KELLY BOEGEL
@boegel_kelly
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ACS, RCCS, RCS, FASE, Clinical Lead Cardiac Sonographer - Starship Children’s Hospital. My tweets are my own
Auckland, New Zealand
Joined October 2018
RT @SLittleMD: High gradient but big AVA? The gradient wins! A really interesting paper: Prognosis of Discordant High-Gradient Aortic…
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RT @EGarciaSayan: 🚀 Thrilled to announce our review on leaflet thrombosis & embolic events post #TAVR & the role of anticoagulation & antip…
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RT @asasonography: It's time to submit your abstract for #ASA2025MEL Conference! Submissions close on 19 January 2025, so don’t miss this o…
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RT @OungSavly: ❤️🩹Coronary patterns in L-TGA @ASE360 @escardio @EACVIPresident @WGACHDChair @boegel_kelly @AEPCcongenital @apsc_office htt…
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RT @asasonography: Join us in celebrating #MUAM! Gillian Profaca shares why she loves being a sonographer, from the joy of solving diagnost…
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@EGarciaSayan @NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD Study over 31 days showed negligible pelvic radiation for IEs & sonographers Proper radiation protective measures (gear + shields) are key More long-term studies needed, especially focusing on IEs & sonographers 🛡️ #RadiationSafety #WIC @ASE360 #ASEchoJC
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@NadeenFaza @PWesslyMD @nishath_quader @renujain19 @iamritu @rajdoc2005 @SachinGoelMD @GilbertTangMD @DeeDeeWangMD @Joe_Aoun_ @SLittleMD @boegel_kelly @purviparwani @ASE360 @IsaMathiasMD @Pooh_Velagapudi Investing in proper & shielding is critical to minimize radiation risks 👉Lead apron, thyroid shield and glasses 👉Dedicated height-adjustable or upright shields w/ flexible reach-through options 👉Ceiling-mounted shields ⬇️☢️ 👉Novel systems that protect the whole team #ASEchoJC
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#ASEchoJC including discussion from around the globe in the safety of sonographers who are exposed to radiation. Merci beaucoup pour votre participation!
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Important tips to minimize radiation exposure #ASEchoJC
@NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @PWesslyMD @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD Another must-read recent publication on ☢️exposure w/ very practical tips by @KTamirisaMD @mirvatalasnag @mmamas1973 @AndreaRussoEP @docbhardwaj @SmadarKort @SabrinaIslamMD @Kpakanati3 @ShelleyZieroth @MRazminia @aartisdalal #ASEchoJC 👉
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@NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @PWesslyMD @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD Also see the outstanding letter to the @JournalASEcho editor by my co-authors @nishath_quader & @renujain19 on radiation exposure as a risk for pregnancy and a barrier for #WIC to get involved in the growing field of #iEcho. #ASEchoJC 👉
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⬇️Safety mechanisms to protect you and your team in the cath lab #ASEchoJC
@NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @EGarciaSayan @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD 🛡️Equip your team with radiation safety gear: Lead aprons, thyroid shields & radiation safety glasses Dosimeters - personal, operational and extremity Real-time feedback systems for radiation dose monitoring @ASE360 #ASEchoJC
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#CallToAction to decrease exposure to IEs #ASEchoJC
@NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @PWesslyMD @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD Our graphical abstract proposes a practical framework & call to action to ⬇️☢️exposure to IEs: 👉Institutional support / resources (all hands on deck!) 👉Dedicated shielding 👉Education 👉Monitoring 👉Data/research 👉Procedural improvement 👉Teamwork & Communication #ASEchoJC
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@NadeenFaza @ASE360 @JournalASEcho @purviparwani @SachinGoelMD @GilbertTangMD @PWesslyMD @iamritu @gb_mackensen @nishath_quader @rajdoc2005 @renujain19 @IsaMathiasMD @LucySafi @SLittleMD The principle of #ALARA (As Low As Reasonably Achievable) is vital in medical imaging to protect patients & staff. For #iEcho and #SHI, this means: ⚙️Adjusting X-ray settings if possible ⌛️Minimizing fluoroscopy time 📏Increasing distance 🛡️Utilizing proper shielding #ASEchoJC
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We must also protect sonographers from radiation risks in the cath lab! Fitting them w dosimeters, lead aprons, thyroid collar, shields. Communication and minimizing fluoroscopy during TTE scanning maneuvers is 🔑. #ASEchoJC @nishath_quader @renujain19 @PWesslyMD
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@nishath_quader @EGarciaSayan @NadeenFaza @PWesslyMD @senguptasp @renujain19 @DeniseIgnatows1 @codylaurenfrye @LilyLeiZhang1 @DrDeepa1020 @rajdoc2005 @DavidWienerMD @purviparwani @ASE360 @AkhilNarangMD @iamritu Great communication between team members involved in the case is critical for the safety of all involved #ASEchoJC
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@EGarciaSayan @NadeenFaza @PWesslyMD @renujain19 @nishath_quader @rajdoc2005 @purviparwani @boegel_kelly @ASE360 @IsaMathiasMD access site used in TAVR type of valve SEV or BEV, influence amount of ☢️ #ASEchoJC transfemoral access site in SEV has⬆️☢️exposure at R waist & lower body than BEV because use cusp overlap projection RAO for SEV, which⬇️risk of new conduction abnormalities
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Awareness is🔑 #ASEchoJC
All Interventional echo and sonographers should be aware of fluro angle and procedural type to minimise radiation exposure @NadeenFaza @EGarciaSayan @renujain19 @iamritu @nishath_quader #echofirst #ASEchoJC @ASE360
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Important tips #ASEchoJC
@nishath_quader @EGarciaSayan @NadeenFaza @PWesslyMD @renujain19 @DeniseIgnatows1 @codylaurenfrye @LilyLeiZhang1 @DrDeepa1020 @rajdoc2005 @DavidWienerMD @purviparwani @boegel_kelly @ASE360 @AkhilNarangMD @iamritu Also… avoiding echo scanning when the Fluoro is on… #ASEchoJC
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