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Application of low dose rate pulsed fluoroscopy in cardiac pacing and electrophysiology: patient dose and image quality implications

Lookup NU author(s): Dr Colin Kotre, Simon Willis


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The performance of a low dose rate pulsed fluoroscopy option and its successful application to cardiac pacing and electrophysiology is reported. Low dose rate 6.25 frames per second pulsed fluoroscopy was made available in two catheter laboratories at a specialist cardiac centre in February 2003, and was adopted as the standard imaging technique for cardiac pacing procedures. The image quality was found to be considerably poorer than conventional modern units, being very similar to that which would have been accepted as adequate performance 20 years ago, but at less than one-tenth of the dose rate. No problems with the clinical acceptance of this imaging mode for cardiac pacing and electrophysiology have been reported. The already low median patient dose-area product for pacing at this cardiac centre was further reduced by 50% with the introduction of this fluoroscopy option.

Publication metadata

Author(s): Kotre CJ, Charlton S, Robson KJ, Birch IP, Willis SP, Thornley M

Publication type: Article

Publication status: Published

Journal: British Journal of Radiology

Year: 2004

Volume: 77

Issue: 919

Pages: 597-599

ISSN (print): 0007-1285

ISSN (electronic): 1748-880X

Publisher: British Institute of Radiology


DOI: 10.1259/bjr/54198101


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