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. 2018 Dec 26;6(16):1087–1093. doi: 10.12998/wjcc.v6.i16.1087

Table 1.

Dose metrics and units for radiation exposure during endoscopic retrograde cholangiopancreatography or other image-guided procedures from each society and the associated diagnostic reference levels

Society Year Procedure Numerical number Metric Unit
ESGE[2] 2012 ERCP 55-347 ESD mGy
3-333 KAP Gy.cm2
ASGE[1] 2015 ERCP Not listed Radiation dose mGy
FT
ASGE-DDW supplement[39] 2018 ERCP Not listed Dose RP mGy
DAP μGy.m2
Dose rate mGy/min
Japan DRLs[32] 2015 IVR 20 Dose rate mGy/min
EC DRLs[30] 2014 ERCP 30-45 DAP Gy.cm2
UK NDRL[35] 2016 Biliary intervention 43 DAP Gy.cm2
14 FT min
German DRL[31] 2013 ERCP 2500 DFP μGy.m2
ARPANSA DRL survey[62] ongoing ERCP/IVR Not listed Reference dose Gy
DAP Gy.cm2
Frame rate fr/sec
Total frames number
ACC/HRS/NASCI/SCAI/SCCT expert consensus[63] 2018 Cardiovascular intervention Not listed Air kerma Gy
KAP, DAP Gy.cm2

ESD: Entrance skin dose; KAP: Kerma-area product; FT: Fluoroscopy time; Dose RP: Dose reference point; DAP: Dose-area product; DFP: Dosis-flächen-produkt (Dose-area product); ERCP: Endoscopic retrograde cholangiopancreatography; DRLs: Diagnostic reference levels; ESGE: European society of gastrointestinal endoscopy; ASGE: American society for gastrointestinal endoscopy.