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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection

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

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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 to clinical personnel. While the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. ACC 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 radiation physics, dosimetry and detrimental biologic effects. “Part II: Radiologic 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). For each modality, it includes the determinants of radiation exposure and techniques to minimize exposure to both patients and to medical personnel.

LanguageEnglish (US)
Pages222-246
Number of pages25
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number2
DOIs
StatePublished - Aug 1 2018

Fingerprint

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

@article{36861e5181284e6dbcf747498f2dabea,
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 2: Radiological Equipment Operation, Dose-Sparing Methodologies, Patient and Medical Personnel Protection",
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 to clinical personnel. While the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. ACC 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 radiation physics, dosimetry and detrimental biologic effects. “Part II: Radiologic 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). For each modality, it includes the determinants of radiation exposure and techniques to minimize exposure to both patients and to medical personnel.",
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.27661",
language = "English (US)",
volume = "92",
pages = "222--246",
journal = "Catheterization and Cardiovascular Interventions",
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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 2

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 to clinical personnel. While the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. ACC 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 radiation physics, dosimetry and detrimental biologic effects. “Part II: Radiologic 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). For each modality, it includes the determinants of radiation exposure and techniques to minimize exposure to both patients and to medical personnel.

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 to clinical personnel. While the clinical benefit of these procedures is substantial, there is concern about the implications of medical radiation exposure. ACC 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 radiation physics, dosimetry and detrimental biologic effects. “Part II: Radiologic 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). For each modality, it includes the determinants of radiation exposure and techniques to minimize exposure to both patients and to medical personnel.

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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U2 - 10.1002/ccd.27661

DO - 10.1002/ccd.27661

M3 - Article

VL - 92

SP - 222

EP - 246

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 2

ER -