications/i/item/978924151034.