title: A study of the correlation between dose area product and effective dose in vascular radiology.
abstract: The purpose of the multi-centre study was to assess dose area product (DAP) and effective dose of patients undergoing angiography of the lower limbs in Belgium and to investigate the correlation between DAP and effective dose. DAP values were measured in 12 centres and compared with the national diagnostic reference levels (DRLs). The effective dose (E) was estimated by multiplying the DAP with case-specific conversion coefficients (CCs) that were calculated with Monte Carlo software MCNP5. As a model for the patient, a mathematical hermaphrodite phantom was used. Calculations showed that tube configurations and extra Cu filtration have a large influence on these CCs. Due to the use of Cu filtration, effective dose can be twice as high for comparable DAP values. Also the use of an over-couch tube configuration is a disadvantage when compared with the under-couch tube configuration. For centres working under-couch without the use of extra Cu-filtration, the DAP values correlate very well with effective dose (Spearman's rank correlation rho ; = 0.97). For these conditions, general CCs between DAP and E were calculated. They were 0.083 mSv Gy(-1) cm(-2) (ICRP 60) and 0.065 mSv Gy(-1) cm(-2) (ICRP 103).
authors.affiliation: Department of Radiology, University Hospitals of Leuven, Herestraat 49, 3000 Leuven, Belgium. kristien.smans@uz.kuleuven.ac.be
authors.forename: K
authors.initials: K
authors.lastname: Smans
authors.forename: L
authors.initials: L
authors.lastname: Struelens
authors.forename: M-T
authors.initials: MT
authors.lastname: Hoornaert
authors.forename: F
authors.initials: F
authors.lastname: Bleeser
authors.forename: N
authors.initials: N
authors.lastname: Buls
authors.forename: D
authors.initials: D
authors.lastname: Berus
authors.forename: P
authors.initials: P
authors.lastname: Clerinx
authors.forename: F
authors.initials: F
authors.lastname: Malchair
authors.forename: F
authors.initials: F
authors.lastname: Vanhavere
authors.forename: H
authors.initials: H
authors.lastname: Bosmans
mesh_terms: D000792:Angiography / Q000295:instrumentation* / Q000379:methods*; D003300:Copper / Q000737:chemistry; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006066:Gonads / Q000528:radiation effects; D006801:Humans; D008297:Male; D009010:Monte Carlo Method; D019047:Phantoms, Imaging; D011829:Radiation Dosage; D011871:Radiology / Q000295:instrumentation* / Q000379:methods*; D011874:Radiometry / Q000379:methods*; D014018:Tissue Distribution; D014965:X-Rays
chemical_list: D003300:Copper