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British Journal of Radiology (2006) 79, 756-761
© 2006 British Institute of Radiology
doi: 10.1259/bjr/57359387

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A mathematical model for patient skin dose assessment in cardiac catheterization procedures

R E Morrell, PhD, MIPEM and A T Rogers, MSc, MIPEM

Medical Physics and Clinical Engineering, City Hospital Campus, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham NG5 1PB, UK


Figure 1
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Figure 1. Set-up for determining the entrance dose rate to phantom. PMMA, polymethyl methacrylate; fsd, as used in Equation (1).

 

Figure 2
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Figure 2. Example output from dose model.

 

Figure 3
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Figure 3. Dosimetry film for the patient whose calculated skin dose map is shown inFigure 2Go.

 

Figure 4
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Figure 4. Calculated doses for procedures that resulted in film saturation, using each version of the dose model. Fluoro Correction 1 uses DAP, 2 uses fluoroscopy time, 3 uses concentration factor to estimate the contribution from fluoroscopy.

 

Figure 5
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Figure 5. Calculated versus measured doses, using only acquisition data.

 

Figure 6
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Figure 6. Calculated versus measured doses, using dose–area product (DAP) to estimate the contribution from fluoroscopy.

 

Figure 7
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Figure 7. Calculated versus measured doses, using fluoroscopy time to estimate the contribution from fluoroscopy.

 

Figure 8
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Figure 8. Calculated versus measured doses, using concentration factor to estimate the contribution from fluoroscopy.

 





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