E-Abstract

Lots of interesting abstracts and cases were submitted for TCTAP 2026. Below are the accepted ones after a thorough review by our official reviewers. Don¡¯t miss the opportunity to expand your knowledge!

ABS20251021_0001

Using a Simulating Phantom and Thermoluminescent Dosimeters to Evaluate Radiation Peak Skin Dose in the Percutaneous Coronary Intervention

By Ping-Jung Hsieh

Presenter

Ping-Jung Hsieh

Authors

Ping-Jung Hsieh1

Affiliation

New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), Taiwan1
View Study Report
ABS20251021_0001
Digital Health and Artificial Intelligence

Using a Simulating Phantom and Thermoluminescent Dosimeters to Evaluate Radiation Peak Skin Dose in the Percutaneous Coronary Intervention

Ping-Jung Hsieh1

New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), Taiwan1

Background

Recently, the percutaneous coronary interventions(PCI) have increased the average procedural radiation dose. In themeantime, the number of radiation skin damage has increased. Thus,monitoring radiation dose is necessary. In clinical settings, dose-areaproduct (DAP) and air kerma (AK) are used to estimate patient peakskin dose (PSD). However, these data are calculated by using presumptive mathematic equations, which ignore each individual¡¯scharacters and different projectors angles. Our study aims to providean easy method to record and estimate PSD with different tubeangulation in PCI settings.

Methods

Thermoluminescent dosimeters (TLDs) were used tomeasure radiation dose of Hp (10) and Hp (0.07) of skin. We used cinemode with a setting of 15 frames per second rate, recorded for 5 seconds and repeated for 5 times. We tested with standard tube angulations, such as posteroanterior view (PA), caudal 35-degree view(CAU 35), cranial 35-degree view (CRA 35), LAO 65-degree ©­ caudal 20-degree view (spider view), and left anterior oblique 50-degree view(LAO 50).

Results

The results showed the caudal 35-degree view had thehighest radiation dose in DAP, Hp (10) and Hp (0.07). When the zoomin stage was used, DAP reduced however AK and peak skin doseincreased.

Conclusion

Finally, we used values of skin dose of Hp (10) and Hp(0.07) compared to values of DAP in five groups, the value of PSD isabout between 3% to 7% of DAP. By sharing these experiences, weprovide an easy practicable method to estimate the PSD in the PCI foreach catheterization lab.