Indonesian Diagnostic Reference Level for IR FLUOROSCOPY 
DAP (Gy.cm2)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
1 PA / Atrial Septal Defects (ASD) - - 8048
2 Cerebral Angiogram (1-3 vessels) - - 10728
3 Coronary - - 1156
4 Coronary Angiogram 'Normal' 428 796 5713
5 CORONARY ANGIOGRAM (1-3 VESSEL) - - 2148
6 Coronary dan Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 36
7 Directional Coronary Atherectomy (DCA) - - 23
8 Endoscopic Retrograde Cholangiopancreatography (ERCP) - - 4
9 head/spine - - 3
10 ORIF (Open Reduction and Internal Fixation) - - 1
11 PCI (Percutaneous coronary intervention) - - 45347
12 Percutaneous Nephrolithotomy (PCN) - - 19
13 Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 1457
14 Pulmonary Artery Catheter (PAC) - - 4747
15 STEMI / PAC - 1197 -
16 Thorax AP/PA - - 5
17 URS (Ureterorenoscopy) - - 5

FLUORO TOTAL (second)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
1 PA / Atrial Septal Defects (ASD) - - 766
2 Cerebral Angiogram (1-3 vessels) - - 759
3 Coronary - - 573
4 Coronary Angiogram 'Normal' 805 745 916
5 CORONARY ANGIOGRAM (1-3 VESSEL) - - 662
6 Coronary dan Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 964
7 Directional Coronary Atherectomy (DCA) - - 507
8 Endoscopic Retrograde Cholangiopancreatography (ERCP) - - 62
9 head/spine - - 58
10 ORIF (Open Reduction and Internal Fixation) - - 35
11 PCI (Percutaneous coronary intervention) - - 1762
12 Percutaneous Nephrolithotomy (PCN) - - 309
13 Pulmonary Artery Catheter (PAC) - - 717
14 STEMI / PAC - 957 -
15 Thorax AP/PA - - 15
16 URS (Ureterorenoscopy) - - 106

KERMA TOTAL (mGy)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
1 PA / Atrial Septal Defects (ASD) - - 1122
2 Cerebral Angiogram (1-3 vessels) - - 1179
3 Coronary - - 271
4 Coronary Angiogram 'Normal' 33 69 922
5 CORONARY ANGIOGRAM (1-3 VESSEL) - - 428
6 Coronary dan Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 487
7 Directional Coronary Atherectomy (DCA) - - 280
8 Endoscopic Retrograde Cholangiopancreatography (ERCP) - - 12
9 head/spine - - 11
10 ORIF (Open Reduction and Internal Fixation) - - 4
11 PCI (Percutaneous coronary intervention) - - 1358
12 Percutaneous Nephrolithotomy (PCN) - - 572
13 Pulmonary Artery Catheter (PAC) - - 434
14 STEMI / PAC - 104 -
15 Thorax AP/PA - - 18
16 URS (Ureterorenoscopy) - - 18
DAFTAR KONTRIBUTOR (9)
RS TELOGOREJO SEMARANG SILOAMHOSPITALS LIPPO VILLAGE RUMAH SAKIT SANTA ELISABETH SEMARANG
RSU DR. KARIADI SEMARANG RSUP ADAM MALIK RSUD GUNUNG JATI
RUMAH SAKIT AWAL BROS PEKANBARU RUMAH SAKIT BUDI KEMUALIAAN BATAM SILOAM HOSPITALS SURABAYA