2023-03-17T09:46:00 n16486

Vascular and cardiac angiography: a comparison of occupational and patient dose

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The number and complexity of fluoroscopically-guided cardiac procedures has increased in recent times, as has the concern over the radiation dose.  Exposure to x-rays may result in detrimental effects to both the patient and staff involved in the procedure. Cardiologists have been performing x-ray guided procedures for decades, and patient and staff dose levels in cardiac procedures have been well documented. Vascular surgeons have recently migrated from the operating theatre to work within dedicated fluoroscopic suites, and there is limited literature documenting the differences in radiation exposure for these two specialities(1).

This research compares dose levels during categories of diagnostic and interventional coronary angiography, transcatheter aortic valve implantation (TAVI), TAVI workups, and diagnostic and interventional vascular procedures (performed by vascular surgeons).

This dataset was produced as part of Kelly Wilson-Stewart's PhD, 'Factors which influence occupational radiation head and eye dose to in-room personnel during angiographic procedures'. 

Kelly's Ph.D. project aims to quantify the levels of temple dose to staff during diagnostic and interventional cardiac and endovascular procedures utilising fluoroscopy.  An additional focus will be placed on reporting on factors that may influence occupational dose levels to nurses and other in-room staff.

The following people were involved in the supervision of this project design and manuscript preparation:

Davide Fontanarosa:

  • School of Clinical Sciences, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia
  • Centre for Biomedical Technologies (CBT), Queensland University of Technology, Brisbane, QLD, 4000, Australia

Jamie V. Trapp:

  • School of Chemistry and Physics, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia

The following person was involved in statistical analysis, data curation and manuscript preparation:

Eva Malacova:

  • QMIR Berghofer Medical Research Institute, 200 Herston Road, Herston, QLD, 4006, Australia
  • Centre for Biomedical Technologies (CBT), Queensland University of Technology, Brisbane, QLD, 4000, Australia

The data owner would like to thank her nursing, radiography, and medical colleagues from the cardio-vascular suites at Greenslopes Private Hospital for their contributions towards data collection during this research. The data owner gratefully also acknowledges the support provided by the Australian Commonwealth Government in the form of a research stipend.

Access rights

The owner of this data retains copyright. You must give appropriate credit, provide a link to the license, and indicate if changes were made to the dataset. You may do so in any reasonable manner, but not in any way that suggest the licensor endorses you or your use. You may not use this data for commercial purposes.

Geographical area of data collection



Wilson-Stewart, Kelly (2017) Choose your own adventure in podiatry. Medical Education, 51(5), p. 539. https://eprints.qut.edu.au/103271/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Malacova, Eva, & Trapp, Jamie (2023) A comparison of patient dose and occupational eye dose to the operator and nursing staff during transcatheter cardiac and endovascular procedures. Scientific Reports, 13(1), Article number: 2391. https://eprints.qut.edu.au/237978/
Wilson-Stewart, Kelly (2017) Survey of radiation protection utilization and accessibility within Australian cardiac angiography laboratories. Journal of Radiology Nursing, 36(2), 112-116.e1. https://eprints.qut.edu.au/108773/
Bridge, Peter, Gunn, Therese, Kastanis, Lazaros, Pack, Darren, Rowntree, Pamela, Starkey, Debbie, Mahoney, Gaynor, Berry, Clare, Braithwaite, Vicki, & Wilson-Stewart, Kelly (2014) The development and evaluation of a medical imaging training immersive environment. Journal of Medical Radiation Sciences, 61(3), pp. 159-165. https://eprints.qut.edu.au/76213/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Li, Dan, Drovandi, Chris, Anderson, Rebecca, & Trapp, Jamie (2020) Taller staff occupationally exposed to less radiation to the temple in cardiac procedures, but risk higher doses during vascular cases. Scientific Reports, Article number: 16103. https://eprints.qut.edu.au/204713/
Wilson-Stewart, Kelly, Hartel, Gunter, & Fontanarosa, Davide (2019) Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography: 在心脏血管造影过程中,擦洗护士的头部职业辐射水平高于心脏病专家. Journal of Advanced Nursing, pp. 2692-2700. https://eprints.qut.edu.au/129879/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Malacova, Eva, & Trapp, Jamie (2021) Radiation dose to nurses, cardiologists, and patients during coronary angiography: a comparison of femoral and radial access. European Journal of Cardiovascular Nursing, Article number: zvab096. https://eprints.qut.edu.au/214088/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Malacova, Eva, & Trapp, Jamie (2021) Comparison of patient and staff temple dose during fluoroscopically guided coronary angiography, implantable cardiac devices, and electrophysiology procedures. Physica Medica, 90, pp. 142-149. https://eprints.qut.edu.au/213437/
Wilson-Stewart, Kelly, Shanahan, Madeleine, Fontanarosa, Davide, & Davidson, Rob (2018) Occupational radiation exposure to nursing staff during cardiovascular fluoroscopic procedures: A review of the literature. Journal of Applied Clinical Medical Physics, pp. 282-297. https://eprints.qut.edu.au/122164/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Malacova, Eva, Gett, Steven, Kruger, Allan, & Trapp, Jamie V (2021) Occupational and Patient Radiation Dose and Quality Implications of Femoral Access Imaging During Coronary Angiography. Journal of Multidisciplinary Healthcare, 14, pp. 1807-1818. https://eprints.qut.edu.au/211750/

Research areas

Radiology and organ imaging
Scrub nurse
Other physical sciences
Vascular surgery
Clinical sciences
Occupational dose
Other medical and health services
Eye dose

Cite this collection

Wilson-Stewart, Kelly; Fontanarosa, Davide; Trapp, Jamie V; Malacova, Eva; (2021): Vascular and cardiac angiography: a comparison of occupational and patient dose. Queensland University of Technology. (Dataset) https://doi.org/10.25912/RDF_1638846089454

Partner institution

Greenslopes Private Hospital https://www.greenslopesprivate.com.au/

Data file types

Excel - .xlsx Word - .docx


Creative Commons Attribution-NonCommercial-Share Alike 4.0 (CC-BY-NC-SA)


© Queensland University of Technology, 2021.

Dates of data collection

From 2017-02-01 to 2019-08-31


Has association with
Davide Fontanarosa  (Researcher)
Jamie Trapp  (Researcher)
Has chief investigator
Kelly Wilson-Stewart  (Researcher)


Name: Mrs Kelly Wilson-Stewart


Date record created:
Date record modified:
Record status:
Published - Open Access