Regional diagnostic reference levels in paediatric interventional cardiology in Latin America and the Caribbean countries
The aim of the present study was to present an updated set of regional diagnostic reference levels (DRLs) for paediatric interventional cardiology procedures in Latin America and the Caribbean countries using the quantity kerma area-product (<i>P</i><sub>ka</sub>) and<i>P</i><sub>ka</sub>per body weigth, classified by age and weight groups within the framework of OPRIPALC international programme. Data based on diagnostic and therapeutic procedures were collected between December 2020 and December 2023. Regional DRLs have been set as the 3rd quartile of<i>P</i><sub>ka</sub>collected in 23 hospitals from 11 countries in a final sample of 2906 procedures. DRLs have been set for four age groups and five weight groups. The proposed set of regional DRLs for different diagnostic and therapeutic procedures by age and weight groups for<i>P</i><sub>ka</sub>quantity, were 4.3-5.4 Gy cm<sup>2</sup>(<1 yr) to 20.6-34.8 Gy cm<sup>2</sup>(10 to <16 yrs) and 3.4-4.5 Gy cm<sup>2</sup>(<5 kg) to 26.9-63.9 Gy cm<sup>2</sup>(50-< 80 kg), respectively. The proposed set of regional DRLs for<i>P</i><sub>ka</sub>/weight values were 0.885-1.181 Gy cm<sup>2</sup>kg<sup>-1</sup>(<1 yr) to 0.510-0.838 Gy cm<sup>2</sup>kg<sup>-1</sup>(10 to <16 yrs) and 0.984-1.333 Gy cm<sup>2</sup>kg<sup>-1</sup>(<5 kg) to 0.448-1.196 Gy cm<sup>2</sup>kg<sup>-1</sup>(50-< 80 kg), respectively. The values proposed as DRLs in OPRIPALC can be adopted by other countries and centers performing paediatric interventional cardiology procedures to compare their own dose values. The OPRIPALC methodology for establishing DRLs, with its variations and limitations, can also be considered in other regions of the world to develop their own regional DRLs.
Authors
- R De la Mora
- María del Rosario Pérez (ORCID: https://orcid.org/0000-0003-3088-1980)
- T Rivera
- Ana M. Aristizábal
- Regina Bitelli Medeiros (ORCID: https://orcid.org/0000-0001-8487-0473)
- H.R. Schelin (ORCID: https://orcid.org/0000-0002-2074-4408)
- Marcus Oliveira (ORCID: https://orcid.org/0000-0001-9942-1478)
- L Cardenas
- Marcelo Freitas (ORCID: https://orcid.org/0000-0003-2806-5634)
- Helen J. Khoury (ORCID: https://orcid.org/0000-0001-7257-0959)
- E. Vañó (ORCID: https://orcid.org/0000-0002-1730-1358)
- Francisco Rielo Arias (ORCID: https://orcid.org/0000-0002-4947-7470)
- P Azcurra
- P. Miranda (ORCID: https://orcid.org/0009-0000-4510-5613)
- Michelle Franco
- Carlos Ubeda (ORCID: https://orcid.org/0000-0002-2565-5850)
- A Yagui
- Viviane K. Asfora (ORCID: https://orcid.org/0000-0002-7549-4522)
- Nemorino Riquelme
- Sebastián Donoso (ORCID: https://orcid.org/0000-0001-9870-7984)
- J Zapata
- Walter Fernando Mosquera
- Collette Britton (ORCID: https://orcid.org/0000-0002-5165-312X)
- Raúl Ramirez
- Rafael Gutiérrez (ORCID: https://orcid.org/0009-0004-7695-1432)
- Daniel Mauricio Rojas Aguirre
- Pierre Ronald Araujo Puicón (ORCID: https://orcid.org/0000-0001-8874-794X)
Institutions
- Universidad Complutense de Madrid (ES)
- International Atomic Energy Agency (AT)
- Instituto Federal da Bahia (BR)
- Universidad Regiomontana (MX)
- Universidad Autónoma de la Ciudad de México (MX)
- University of Tarapacá (CL)
- Universidade Federal de Pernambuco (BR)
- Hospital Italiano de Buenos Aires (AR)
- Secretariat of Environment and Natural Resources (MX)
- Hospital Clínico San Carlos (ES)
- Universidad de Costa Rica (CR)
- Universidad Metropolitana de Monterrey (MX)
- National Hospital (IN)
- Fundação de Apoio à Universidade Federal de São Paulo (BR)
- Hospital Roberto del Rio (CL)
- Fundación Valle del Lili (CO)
- Hospital Zambrano Hellion (MX)
- Hospital Erasto Gaertner (BR)
- Hospital Luis Calvo Mackenna (CL)
- Dynamic Research (United States) (US)
- Ministerio de Salud Pública (CU)
- National Public Health Laboratory (NP)
- Hospital Nacional de Niños (CR)
- Clinica Santa Maria (CL)
- Argentine Water and Sanitation (Argentina) (AR)
- National Institute of Quality (PE)
- National Institute of Child Health (PK)
- Instituto Politécnico Nacional (MX)
- Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (MX)
- Universidade de Pernambuco (BR)
- Icesi University (CO)
- Universidade Federal de São Paulo (BR)
- Tecnológico de Monterrey (MX)
Publication Details
- Journal
- Journal of Radiological Protection
- Published
- 2025-09-01
- DOI
- https://doi.org/10.1088/1361-6498/ae0650
- Citations
- 1
- Primary Topic
- Cardiac, Anesthesia and Surgical Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 1.39