Research summary, original research, 2015

The lateral plane delivers higher dose than the frontal plane in biplane cardiac catheterization systems

Aldoss O, Patel S, Harris K, Divekar A. Pediatric cardiology. 2015

Read the original paper

In plain language

In 716 children undergoing biplane cardiac catheterization, the lateral plane delivered about 3.6 times more dose per minute than the frontal plane. Staff dose was not measured, but limiting lateral-plane time may reduce overall radiation use.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 716 patients
Summary based on
the abstract

What it found

  • Per unit of beam-on time, the lateral plane delivered about 3.6 times the total kerma area product of the frontal plane.

    Key figures: 3.6 times; total indexed kerma-area product (PKA) 1.43 vs. 5.15, p < 0.0001

  • Time-indexed fluoroscopic and cineangiographic PKA were also higher in the lateral plane.

    Key figures: fluoroscopic 0.75 vs. 1.70; cine 16.03 vs. 24.92; p < 0.0001

  • The frontal plane was used much longer, yet raw total PKA did not differ between planes.

    Key figures: frontal beam-on time 4.2 times greater

  • The authors recommend that operators consciously reduce lateral-plane beam-on time as part of radiation reduction protocols.

Limits to keep in mind

Single-centre retrospective study of patient dose metrics only. Staff dose was not measured, so implications for the fluoroscopy team are inferred.

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.