title: Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea.
abstract: Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product (DAP) DRL for coronary angiography of 75.6 Gy cm(2) and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm(2), and the DRL for fluoroscopic time was 1207.5 s.
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. rtkjs@korea.ac.kr.|Department of Radio-technology, Wonkwang Health Science University, Jeonbuk-do, Republic of Korea. rtkjs@korea.ac.kr.
authors.forename: Jungsu
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. duck9298@korea.ac.kr.|Department of Diagnostic Radiology, Korea Institute of Radiological & Medical Sciences, Seoul, Republic of Korea. duck9298@korea.ac.kr.
authors.forename: Deoknam
authors.initials: D
authors.lastname: Seo
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. joajoa1982@korea.ac.kr.
authors.forename: Inseok
authors.initials: I
authors.lastname: Choi
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. srnam@korea.ac.kr.
authors.forename: Sora
authors.initials: S
authors.lastname: Nam
authors.affiliation: Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. doublewhys@korea.ac.kr.
authors.forename: Yongsu
authors.initials: Y
authors.lastname: Yoon
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. taminylove@gmail.com.|Medical Radiation TF Team, Center for Disease Prevention, Korea Centers for Disease Control and Prevention, Chungcheongbuk-do, Republic of Korea. taminylove@gmail.com.
authors.forename: Hyunji
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. enisi2001@korea.ac.kr.
authors.forename: Jae
authors.initials: J
authors.lastname: Her
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. goodcoat@korea.ac.kr.
authors.forename: Seonggyu
authors.initials: S
authors.lastname: Han
authors.affiliation: Department of Radiologic Science, College of Medical Science, Catholic University of Daegu, Daegu, Republic of Korea. kwoncine2@hanmail.net.|Department of Radiologic Technology, Daegu Health College, Daegu, Republic of Korea. kwoncine2@hanmail.net.
authors.forename: Soonmu
authors.initials: S
authors.lastname: Kwon
authors.affiliation: Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Republic of Korea. hspark@knu.ac.kr.|Department of Heart & Brain Attack Center, Kyungpook National University Hospital, Daegu, Republic of Korea. hspark@knu.ac.kr.
authors.forename: Hunsik
authors.initials: H
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Republic of Korea. ddhyang@knu.ac.kr.|Department of Heart & Brain Attack Center, Kyungpook National University Hospital, Daegu, Republic of Korea. ddhyang@knu.ac.kr.
authors.forename: Dongheon
authors.initials: D
authors.lastname: Yang
authors.affiliation: Department of Radiologic Science, College of Health Science, Korea University, #219, Holim Building, Korea Univ. health science Univ., Jeongneung 3-dong, Seongbuk-gu, Seoul, South Korea, 136-703. minbogun@korea.ac.kr.
authors.forename: Jungmin
authors.initials: J
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011829:Radiation Dosage; D011834:Radiation Monitoring / Q000379:methods*; D012016:Reference Values; D056910:Republic of Korea; D012189:Retrospective Studies; D055815:Young Adult
keywords: Cardiovascular centre; DICOM MPPS; Diagnostic reference levels; Order communication system; Radiation dose monitoring