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Title: Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose

Abstract

PurposeTo compare image quality and radiation exposure between a new angiographic imaging system and the preceding generation system during uterine artery embolization (UAE).Materials and MethodsIn this retrospective, IRB-approved two-arm study, 54 patients with symptomatic uterine fibroids were treated with UAE on two different angiographic imaging systems. The new system includes optimized acquisition parameters and real-time image processing algorithms. Air kerma (AK), dose area product (DAP) and acquisition time for digital fluoroscopy (DF) and digital subtraction angiography (DSA) were recorded. Body mass index was noted as well. DF image quality was assessed objectively by image noise measurements. DSA image quality was rated by two blinded, independent readers on a four-rank scale. Statistical differences were assessed with unpaired t tests and Wilcoxon rank-sum tests.ResultsThere was no significant difference between the patients treated on the new (n = 36) and the old system (n = 18) regarding age (p = 0.10), BMI (p = 0.18), DF time (p = 0.35) and DSA time (p = 0.17). The new system significantly reduced the cumulative AK and DAP by 64 and 72%, respectively (median 0.58 Gy and 145.9 Gy*cm{sup 2} vs. 1.62 Gy and 526.8 Gy*cm{sup 2}, p < 0.01 for both). Specifically, DAP for DF and DSA decreased by 59% (75.3 vs. 181.9 Gy*cm{sup 2}, p < 0.01) and 78% (67.6 vs. 312.2 Gy*cm{sup 2}, p < 0.01),more » respectively. The new system achieved a significant decrease in DF image noise (p < 0.01) and a significantly better DSA image quality (p < 0.01).ConclusionsThe new angiographic imaging system significantly improved image quality and reduced radiation exposure during UAE procedures.« less

Authors:
 [1]; ; ; ; ; ; ;  [2]; ; ;  [3];  [4];  [5];  [2]
  1. Medical University of Vienna, Section of Cardiovascular and Interventional Radiology, Department of Biomedical Imaging and Image-guided Therapy (Austria)
  2. Yale University School of Medicine, Department of Radiology and Biomedical Imaging (United States)
  3. Image-Guided Therapy Systems, Philips Healthcare (Netherlands)
  4. The Johns Hopkins Hospital, Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology (United States)
  5. PreScience Labs (United States)
Publication Date:
OSTI Identifier:
22756195
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 41; Journal Issue: 3; Other Information: Copyright (c) 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2017 The Author(s); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; FLUOROSCOPY; GY RANGE; IMAGE PROCESSING; RADIATION DOSES; VASCULAR DISEASES; X RADIATION

Citation Formats

Schernthaner, Ruediger E., E-mail: ruediger@schernthaner.eu, Haroun, Reham R., Nguyen, Sonny, Duran, Rafael, Sohn, Jae Ho, Sahu, Sonia, Chapiro, Julius, Zhao, Yan, Radaelli, Alessandro, Bom, Imramsjah M. van der, Mauti, Maria, Hong, Kelvin, Geschwind, Jean-François H., and Lin, MingDe. Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose. United States: N. p., 2018. Web. doi:10.1007/S00270-017-1821-Z.
Schernthaner, Ruediger E., E-mail: ruediger@schernthaner.eu, Haroun, Reham R., Nguyen, Sonny, Duran, Rafael, Sohn, Jae Ho, Sahu, Sonia, Chapiro, Julius, Zhao, Yan, Radaelli, Alessandro, Bom, Imramsjah M. van der, Mauti, Maria, Hong, Kelvin, Geschwind, Jean-François H., & Lin, MingDe. Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose. United States. doi:10.1007/S00270-017-1821-Z.
Schernthaner, Ruediger E., E-mail: ruediger@schernthaner.eu, Haroun, Reham R., Nguyen, Sonny, Duran, Rafael, Sohn, Jae Ho, Sahu, Sonia, Chapiro, Julius, Zhao, Yan, Radaelli, Alessandro, Bom, Imramsjah M. van der, Mauti, Maria, Hong, Kelvin, Geschwind, Jean-François H., and Lin, MingDe. Thu . "Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose". United States. doi:10.1007/S00270-017-1821-Z.
@article{osti_22756195,
title = {Characteristics of a New X-Ray Imaging System for Interventional Procedures: Improved Image Quality and Reduced Radiation Dose},
author = {Schernthaner, Ruediger E., E-mail: ruediger@schernthaner.eu and Haroun, Reham R. and Nguyen, Sonny and Duran, Rafael and Sohn, Jae Ho and Sahu, Sonia and Chapiro, Julius and Zhao, Yan and Radaelli, Alessandro and Bom, Imramsjah M. van der and Mauti, Maria and Hong, Kelvin and Geschwind, Jean-François H. and Lin, MingDe},
abstractNote = {PurposeTo compare image quality and radiation exposure between a new angiographic imaging system and the preceding generation system during uterine artery embolization (UAE).Materials and MethodsIn this retrospective, IRB-approved two-arm study, 54 patients with symptomatic uterine fibroids were treated with UAE on two different angiographic imaging systems. The new system includes optimized acquisition parameters and real-time image processing algorithms. Air kerma (AK), dose area product (DAP) and acquisition time for digital fluoroscopy (DF) and digital subtraction angiography (DSA) were recorded. Body mass index was noted as well. DF image quality was assessed objectively by image noise measurements. DSA image quality was rated by two blinded, independent readers on a four-rank scale. Statistical differences were assessed with unpaired t tests and Wilcoxon rank-sum tests.ResultsThere was no significant difference between the patients treated on the new (n = 36) and the old system (n = 18) regarding age (p = 0.10), BMI (p = 0.18), DF time (p = 0.35) and DSA time (p = 0.17). The new system significantly reduced the cumulative AK and DAP by 64 and 72%, respectively (median 0.58 Gy and 145.9 Gy*cm{sup 2} vs. 1.62 Gy and 526.8 Gy*cm{sup 2}, p < 0.01 for both). Specifically, DAP for DF and DSA decreased by 59% (75.3 vs. 181.9 Gy*cm{sup 2}, p < 0.01) and 78% (67.6 vs. 312.2 Gy*cm{sup 2}, p < 0.01), respectively. The new system achieved a significant decrease in DF image noise (p < 0.01) and a significantly better DSA image quality (p < 0.01).ConclusionsThe new angiographic imaging system significantly improved image quality and reduced radiation exposure during UAE procedures.},
doi = {10.1007/S00270-017-1821-Z},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 41,
place = {United States},
year = {2018},
month = {3}
}