New image-processing and noise-reduction software reduces radiation dose during complex endovascular procedures Melissa L. Kirkwood, MD, Jeffrey B. Guild,

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New image-processing and noise-reduction software reduces radiation dose during complex endovascular procedures Melissa L. Kirkwood, MD, Jeffrey B. Guild, PhD, Gary M. Arbique, PhD, Shirling Tsai, MD, J. Gregory Modrall, MD, Jon A. Anderson, PhD, John Rectenwald, MD, Carlos Timaran, MD Journal of Vascular Surgery Volume 64, Issue 5, Pages 1357-1365 (November 2016) DOI: 10.1016/j.jvs.2016.04.062 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Fluoroscopy dose rate as a function of patient body mass index (BMI) with (+) and without (−) AlluraClarity (Philips Healthcare, Best, The Netherlands) for endovascular aneurysm repair (EVAR), fenestrated endovascular aneurysm repair (FEVAR), and lower extremity (LE) interventions. Journal of Vascular Surgery 2016 64, 1357-1365DOI: (10.1016/j.jvs.2016.04.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Fluorography dose rate as a function of patient body mass index (BMI) with (+) and without (−) AlluraClarity (Philips Healthcare, Best, The Netherlands) for endovascular aneurysm repair (EVAR), fenestrated endovascular aneurysm repair (FEVAR), and lower extremity (LE) interventions. Journal of Vascular Surgery 2016 64, 1357-1365DOI: (10.1016/j.jvs.2016.04.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Body mass index (BMI)-corrected fluorographic reference air kerma (RAK)/frame and fluoroscopic RAK rate with and without AlluraClarity (Philips Healthcare, Best, The Netherlands) for endovascular aneurysm repair (EVAR), fenestrated endovascular aneurysm repair (FEVAR), and lower extremity (LE) interventions. Journal of Vascular Surgery 2016 64, 1357-1365DOI: (10.1016/j.jvs.2016.04.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Operator dose with and without AlluraClarity (Philips Healthcare, Best, The Netherlands) for all procedures and for endovascular aneurysm repair (EVAR), fenestrated endovascular aneurysm repair (FEVAR), and lower extremity (LE) interventions. The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, the whiskers above and below the box extend 1.5 interquartile range in either direction, and the circles indicate outliers. Journal of Vascular Surgery 2016 64, 1357-1365DOI: (10.1016/j.jvs.2016.04.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Operator dose as a function of procedural kerma area product (KAP) with and without AlluraClarity (Philips Healthcare, Best, The Netherlands) for endovascular aneurysm repair (EVAR), fenestrated endovascular aneurysm repair (FEVAR) and lower extremity (LE) interventions. Journal of Vascular Surgery 2016 64, 1357-1365DOI: (10.1016/j.jvs.2016.04.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions