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Radiation Protection Dosimetry Advance Access published online on February 3, 2006
Radiation Protection Dosimetry, doi:10.1093/rpd/nci705
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

SCIENTIFIC AND TECHNICAL PAPER

CORRELATION OF PATIENT AND STAFF DOSES IN INTERVENTIONAL CARDIOLOGY

V. Tsapaki 1, S. Kottou 2 *, E. Vano 3, T. Parviainen 4, R. Padovani 5, A. Dowling 6, M. Molfetas 7, and V. Neofotistou 8

1 Medical Physics Department, Konstantopoulio Agia Olga Hospital, 3-5 Agias Olgas, Nea Ionia, 14233 Athens, Greece
2 Medical Physics Department, Medical School, Athens University, 75 Mikras Asias Street, Athens 11527, Greece
3 Medical Physics Service and Radiology Department, San Carlos University Hospital and Complutense University, 28040 Madrid, Spain
4 STUK, Radiation and Nuclear Safety Authority, P.O. Box 14, FIN-00881 Helsinki, Finland
5 Servizio di Fisica Medica, Ospedale S. Maria della Misericordia, 33100 Udine, Italy
6 Medical Physics and Bioengineering Department, St James's Hospital and Haughton Institute, Dublin 8, Ireland
7 Medical Physics Department, ‘Evangelismos’ Hospital, 43-47 Ypsilantou Street, 10676 Athens, Greece
8 Medical Physics Department, Regional Athens General Hospital ‘G. Gennimatas’, 154 Mesogion Avenue, 11527 Athens, Greece

* To whom correspondence should be addressed.
S. Kottou, E-mail: skottou{at}med.uoa.gr


  Abstract

The purpose of this study was to measure staff radiation doses in representative institutions of five European countries performing coronary angiographies (CA) and percutaneous transluminal coronary angioplasties (PTCA), as well as to investigate any correlation with patient doses. Patient doses were recorded in terms of dose-area product (DAP). Staff doses were measured by thermoluminescence dosemeters placed on the operator's left shoulder and left foot. Radiation protection measures were also recorded. Third quartile shoulder and foot doses were 90 and 66 µSv in CA, and 157 and 173 µSv in PTCA, respectively. Shoulder dose was poorly correlated with DAP in CA (R2 = 0.29) and only moderately correlated in PTCA (R2 = 0.69). DAP and foot dose correlation was poor both in CA (R2 = 0.16) and in PTCA (R2 = 0.02). Protective measures taken by staff varied between countries, which may explain the poor correlation of patient and staff radiation doses.


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