Vendor-independent skin dose mapping application for interventional radiology and cardiology.
Vendor-independent skin dose mapping application for interventional radiology and cardiology.
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独立于供应商的介入放射学和心脏病学皮肤剂量测绘应用。
DOI：
10.1002/acm2.13167
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发表时间：
2021-03
影响因子：
2.1
通讯作者：
Ciraj-Bjelac O
中科院分区：
文献类型：
--
作者：
Krajinović M;Kržanović N;Ciraj-Bjelac O
本文的目的是展示和验证最初开发的应用程序SkinCare用于介入手术中皮肤剂量测绘，这与患者皮肤的相对高辐射剂量和可能的皮肤反应有关。SkinCare是一款应用程序工具，用于在介入放射学和心脏病学程序后使用逼真的3D患者模型生成皮肤剂量图。皮肤剂量是根据医学数字成像和通信（DICOM）辐射剂量结构报告（RDSRs）的数据计算的。皮肤护理验证使用来自西门子Artis Zee双翼透视系统的数据，并在VERIDIC项目框架内开发和测试“介入性心脏病学皮肤剂量计算软件解决方案的验收和质量控制协议”。使用XR‐RV3 Gafchromic薄膜作为剂量计来比较峰值皮肤剂量（psd）和通过测量和计算获得的剂量图。来自不同供应商（佳能、GE、飞利浦和西门子）的四种荧光系统的DICOM RDSRs用于SkinCare的开发，并用于比较使用SkinCare生成的皮肤剂量图与由不同商业软件工具（佳能的剂量跟踪系统（DTS）、拜耳的RadimetricsTM和MEDSQUARE的RDM）生成的皮肤剂量图。在心脏病学临床手术（经皮冠状动脉介入治疗- pci）中产生的相同RDSRs被用于比较。使用VERIDIC的皮肤剂量计算软件方案进行的验证表明，与使用XR‐RV3 Gafchromic薄膜进行基本照射设置和简化临床程序的测量相比，SkinCare计算的PSD的准确度分别在17%和16%以内。SkinCare与DTS、RadimetricsTM和RDM生成的剂量图具有良好的视觉一致性。护肤被证明是非常方便的解决方案，可用于监测输送剂量后的介入程序。
The purpose of this paper is to present and validate an originally developed application SkinCare used for skin dose mapping in interventional procedures, which are associated with relatively high radiation doses to the patient’s skin and possible skin reactions. SkinCare is an application tool for generating skin dose maps following interventional radiology and cardiology procedures using the realistic 3D patient models. Skin dose is calculated using data from Digital Imaging and Communications in Medicine (DICOM) Radiation Dose Structured Reports (RDSRs). SkinCare validation was performed by using the data from the Siemens Artis Zee Biplane fluoroscopy system and conducting “Acceptance and quality control protocols for skin dose calculating software solutions in interventional cardiology” developed and tested in the frame of the VERIDIC project. XR‐RV3 Gafchromic films were used as dosimeters to compare peak skin doses (PSDs) and dose maps obtained through measurements and calculations. DICOM RDSRs from four fluoroscopy systems of different vendors (Canon, GE, Philips, and Siemens) were used for the development of the SkinCare and for the comparison of skin dose maps generated using SkinCare to skin dose maps generated by different commercial software tools (Dose Tracking System (DTS) from Canon, RadimetricsTM from Bayer and RDM from MEDSQUARE). The same RDSRs generated during a cardiology clinical procedure (percutaneous coronary intervention—PCI) were used for comparison. Validation performed using VERIDIC's protocols for skin dose calculation software showed that PSD calculated by SkinCare is within 17% and 16% accuracy compared to measurements using XR‐RV3 Gafchromic films for fundamental irradiation setups and simplified clinical procedures, respectively. Good visual agreement between dose maps generated by SkinCare and DTS, RadimetricsTM and RDM was obtained. SkinCare is proved to be very convenient solution that can be used for monitoring delivered dose following interventional procedures.
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