Research summary, original research, 2015

Comparison of radiation dose between different fluoroscopy systems in the modern catheterization laboratory: Results from bench testing using an anthropomorphic phantom

Christopoulos G, Christakopoulos GE, Rangan BV, Layne R, Grabarkewitz R, Haagen D, et al.. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions. 2015

Read the original paper

In plain language

In phantom bench tests of a standard cine protocol, patient radiation dose differed up to about fourfold between four cath lab X-ray systems. Staff dose was not measured, though lower patient dose generally means less scatter to the fluoroscopy team.

At a glance

Type of study
Original research, Phantom or simulation study
Who was studied
Phantom or simulation (no people)
Size
n = 4 X-ray systems
Summary based on
the abstract

What it found

  • The Philips Allura Clarity system produced the lowest phantom radiation dose.

    Key figures: average film dose 4.2±0.1 cGray; air kerma (AK) 0.310±0.002 Gray; dose-area product (DAP) 23.72±0.84 Gray*cm2

  • The GE Innova IGS and Siemens Artis one systems produced the highest doses, roughly three to four times the DAP of the lowest system.

    Key figures: Innova IGS DAP 92.28±14.73 Gray*cm2; Artis one DAP 75.93±9.11 Gray*cm2

  • Differences between systems were statistically significant across all dose measures.

    Key figures: P=0.011 average film dose; P=0.019 maximum film dose; P=0.033 AK; P=0.008 DAP

  • The older Philips Integris Allura FD20 produced intermediate dose.

    Key figures: average film dose 4.4±1.1 cGray; DAP 45.18±21.90 Gray*cm2

Limits to keep in mind

Phantom bench testing with only 3 to 7 experiments per system and a single cine protocol; measures patient-entrance dose rather than staff dose, and system settings or configurations may not reflect clinical use.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.