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 1: Radiation Physics and Radiation Biology: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways Developed in Collaboration With Mended Hearts

Writing Committee Members, ACC Task Force on Expert Consensus Decision Pathways, John W. Hirshfeld, Victor A. Ferrari, Frank M. Bengel, Lisa Bergersen, Charles E. Chambers, Andrew J. Einstein, Mark J. Eisenberg, Mark A. Fogel, Thomas C. Gerber, David E. Haines, Warren K. Laskey, Marian C. Limacher, Kenneth J. Nichols, Daniel A. Pryma, Gilbert L. Raff, Geoffrey D. Rubin, Donnette Smith, Arthur E. Stillman & 16 others Suma A. Thomas, Thomas T. Tsai, Louis K. Wagner, L. Samuel Wann, James L. Januzzi, Luis C. Afonso, Brendan Everett, Adrian F. Hernandez, William Hucker, Hani Jneid, Dharam Kumbhani, Joseph Edward Marine, Pamela Bowe Morris, Robert N. Piana, Karol E. Watson, Barbara S. Wiggins

Research output: Contribution to journalArticle

Abstract

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 for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology 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 the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation-induced adverse effects. Part II: Radiological 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) and will be published in the next issue of the Journal.

LanguageEnglish (US)
Pages203-221
Number of pages19
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number2
DOIs
StatePublished - Aug 1 2018

Fingerprint

Radiobiology
Physics
Advisory Committees
Ionizing Radiation
Practice Guidelines
Consensus
Radiation
Safety
Knowledge Bases
X-Rays
Radiometry
Fluoroscopy
Radionuclide Imaging
Tomography
Equipment and Supplies
Radiation Exposure

Keywords

  • ACC Expert Consensus Document
  • nuclear cardiology
  • positron emission tomography
  • radiation
  • radiation risk
  • radiation safety
  • single-photon computed tomography
  • x-ray computed tomography
  • x-ray fluoroscopy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "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 1: Radiation Physics and Radiation Biology: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways Developed in Collaboration With Mended Hearts",
abstract = "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 for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology 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 the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation-induced adverse effects. Part II: Radiological 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) and will be published in the next issue of the Journal.",
keywords = "ACC Expert Consensus Document, nuclear cardiology, positron emission tomography, radiation, radiation risk, radiation safety, single-photon computed tomography, x-ray computed tomography, x-ray fluoroscopy",
author = "{Writing Committee Members} and {ACC Task Force on Expert Consensus Decision Pathways} and Hirshfeld, {John W.} and Ferrari, {Victor A.} and Bengel, {Frank M.} and Lisa Bergersen and Chambers, {Charles E.} and Einstein, {Andrew J.} and Eisenberg, {Mark J.} and Fogel, {Mark A.} and Gerber, {Thomas C.} and Haines, {David E.} and Laskey, {Warren K.} and Limacher, {Marian C.} and Nichols, {Kenneth J.} and Pryma, {Daniel A.} and Raff, {Gilbert L.} and Rubin, {Geoffrey D.} and Donnette Smith and Stillman, {Arthur E.} and Thomas, {Suma A.} and Tsai, {Thomas T.} and Wagner, {Louis K.} and {Samuel Wann}, L. and Januzzi, {James L.} and Afonso, {Luis C.} and Brendan Everett and Hernandez, {Adrian F.} and William Hucker and Hani Jneid and Dharam Kumbhani and {Edward Marine}, Joseph and Morris, {Pamela Bowe} and Piana, {Robert N.} and Watson, {Karol E.} and Wiggins, {Barbara S.}",
year = "2018",
month = "8",
day = "1",
doi = "10.1002/ccd.27660",
language = "English (US)",
volume = "92",
pages = "203--221",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "2",

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TY - JOUR

T1 - 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 1

T2 - Catheterization and Cardiovascular Interventions

AU - Writing Committee Members

AU - ACC Task Force on Expert Consensus Decision Pathways

AU - Hirshfeld, John W.

AU - Ferrari, Victor A.

AU - Bengel, Frank M.

AU - Bergersen, Lisa

AU - Chambers, Charles E.

AU - Einstein, Andrew J.

AU - Eisenberg, Mark J.

AU - Fogel, Mark A.

AU - Gerber, Thomas C.

AU - Haines, David E.

AU - Laskey, Warren K.

AU - Limacher, Marian C.

AU - Nichols, Kenneth J.

AU - Pryma, Daniel A.

AU - Raff, Gilbert L.

AU - Rubin, Geoffrey D.

AU - Smith, Donnette

AU - Stillman, Arthur E.

AU - Thomas, Suma A.

AU - Tsai, Thomas T.

AU - Wagner, Louis K.

AU - Samuel Wann, L.

AU - Januzzi, James L.

AU - Afonso, Luis C.

AU - Everett, Brendan

AU - Hernandez, Adrian F.

AU - Hucker, William

AU - Jneid, Hani

AU - Kumbhani, Dharam

AU - Edward Marine, Joseph

AU - Morris, Pamela Bowe

AU - Piana, Robert N.

AU - Watson, Karol E.

AU - Wiggins, Barbara S.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - 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 for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology 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 the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation-induced adverse effects. Part II: Radiological 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) and will be published in the next issue of the Journal.

AB - 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 for clinical personnel. Although the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. The American College of Cardiology 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 the issue of medical radiation exposure, the basics of radiation physics and dosimetry, and the basics of radiation biology and radiation-induced adverse effects. Part II: Radiological 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) and will be published in the next issue of the Journal.

KW - ACC Expert Consensus Document

KW - nuclear cardiology

KW - positron emission tomography

KW - radiation

KW - radiation risk

KW - radiation safety

KW - single-photon computed tomography

KW - x-ray computed tomography

KW - x-ray fluoroscopy

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DO - 10.1002/ccd.27660

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JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

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ER -