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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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection.

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 to clinical personnel. While the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. ACC 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 radiation physics, dosimetry and detrimental biologic effects. "Part II: Radiologic 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). For each modality, it includes the determinants of radiation exposure and techniques to minimize exposure to both patients and to medical personnel.

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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

222 / 246

Location

United States

Related Subject Headings

  • Risk Factors
  • Risk Assessment
  • Radiation Exposure
  • Radiation Dosage
  • Predictive Value of Tests
  • Patient Safety
  • Occupational Exposure
  • Humans
  • Evidence-Based Medicine
  • Consensus
 

Citation

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Writing Committee Members, ., Hirshfeld, J. W., Ferrari, V. A., Bengel, F. M., Bergersen, L., Chambers, C. E., … Wiggins, B. S. (2018). 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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection. Catheter Cardiovasc Interv, 92(2), 222–246. https://doi.org/10.1002/ccd.27661
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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection.Catheter Cardiovasc Interv 92, no. 2 (August 1, 2018): 222–46. https://doi.org/10.1002/ccd.27661.
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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection. Catheter Cardiovasc Interv. 2018 Aug 1;92(2):222–246.
Journal cover image

Published In

Catheter Cardiovasc Interv

DOI

EISSN

1522-726X

Publication Date

August 1, 2018

Volume

92

Issue

2

Start / End Page

222 / 246

Location

United States

Related Subject Headings

  • Risk Factors
  • Risk Assessment
  • Radiation Exposure
  • Radiation Dosage
  • Predictive Value of Tests
  • Patient Safety
  • Occupational Exposure
  • Humans
  • Evidence-Based Medicine
  • Consensus