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2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging-Best Practices for Safety and Effectiveness, Part 1: Radiation Physics and Radiation Biology: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways Developed in Collaboration With Mended Hearts.

Publication ,  Journal Article
Writing Committee Members, ; Hirshfeld, JW; Ferrari, VA; Bengel, FM; Bergersen, L; Chambers, CE; Einstein, AJ; Eisenberg, MJ; Fogel, MA ...
Published in: Catheter Cardiovasc Interv
August 1, 2018

The stimulus to create this document was the recognition that ionizing radiation-guided cardiovascular procedures are being performed with increasing frequency, leading to greater patient radiation exposure and, potentially, to greater exposure for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology leadership concluded that it is important to provide practitioners with an educational resource that assembles and interprets the current radiation knowledge base relevant to cardiovascular procedures. By applying this knowledge base, cardiovascular practitioners will be able to select procedures optimally, and minimize radiation exposure to patients and to clinical personnel. Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness is a comprehensive overview of ionizing radiation use in cardiovascular procedures and is published online. To provide the most value to our members, we divided the print version of this document into 2 focused parts. Part I: Radiation Physics and Radiation Biology addresses the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation-induced adverse effects. Part II: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection covers the basics of operation and radiation delivery for the 3 cardiovascular imaging modalities (x-ray fluoroscopy, x-ray computed tomography, and nuclear scintigraphy) and will be published in the next issue of the Journal.

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Published In

Catheter Cardiovasc Interv

DOI

EISSN

1522-726X

Publication Date

August 1, 2018

Volume

92

Issue

2

Start / End Page

203 / 221

Location

United States

Related Subject Headings

  • Risk Factors
  • Risk Assessment
  • Radiation Exposure
  • Radiation Dosage
  • Predictive Value of Tests
  • Patient Safety
  • Humans
  • Evidence-Based Medicine
  • Consensus
  • Cardiovascular System & Hematology
 

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Writing Committee Members, Barbara S., John W. Hirshfeld, Victor A. Ferrari, Frank M. Bengel, Lisa Bergersen, Charles E. Chambers, Andrew J. Einstein, et al. “2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging-Best Practices for Safety and Effectiveness, Part 1: Radiation Physics and Radiation Biology: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways Developed in Collaboration With Mended Hearts.Catheter Cardiovasc Interv 92, no. 2 (August 1, 2018): 203–21. https://doi.org/10.1002/ccd.27660.
Writing Committee Members, Hirshfeld JW, Ferrari VA, Bengel FM, Bergersen L, Chambers CE, Einstein AJ, Eisenberg MJ, Fogel MA, Gerber TC, Haines DE, Laskey WK, Limacher MC, Nichols KJ, Pryma DA, Raff GL, Rubin GD, Smith D, Stillman AE, Thomas SA, Tsai TT, Wagner LK, Samuel Wann L, ACC Task Force on Expert Consensus Decision Pathways, Januzzi JL, Afonso LC, Everett B, Hernandez AF, Hucker W, Jneid H, Kumbhani D, Edward Marine J, Morris PB, Piana RN, Watson KE, Wiggins BS. 2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging-Best Practices for Safety and Effectiveness, Part 1: Radiation Physics and Radiation Biology: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways Developed in Collaboration With Mended Hearts. Catheter Cardiovasc Interv. 2018 Aug 1;92(2):203–221.
Journal cover image

Published In

Catheter Cardiovasc Interv

DOI

EISSN

1522-726X

Publication Date

August 1, 2018

Volume

92

Issue

2

Start / End Page

203 / 221

Location

United States

Related Subject Headings

  • Risk Factors
  • Risk Assessment
  • Radiation Exposure
  • Radiation Dosage
  • Predictive Value of Tests
  • Patient Safety
  • Humans
  • Evidence-Based Medicine
  • Consensus
  • Cardiovascular System & Hematology