Radiation Protection Dosimetry Advance Access published online on February 18, 2008
Radiation Protection Dosimetry, doi:10.1093/rpd/ncn034
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QUALITY CRITERIA FOR CARDIAC IMAGES: AN UPDATE
1 Cardiology Department, Az. Ospedaliero-Universitaria Udine, Italy
2 Clinique Saint Gatien, Tours, France
3 II Chair and Department of Cardiology, Medical University of Lodz, Poland
4 Medical Physics Department, San Carlos Hospital, Complutense University, Madrid, Spain
5 Centre d'Assurance de qualité des Applications Technologiques dans le domaine de la Santé (CAATS), Paris, France
6 Medical Physics Department, Az. Ospedaliero-Universitaria Udine, Italy
* Corresponding author: bernardi.guglielmo{at}aoud.sanita.fvg.it
The DIMOND II and III Cardiology Groups have agreed on quality criteria for cardiac images and developed a scoring system, to provide a tool to test quality of coronary angiograms, which was demonstrated to be of value in clinical practice. In the last years, digital flat panel technology has been introduced in cardiac angiographic systems and the radiological technique may have been influenced by the better performance of these new detectors. This advance in digital imaging, together with the lesson learned from previous studies, warranted the revision of the quality criteria for cardiac angiographic images as formerly defined. DIMOND criteria were reassessed to allow a simpler evaluation of angiograms. Clinical criteria were simplified and separated from technical criteria. Furthermore, the characteristics of an optimised angiographic technique have been outlined.