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Radiation Protection in Paediatric Interventional Cardiology

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Ülger Ahmet
Ülger Ahmet

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Saúde e medicinaTecnologia
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Radiation Protection in Paediatric Interventional Cardiology L 10
Answer “True” or “False”? ,[object Object],[object Object]
Educational Objective ,[object Object],[object Object],[object Object]
Unique Considerations for Radiation Exposure in Children ,[object Object],[object Object],[object Object],[object Object]
 
Unique Considerations for Radiation Exposure in Children ,[object Object],[object Object]
Need for Exposure Parameters Adjustment ,[object Object],[object Object],[object Object],[object Object]
Some interventional procedures in pediatric cardiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trends in pediatric interventional cardiology ,[object Object],[object Object],[object Object],[object Object]
Radiation Exposure to Children during various interventions (I) ,[object Object],[object Object],[object Object],[object Object],DC= diagnostic catheterization , PDA= Coil occlusion of the patent ductus arteriosus , PBV= pulmonary balloon valvuloplasty 102 ±34 19.9±3.3 23.5 ±2.1 14 Amplatzer 108 ±21 18.7±1.5 13.2 ±1.5 12 DC 10.9±2.3 11.5±1.8 Cine time (sec) 19.3 ±2.3 10.1 ±1.8 Fluoroscopy time (min) 86 ±32 5 PBV 97 ±25 8 PDA Total cumulative skin dose (mGy) No. patients Procedure
Radiation Exposure to Children during various interventions (II) ,[object Object]
Radiation Exposure to Children during various interventions (III) ,[object Object]
X ray Equipment Consideration
X ray equipment for pediatric cardiology ,[object Object],Fluoroscopic pulsing X rays are produced during a small portion of the video frame time. The narrower the pulse width, the sharper the image. (  “Shutter speed” in camera )
X ray equipment for pediatric cardiology ,[object Object],[object Object]
X ray equipment for pediatric cardiology ,[object Object],[object Object],[object Object]
X ray equipment for pediatric cardiology Image Handling and Display Image Receptor X ray tube High-voltage transformer Power Controller Primary Controls Operator Controls Patients Operator Foot Switch Electrical Stabilizer Automatic Dose Rate Control ,[object Object],[object Object],[object Object],[object Object]
Anti-scatter Grid ,[object Object]
[object Object],[object Object],[object Object],Anti-scatter Grid
Procedure optimization in the pediatric cath. lab. patients and staff share a lot…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(staff) (patient)
ICRP-ISR “smart” message for pediatrics
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

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