Indonesian Diagnostic Reference Level for IR FLUOROSCOPY 
DAP (Gy.cm2)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
1 Abdominal Angiogram - - 2.61
2 Cerebral Angiogram (1-3 vessels) - - 26
3 Coronary - - 20
4 Coronary Angiogram 'Normal' - - 17
5 CORONARY ANGIOGRAM (1-3 VESSEL) - - 48
6 Coronary dan Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 46
7 Directional Coronary Atherectomy (DCA) - - 16
8 DOUBLE LUMEN (DL) - - 0.2
9 Endoscopic Retrograde Cholangiopancreatography (ERCP) - - 2.2
10 head/spine - - 0.8
11 Lumbar Spine - - 0.1
12 ORIF (Open Reduction and Internal Fixation) - - 0.5
13 PA + ASO 25 26 84
14 PCI (Percutaneous coronary intervention) - - 70
15 Percutaneous Nephrolithotomy (PCN) - - 3.2
16 Permanent Pace Maker / PPM - - 43
17 Pulmonary Artery Catheter (PAC) - - 20
18 Thorax AP/PA - - 0.2
19 URS (Ureterorenoscopy) - - 1.5

FLUORO TOTAL (second)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
1 Abdominal Angiogram - - 45.5
2 Cerebral Angiogram (1-3 vessels) - - 442
3 Coronary - - 442
4 Coronary Angiogram 'Normal' - - 467
5 CORONARY ANGIOGRAM (1-3 VESSEL) - - 13
6 Coronary dan Percutaneous Transluminal Coronary Angioplasty (PTCA) - - 848
7 Directional Coronary Atherectomy (DCA) - - 350
8 DOUBLE LUMEN (DL) - - 6
9 Endoscopic Retrograde Cholangiopancreatography (ERCP) - - 36
10 head/spine - - 21
11 Lumbar Spine - - 21
12 ORIF (Open Reduction and Internal Fixation) - - 21
13 PA + ASO 10 10 13
14 PCI (Percutaneous coronary intervention) - - 1305
15 Percutaneous Nephrolithotomy (PCN) - - 60
16 Permanent Pace Maker / PPM - - 12
17 Pulmonary Artery Catheter (PAC) - - 362
18 Thorax AP/PA - - 7
19 URS (Ureterorenoscopy) - - 27

KERMA TOTAL (mGy)
No Jenis Pemeriksaan
Bayi (0-4) Anak (5-14) Dewasa (≥15)
DAFTAR KONTRIBUTOR (9)
RS MITRA KELUARGA KELAPA GADING RSUP DR SARDJITO YOGYAKARTA RSU DR. KARIADI SEMARANG
RSUP ADAM MALIK MITRA KELUARGA GADING SERPONG RS. SENTRA MEDIKA CISALAK
SILOAM HOSPITALS SURABAYA RS UMUM GADING PLUIT RSUD KOTA BANJAR