{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T22:47:52Z","timestamp":1778626072448,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,6,19]],"date-time":"2007-06-19T00:00:00Z","timestamp":1182211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This paper introduces a methodology for managing the radiation delivered to individual patients, incidental to their fluoroscopically guided interventional procedures. Because rare, but devastating skin injuries have occurred, radiation should be monitored and managed as well as drugs or radiographic contrast media. Dose metrics such as the total dose delivered to a reference point (reference point dose) should be used for this purpose. Fluoroscopy time is a poor independent predictor of skin dose in an individual patient. The concept of a \u201csignificant dose\u201d is introduced. This is a predetermined action level of the selected dose metric. The numerical value is set based on classes of patient and procedural factors. Exceeding this value triggers processes for clinical justification of radiation usage and patient follow\u2010up. Slightly exceeding the significant dose threshold during a procedure should be highly unlikely to cause skin injury. \u00a9 2007 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.21141","type":"journal-article","created":{"date-parts":[[2007,6,19]],"date-time":"2007-06-19T16:49:05Z","timestamp":1182271745000},"page":"244-249","source":"Crossref","is-referenced-by-count":42,"title":["Managing patient dose in interventional cardiology"],"prefix":"10.1002","volume":"70","author":[{"given":"Stephen","family":"Balter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Moses","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,6,19]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01349-3"},{"key":"e_1_2_7_3_2","first-page":"8","article-title":"A case of dermatitis due to the X rays","author":"Gilcrist TC.","year":"1897","journal-title":"B ull Johns Hopkins Hosp"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1999.02938.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.1.1770003"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm030503"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.08.054"},{"key":"e_1_2_7_8_2","unstructured":"FDA.FDA Public Health Advisory: Avoidance of serious X\u2010ray\u2010induced skin injuries to patients during fluoroscopically guided procedures;1994."},{"key":"e_1_2_7_9_2","unstructured":"FDA.Important information for physicians and other health care professionals: Recording information in the patient's medical record that identifies the potential for serious X\u2010ray\u2010induced skin injuries following fluoroscopically guided procedures. Food and Drug Administration;1995."},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.10.014"},{"key":"e_1_2_7_11_2","doi-asserted-by":"crossref","unstructured":"ICRU. Report 74: Patient dosimetry for X rays used in medical imaging Vol. 5.2005.","DOI":"10.1093\/jicru_ndi016"},{"key":"e_1_2_7_12_2","volume-title":"Interventional Fluorosocpy, Physics, Technology, Safety","author":"Balter S.","year":"2001"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000084601.43811.CB"},{"key":"e_1_2_7_14_2","volume-title":"Medical electrical equipment, Part 2\u201043: Particular requirements for the safety of X\u2010ray equipment for interventional procedures","author":"IEC.","year":"2000"},{"key":"e_1_2_7_15_2","first-page":"33998","article-title":"Federal performance standard for diagnostic X\u2010ray systems and their major components\u2013FDA. Final rule","volume":"70","author":"FDA.","year":"2005","journal-title":"Fed Regist"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61742-4"},{"key":"e_1_2_7_17_2","unstructured":"CDC.Cutaneous radiation injury: Fact sheet for physicians. CDC;2006."}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.21141","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.21141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T10:40:10Z","timestamp":1700044810000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.21141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6,19]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["10.1002\/ccd.21141"],"URL":"https:\/\/doi.org\/10.1002\/ccd.21141","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,6,19]]}}}