Exposure rates in high-level-control fluoroscopy for image enhancement

Christopher H. Cagnon, Stanley H Benedict, Nicholas J. Mankovich, Jerrold T. Bushberg, J Anthony Seibert, James S. Whiting

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

High-level fluoroscopic boost options that exceed conventional exposure limits are available as a means of reducing quantum mottle during angiography. Federal law does not specify exposure limits for such high-level controls but requires specific means of activation to safeguard against inadvertent use. The American Association of Physicists in Medicine recently recommended that high-level exposure rates not exceed 2.58 mC/kg/min (10 R/min). At six institutions surveyed, maximum exposure rates ranged from 5.42 to 24 mC/kg/min (21-93 R/min). Activation of high-level capability varied from a simple foot switch to a keyed interlock requiring a second operator to engage. There appears to be no industry coherence in high-level control exposure limits as yet, although the Center for Devices and Radiological Health recently initiated an investigatory program.

Original languageEnglish (US)
Pages (from-to)643-646
Number of pages4
JournalRadiology
Volume178
Issue number3
StatePublished - Mar 1991

Keywords

  • Angiography, 9.1
  • Diagnostic radiology, radiation exposure
  • Fluoroscopy, technology
  • Radiations, exposure to patients and personnel

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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    Cagnon, C. H., Benedict, S. H., Mankovich, N. J., Bushberg, J. T., Seibert, J. A., & Whiting, J. S. (1991). Exposure rates in high-level-control fluoroscopy for image enhancement. Radiology, 178(3), 643-646.