{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:38:47Z","timestamp":1777887527820,"version":"3.51.4"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["GR-2018-12365477"],"award-info":[{"award-number":["GR-2018-12365477"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["4757\/AO\/19"],"award-info":[{"award-number":["4757\/AO\/19"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","physicamedica.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Physica Medica"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.ejmp.2026.105754","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T20:03:34Z","timestamp":1771013014000},"page":"105754","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Patient exposure in paediatric Interventional Cardiology: a multicenter inter-comparison of clinical practices in Italy"],"prefix":"10.1016","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6477-5265","authenticated-orcid":false,"given":"Francesca","family":"De Monte","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3597-583X","authenticated-orcid":false,"given":"Angelo","family":"Giannone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3539-3540","authenticated-orcid":false,"given":"Andrea","family":"Bettinelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-2421","authenticated-orcid":false,"given":"Giuseppe","family":"Annoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianfranco","family":"Butera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8232-8725","authenticated-orcid":false,"given":"Vittorio","family":"Cannat\u00e0","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-0172","authenticated-orcid":false,"given":"Martino","family":"Cheli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Ciucci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Donti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Favetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6745-8783","authenticated-orcid":false,"given":"Roberto","family":"Formigari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3972-4642","authenticated-orcid":false,"given":"Chiara","family":"Fraccaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianpiero","family":"Gaio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2199-027X","authenticated-orcid":false,"given":"Fabrizio","family":"Levrero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Meliota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danilo","family":"Montefoschi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3096-2327","authenticated-orcid":false,"given":"Federico","family":"Palmacci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Rossetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Giovanna","family":"Russo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Santoro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5650-9832","authenticated-orcid":false,"given":"Alessandra","family":"Zorz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Di","family":"Salvo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-6798","authenticated-orcid":false,"given":"Biagio","family":"Castaldi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Paiusco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejmp.2026.105754_b0005","unstructured":"\u201cUNSCEAR 2020 \/ 2021 Report Volume I. 2021. [Online]. Available: https:\/\/www.unscear.org\/unscear\/publications\/2020_2021_1.html."},{"issue":"4","key":"10.1016\/j.ejmp.2026.105754_b0010","doi-asserted-by":"crossref","DOI":"10.3390\/children10040645","article-title":"Cumulative radiation dose from medical imaging in children with congenital heart disease: a systematic review","volume":"10","author":"Shelly","year":"2023","journal-title":"Children"},{"issue":"25","key":"10.1016\/j.ejmp.2026.105754_b0015","doi-asserted-by":"crossref","first-page":"2716","DOI":"10.1161\/CIRCULATIONAHA.116.023544","article-title":"Trends in congenital heart disease","volume":"133","author":"Triedman","year":"2016","journal-title":"Circulation"},{"issue":"7","key":"10.1016\/j.ejmp.2026.105754_b0020","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.jcmg.2017.04.003","article-title":"Radiation safety in children with congenital and acquired heart disease: a scientific position statement on multimodality dose optimization from the image gently alliance","volume":"10","author":"Hill","year":"2017","journal-title":"J Am Coll Cardiol Img"},{"key":"10.1016\/j.ejmp.2026.105754_b0025","doi-asserted-by":"crossref","unstructured":"Health risks from exposure to low levels of ionizing radiation: BEIR VII Phase 2. 2006. doi: 10.17226\/11340.","DOI":"10.17226\/11340"},{"issue":"7","key":"10.1016\/j.ejmp.2026.105754_b0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1001\/jamanetworkopen.2019.6762","article-title":"Risk of cancer among children and young adults with congenital heart disease compared with healthy controls","volume":"2","author":"Mandalenakis","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.ejmp.2026.105754_b0035","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0146645317717209","article-title":"ICRP Publication 135: Diagnostic Reference Levels in Medical Imaging","volume":"46","author":"Va\u00f1\u00f3","year":"2017","journal-title":"Ann ICRP"},{"key":"10.1016\/j.ejmp.2026.105754_b0040","unstructured":"\u201cRadiation Protection N\u00b0 185. European guidelines on diagnostic Reference Levels for Pediatric Imaging. 2018. [Online]. Available: https:\/\/www.eurosafeimaging.org\/wp\/wp-content\/uploads\/2018\/09\/rp_185.pdf."},{"issue":"2","key":"10.1016\/j.ejmp.2026.105754_b0045","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1007\/s00247-006-0194-2","article-title":"The ALARA concept in pediatric cardiac catheterization: techniques and tactics for managing radiation dose","volume":"36","author":"Justino","year":"2006","journal-title":"Pediatr Radiol"},{"issue":"1","key":"10.1016\/j.ejmp.2026.105754_b0050","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4067\/S0717-95022017000100013","article-title":"Checklist for reporting results using observational descriptive studies as research designs: the MInCir initiative","volume":"35","author":"Manterola","year":"2017","journal-title":"Int J Morphol"},{"key":"10.1016\/j.ejmp.2026.105754_b0055","series-title":"Radiation protection 162: criteria for acceptability of medical radiological equipment used in diagnostic radiology, nuclear medicine and radiotherapy","author":"Commission","year":"2012"},{"key":"10.1016\/j.ejmp.2026.105754_b0060","unstructured":"EFOMP Protocol: Quality Control of Dynamic X-ray Imaging Systems, Publication Date: Apr 18th, 2024."},{"key":"10.1016\/j.ejmp.2026.105754_b0065","unstructured":"Report AIFM, Linee guida per i controlli di qualit\u00e0 in angiografia digitale con rivelatore a flat panel. 14. 2019."},{"issue":"1","key":"10.1016\/j.ejmp.2026.105754_b0070","first-page":"51","article-title":"Influence of the antiscatter grid on dose and image quality in pediatric interventional cardiology X-ray systems","volume":"82","author":"Ubeda","year":"2013","journal-title":"Catheter Cardiovasc Interv"},{"issue":"1","key":"10.1016\/j.ejmp.2026.105754_b0075","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4103\/0974-2069.171406","article-title":"Radiation dosage during pediatric diagnostic or interventional cardiac catheterizations using the \u2018air gap technique\u2019 and an aggressive \u2018as low as reasonably achievable\u2019 radiation reduction protocol in patients weighing <20 kg","volume":"9","author":"Osei","year":"2016","journal-title":"Ann Pediatr Cardiol"},{"issue":"2","key":"10.1016\/j.ejmp.2026.105754_b0080","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1088\/0952-4746\/33\/2\/433","article-title":"An analysis of radiation dose reduction in paediatric interventional cardiology by altering frame rate and use of the anti-scatter grid","volume":"33","author":"McFadden","year":"2013","journal-title":"J Radiol Prot"},{"key":"10.1016\/j.ejmp.2026.105754_b0085","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1148\/rg.312105185","article-title":"AAPM\/RSNA physics tutorial for residents: physics of flat-panel fluoroscopy systems","volume":"31","author":"Nickoloff","year":"2011","journal-title":"Radiographics"},{"issue":"8","key":"10.1016\/j.ejmp.2026.105754_b0090","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1007\/s00246-017-1700-z","article-title":"Reduction in radiation dose in a pediatric cardiac catheterization lab using the Philips AlluraClarity X-ray system","volume":"38","author":"Sullivan","year":"2017","journal-title":"Pediatr Cardiol"},{"issue":"7","key":"10.1016\/j.ejmp.2026.105754_b0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e28138","article-title":"Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: randomized controlled study","volume":"10","author":"Ba\u015fp\u0131nar","year":"2024","journal-title":"Heliyon"},{"issue":"4","key":"10.1016\/j.ejmp.2026.105754_b0100","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.cjcpc.2024.05.004","article-title":"Radiation reduction in paediatric cardiac catheterization: we can go even lower","volume":"3","author":"Finke","year":"2024","journal-title":"CJC Pediatr Congenit Hear Dis"},{"issue":"5","key":"10.1016\/j.ejmp.2026.105754_b0105","first-page":"841","article-title":"Achievable radiation reduction during pediatric cardiac catheterization: how low can we go?","volume":"86","author":"Borik","year":"2015","journal-title":"Catheter Cardiovasc Interv"},{"issue":"2","key":"10.1016\/j.ejmp.2026.105754_b0110","doi-asserted-by":"crossref","first-page":"E43","DOI":"10.1111\/chd.12197","article-title":"Pulse fluoroscopy radiation reduction in a pediatric cardiac catheterization laboratory","volume":"10","author":"Covi","year":"2015","journal-title":"Congenit Heart Dis"},{"issue":"5","key":"10.1016\/j.ejmp.2026.105754_b0115","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1007\/s00246-015-1122-8","article-title":"How slow can we go? 4 frames per second (fps) versus 7.5fps fluoroscopy for atrial septal defects (ASDs) device closure","volume":"36","author":"Hiremath","year":"2015","journal-title":"Pediatr Cardiol"},{"issue":"11","key":"10.1016\/j.ejmp.2026.105754_b0120","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1017\/S1047951118001257","article-title":"Effects of reducing frame rate from 7.5 to 4 frames per second on radiation exposure in transcatheter atrial septal defect closure","volume":"28","author":"Boudjemline","year":"2018","journal-title":"Cardiol Young"},{"issue":"1","key":"10.1016\/j.ejmp.2026.105754_b0125","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s00246-015-1233-2","article-title":"Radiation Reduction Capabilities of a Next-Generation Pediatric Imaging Platform","volume":"37","author":"Lamers","year":"2016","journal-title":"Pediatr Cardiol"},{"issue":"6","key":"10.1016\/j.ejmp.2026.105754_b0130","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1111\/chd.12677","article-title":"Reducing radiation exposure by lowering frame rate in children undergoing cardiac catheterization: a quality improvement study","volume":"13","author":"Amdani","year":"2018","journal-title":"Congenit Heart Dis"},{"issue":"7","key":"10.1016\/j.ejmp.2026.105754_b0135","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1017\/S1047951119001252","article-title":"Reducing radiation dose in paediatric interventional cardiac catheterisation","volume":"29","author":"Bai","year":"2019","journal-title":"Cardiol Young"},{"issue":"4","key":"10.1016\/j.ejmp.2026.105754_b0140","doi-asserted-by":"crossref","first-page":"332","DOI":"10.5152\/TurkArchPediatr.2021.20068","article-title":"Radiation dose reduction in congenital heart disease patients during cardiac catheterization by a novel protocol","volume":"56","author":"Gokalp","year":"2021","journal-title":"Turkish Arch Pediatr"}],"container-title":["Physica Medica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1120179726000414?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1120179726000414?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:15:59Z","timestamp":1777608959000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1120179726000414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":28,"alternative-id":["S1120179726000414"],"URL":"https:\/\/doi.org\/10.1016\/j.ejmp.2026.105754","relation":{},"ISSN":["1120-1797"],"issn-type":[{"value":"1120-1797","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Patient exposure in paediatric Interventional Cardiology: a multicenter inter-comparison of clinical practices in Italy","name":"articletitle","label":"Article Title"},{"value":"Physica Medica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejmp.2026.105754","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Associazione Italiana di Fisica Medica e Sanitaria. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"105754"}}