THE RADIATION DOSE PROFILE IN PEDIATRIC INTERVENTIONAL CARDIOLOGY TO ESTIMATE THE STOCHASTIC EFFECT RISK: PRELIMINARY STUDY
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Background: The specific characteristic of anatomy and physiology of children cause the risk of radiation effects received when they underwent the interventional cardiology procedures higher than an adult. Purpose: to estimate the stochastic effect risk in a pediatric patient during interventional cardiology procedures. Method: Data collection was performed by placing thermoluminescence dosimeter (TLD) on thyroid, gonad, left and right thoracic areas, and the 5th thoracic vertebrae during interventional cardiology. Result: The results showed that the greatest exposure was received around vertebrae (bone marrow) because of the superimpose X-ray on the vertebrae during the procedures. Conclusion: The greatest probability of stochastic effect that happened was leukemia. Estimation risk ratio of leukemia was 0, 9 % and thyroid cancer was 0,037%.
ACC/AHA. 2008. Guidelines for the Management of Adults With Congenital Heart Disease: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Adults With Congenital Heart Disease), Circulation. Vol 118:2395- 2451.
Brenner, D.J. 2001. Estimated risks of radiation-induced fatal cancer from pediatric CT. American journal of Roentgenology, 2001, 176(2) Pp:289-96.
National Research Council (U S.) Committee on Ionizing Radiation, and John Roderick Cameron. 1986. Review of U.S. Army Ionizing Radiation Dosimetry System: A Report. National Academies.
Dauer, L.T, Thornton, R.H, Miller, D.L. 2012. Radiation Management for Interventions Using Fluoroscopic or Computed Tomographic Guidance during Pregnancy: A Joint Guideline of the Society of Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe with Endorsement by the Canadian Interventional Radiology Association. J.Vasc Interv Radiol 2012; 23:19–32.
Dragusin,O., Bokou, C., Wagner, D. 2011. Advances in the Diagnosis of Coronary atherosclerosis: "Optimization of Radiation Dose and Image Quality in Cardiac Catheterization Laboratories.". InTech. Chapter 19.
IAEA. 2010. Patient Dose Optimization in Fluoroscopically Guided Interventional Procedures. Vienna
International Agency for Research on Cancer (IARC).2000 . Part 1: X- and gamma-radiation, and neutrons. Lyon, International Agency for Research on Cancer, (IARC Monographs on the Evaluation of the Carcinogenic Risk to Humans, Volume 75).
International Commission on Radiological Protection (ICRP). 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 1991; 21(1–3). Publication 60. Oxford: Pergamon
Rahani, M. 2013. Are children more sensitive to radiation than adults?. European Society of Radiology.
Marinell, G. 1996. Thermoluminescence Dosimetry Applied to Quality Assurance in Radiotherapy, Brachytherapy and Radiodiagnostic. IAEA
Keever, S.W.S. 1985. Thermoluminescence of solids. University Press. New York.
Kunadian, V., Dee, K. 2007. Cardiac Catheterisation : Radiation Doses and Lifetime Risk of Malignancy. Heart 2007:93; 370-371
Little, M.P. 2003. Risks associated with ionizing radiation : Environmental pollution and health, Br Med Bull 68 (1): 259-275
Mobbs, S., Watson, S., Harrison, J., Muirhead, C., Bouffler, S. 2009. An Introduction to the Estimation of Risks Arising from Exposure to Low Doses of Ionising Radiation Health Protection Agency Centre for Radiation, Chemical and Environmental Hazards Radiation Protection Division. UK
Kinlay, M.A.F. 1981. Thermoluminescence Dosimetry - Medical Physics Handbrooks N°5. Adam Hilger, Ldt .
Klaus, B., Evelien, B. 2005. Patient-spesific Dose and Radiation Risk Estimation in Pediatric Cardiac Catheterization. Circulation. 2005 Jan 4;111(1):83-9.
Sommer, R. 2014. Baim's Cardiac Catheterization, Angiography, and Intervention. 8th Ed. Chapter 35, Pp. 838, Lippincott Williams & Wilkins, A Wolters Klu Wer Business, Philadephia USA.
Stevens, L.G. 1896. Injurious effects on the skin. BMJ 1896; 1: 998 Frieben A. Demonstration eines Cancroids des rechten Handrückens, das sich nach langdauernder Einwirkung von Röntgenstrahlen bei einem 33 jährigen Mann entwickelt hatte. Fortschr Röntgenstr 1902; 6: 106
Forshier, S. 2009. Essentials of Radiation Biology and Protection, Second Edition. Delmar Cencage Learning. USA
UNSCEAR. 2006. Sources, effects and risks of ionizing radiation. United Nations Scientific Committee on the Effects of Atomic Radiation, United Nations, New York.
UNSCEAR.. 2008. Sources and Effects of Ionizing Radiation. UNSCEAR 2008 Report to the General Assembly, with Scientific Annexes. United Nations Scientific Committee on the Effects of Atomic Radiation Volume I: Sources. New York: United Nations
UNSCEAR. 2012. Sources, Effects and Risk of Ionizing Radiation Report. United Nations Scientific Committee on the Effects of Atomic Radiation, United Nations, New York.
UNSCEAR. 2013. Sources, effects and risks of ionizing radiation. United Nations Scientific Committee on the Effects of Atomic Radiation, United Nations, New York, NY.
Urfa, G.A. 2016. Studi Distribusi Dosis Radiasi Lensa Mata Hp(3) Pada Tld-900 Yang Digunakan Oleh Pekerja Kardiologi Intervensional. Universitas Brawijaya.
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