Qin Jielin,Xu Hui,Feng Zechen,et al.Research progress on dose assessment and diagnostic reference levels for pediatric cardiac intervention[J].Chinese Journal of Radiological Medicine and Protection,2025,45(2):148-154
Research progress on dose assessment and diagnostic reference levels for pediatric cardiac intervention
Received:April 30, 2024  
DOI:10.3760/cma.j.cn112271-20240430-00165
KeyWords:Cardiac interventional  Radiation dose  Tissue reaction  Diagnostic reference level  Pediatric
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Author NameAffiliationE-mail
Qin Jielin Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Prevention and Control, Beijing 100088, China  
Xu Hui Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Prevention and Control, Beijing 100088, China xuhui@nirp.chinacdc.cn 
Feng Zechen Beijing Center for Disease Prevention and Control, Beijing Preventive Medicine Research Center, Beijing 100013, China  
Yuan Jilong Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Prevention and Control, Beijing 100088, China  
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Abstract::
      With advancements in interventional radiology, the interventional diagnosis and treatment are widely applicable for pediatric cardiac diseases. The ionizing radiation during interventional procedures can result in an elevated cancer risk, directly proportional to the radiation dose received. Moreover, it may induce tissue reactions beyond a specific threshold. Given that children are about 2-3 times susceptible to radiation as much as adults, it will be crucial to improve dose control during pediatric interventions, establish the corresponding diagnostic reference level and optimize the diagnosis and treatment procedures. Some countries have carried out dose monitoring and evaluation of pediatric cardiac interventional procedures and established corresponding diagnostic reference levels, but it has yet been in the process of research. This paper reviews the current research status on assessing radiation doses and setting diagnostic reference levels for children receiving congenital heart disease interventions so as to provide a baseline for future measurements and investigations.
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