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Journal of Digital Imaging

, Volume 28, Issue 6, pp 684–694 | Cite as

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

  • Jungsu Kim
  • Deoknam Seo
  • Inseok Choi
  • Sora Nam
  • Yongsu Yoon
  • Hyunji Kim
  • Jae Her
  • Seonggyu Han
  • Soonmu Kwon
  • Hunsik Park
  • Dongheon Yang
  • Jungmin KimEmail author
Article

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 cm2 and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm2, and the DRL for fluoroscopic time was 1207.5 s.

Keywords

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

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Copyright information

© Society for Imaging Informatics in Medicine 2015

Authors and Affiliations

  • Jungsu Kim
    • 1
    • 3
  • Deoknam Seo
    • 1
    • 6
  • Inseok Choi
    • 1
  • Sora Nam
    • 1
  • Yongsu Yoon
    • 8
  • Hyunji Kim
    • 1
    • 9
  • Jae Her
    • 1
  • Seonggyu Han
    • 1
  • Soonmu Kwon
    • 2
    • 7
  • Hunsik Park
    • 4
    • 5
  • Dongheon Yang
    • 4
    • 5
  • Jungmin Kim
    • 1
    Email author
  1. 1.Department of Radiologic Science, College of Health ScienceKorea UniversitySeongbuk-guSouth Korea
  2. 2.Department of Radiologic Science, College of Medical ScienceCatholic University of DaeguDaeguRepublic of Korea
  3. 3.Department of Radio-technologyWonkwang Health Science UniversityJeonbuk-doRepublic of Korea
  4. 4.Department of Internal MedicineKyungpook National University School of MedicineDaeguRepublic of Korea
  5. 5.Department of Heart & Brain Attack CenterKyungpook National University HospitalDaeguRepublic of Korea
  6. 6.Department of Diagnostic RadiologyKorea Institute of Radiological & Medical SciencesSeoulRepublic of Korea
  7. 7.Department of Radiologic TechnologyDaegu Health CollegeDaeguRepublic of Korea
  8. 8.Department of Health Sciences, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  9. 9.Medical Radiation TF Team, Center for Disease PreventionKorea Centers for Disease Control and PreventionChungcheongbuk-doRepublic of Korea

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