TY - JOUR
T1 - Review of skin dose calculation software in interventional cardiology
AU - Malchair, Françoise L.
AU - Dabin, Jérémie
AU - Deleu, Marine
AU - Sans-Mercé, Marta
AU - Ciraj-Bjelac, Olivera F.
AU - Gallagher, Aoife
AU - Maccia, Carlos
N1 - Score=10
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Purpose: In interventional cardiology, patients may be exposed to high doses to the skin resulting in skin burns following single or multiple procedures. Reviewing and analysing available software (online or offline) may help medical physicists assessing the maximum skin dose to the patient together with the dose distribution during (or after) these procedures.
Method and results: Capabilities and accuracy of available software were analysed through an extensive bibliography search and contacts with both vendor and authors. Their markedly differed among developers. In total, 22 software were identified and reviewed according to their algorithms and their capabilities. Special attention was dedicated to their main features and limitations of interest for the intended clinical use. While the accuracy of the 12 software products validated with measurements on phantoms was acceptable (within ± 25%), the agreement was poor for the two products validated on patients (within ± 43% and ± 76%, respectively). In addition, no software has been validated on angiographic units from all manufacturers, though several software developers claimed vendor-independent transportability. Only one software allows for multiple procedures dose calculation.
Conclusion: Large differences among vendors made it clear that work remains to be done before an accurate and reliable skin dose mapping is available for all patients.Benchmarking the dose map software for clinical implementation and establishment of a local follow-up protocol for the management of skin inures following complex interventional cardiology procedures
AB - Purpose: In interventional cardiology, patients may be exposed to high doses to the skin resulting in skin burns following single or multiple procedures. Reviewing and analysing available software (online or offline) may help medical physicists assessing the maximum skin dose to the patient together with the dose distribution during (or after) these procedures.
Method and results: Capabilities and accuracy of available software were analysed through an extensive bibliography search and contacts with both vendor and authors. Their markedly differed among developers. In total, 22 software were identified and reviewed according to their algorithms and their capabilities. Special attention was dedicated to their main features and limitations of interest for the intended clinical use. While the accuracy of the 12 software products validated with measurements on phantoms was acceptable (within ± 25%), the agreement was poor for the two products validated on patients (within ± 43% and ± 76%, respectively). In addition, no software has been validated on angiographic units from all manufacturers, though several software developers claimed vendor-independent transportability. Only one software allows for multiple procedures dose calculation.
Conclusion: Large differences among vendors made it clear that work remains to be done before an accurate and reliable skin dose mapping is available for all patients.Benchmarking the dose map software for clinical implementation and establishment of a local follow-up protocol for the management of skin inures following complex interventional cardiology procedures
KW - Patient dosimetry
KW - Interventional cardiology
KW - Patient dose calculation software
KW - Radiation protection
UR - https://ecm.sckcen.be/OTCS/llisapi.dll/open/42313148
U2 - 10.1016/j.ejmp.2020.09.023
DO - 10.1016/j.ejmp.2020.09.023
M3 - Article
VL - 80
SP - 75
EP - 83
JO - Physica Medica
JF - Physica Medica
SN - 1120-1797
IS - 75-83
ER -