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First published online November 26, 2007
British Journal of Radiology (2008) 81, 35-45
© 2008 British Institute of Radiology
doi: 10.1259/bjr/26551424

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An investigation into patient and staff doses from X-ray angiography during coronary interventional procedures

O W E Morrish, BSc, MSc and K E Goldstone, BSc, MSc, CSci, FIPEM

East Anglian Regional Radiation Protection Service, Box 191, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 2QQ, UK


Figure 1
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Figure 1. The Alderson Rando-Phantom slices 11–23.

 

Figure 2
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Figure 2. Diagram showing the naming conventions of projections in relation to the patient's position. Left anterior oblique (LAO), right anterior oblique (RAO), cranial (CR) and caudal (CA) refer to the position of the image intensifier, with 0° being above the patient.

 

Figure 3
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Figure 3. Diagram showing the positions of the cardiologist and the nurse. The shown angles orientate the positions for the scattered exposure measurements.

 

Figure 4
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Figure 4. Measurements during fluoroscopy at the 210° position (cardiologist's position) with and without lead protection. RAO, right anterior oblique; LAO, left anterior oblique; CA, caudal; CR, cranial.

 

Figure 5
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Figure 5. Measurements during fluoroscopy at the 150° position (nurse's position) with and without lead protection. RAO, right anterior oblique; LAO, left anterior oblique; CA, caudal; CR, cranial.

 

Figure 6
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Figure 6. Mean effectiveness of lead protection at the 210° position (cardiologist's position). RAO, right anterior oblique; LAO, left anterior oblique; CA, caudal; CR, cranial.

 

Figure 7
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Figure 7. Distribution of scattered radiation from digital acquisition on the 45° left anterior oblique (LAO) projection at 72 kVp. The radial axis shows the dose in µGy min–1, whereas the ionization chamber position is indicated on the circumference. The figure shows the patient position from above, and the arrow shows the direction of the primary beam. Data for points not measured at 90°, 180° and 150° at 60 cm have been interpolated.

 

Figure 8
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Figure 8. Distribution of scattered radiation from digital acquisition on the 10° right anterior oblique (RAO) projection at 68 kVp. The radial axis shows the dose in µGy min–1, whereas the ionization chamber position is indicated on the circumference. The figure shows the patient position from above, and the arrow shows the direction of the primary beam. Data for points not measured at 90°, 180° and 150° at 60 cm have been interpolated.

 

Figure 9
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Figure 9. Distribution of scattered radiation from digital acquisition on the 30° right anterior oblique (RAO) projection at 68 kVp. The radial axis shows the dose in µGy min–1, whereas the ionization chamber position is indicated on the circumference. The figure shows the patient position from above, and the arrow shows the direction of the primary beam. Data for points not measured at 90°, 180° and 150° at 60 cm have been interpolated.

 

Figure 10
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Figure 10. Distribution of scattered radiation from digital acquisition on the 30° right anterior oblique (RAO) 25° caudal projection at 69 kVp. The radial axis shows the dose in µGy min–1, whereas the ionization chamber position is indicated on the circumference. The figure shows the patient position from above, and the arrow shows the direction of the primary beam. Data for points not measured at 90°, 180° and 150° at 60 cm have been interpolated.

 

Figure 11
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Figure 11. Distribution of scattered radiation from digital acquisition on the 45° left anterior oblique (LAO) 25° cranial projection at 75 kVp. The radial axis shows the dose in µGy min–1, whereas the ionization chamber position is indicated on the circumference. The figure shows the patient position from above, and the arrow shows the direction of the primary beam. Data for points not measured at 90°, 180° and 150° at 60 cm have been interpolated.

 





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