Research summary, original research, 2016

Patient Radiation Exposure During Diagnostic and Therapeutic Procedures for Intracranial Aneurysms: A Multicenter Study

Ihn YK, Kim BS, Byun JS, Suh SH, Won YD, Lee DH, et al.. Neurointervention. 2016

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In plain language

Across 861 cerebral aneurysm angiography and coiling procedures at 23 Korean hospitals, patient dose varied widely between centers; the authors propose reference levels of 144 Gy-cm2 (diagnostic) and 271 Gy-cm2 (coiling) dose-area product (DAP). Staff exposure was not measured.

At a glance

Type of study
Original research, Dosimetry measurement study
Who was studied
Patients
Size
n = 861 procedures
Where
South Korea
Summary based on
the full text

What it found

  • Proposed diagnostic reference levels (DRLs) (75th percentile DAP) for diagnostic cerebral angiography and aneurysm embolization.

    Key figures: 144.2 Gy-cm2 (diagnostic) and 271.0 Gy-cm2 (therapeutic)

  • Therapeutic embolization had markedly higher mean patient dose indicators and fluoroscopy time than diagnostic angiography.

    Key figures: DAP 218.8 ± 164.3 Gy-cm2; cumulative air kerma (CAK) 3365.7 ± 2205.8 mGy; fluoroscopy 51.5 ± 31.1 minutes

  • Mean patient dose indicators for diagnostic cerebral angiography.

    Key figures: DAP 106.2 ± 66.4 Gy-cm2; CAK 697.1 ± 473.7 mGy; fluoroscopy 9.7 ± 6.5 minutes

  • Large between-hospital variation in dose for the same diagnostic procedure.

    Key figures: mean DAP 51.9 to 247.6 Gy-cm2; fluoroscopy 3.5 to 18.6 minutes

  • Compared with previous reports, embolization had lower DAP and fewer frames but longer fluoroscopy time; diagnostic angiography doses were also lower than other studies.

Limits to keep in mind

Registry-based data from 23 selected high-volume Korean university hospitals over about three months, without assessment of procedure complexity; only patient dose indicators displayed by the angiography systems were collected (not peak skin dose), and no staff dose was measured.

How this summary was made

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Prepared November 3, 2026.