根據衛生福利部104年所公佈之臺灣十大死因，心臟血管疾病死亡人數達一萬九千四百人。放射醫學心導管診療技術的使用頻率大幅増加，已將大部分心臟疾病獲得有效的控制。然而接受心導管診療技術檢查的病人，於短時間内接受大量輻射暴露，其造成生物體之生物效應值得探討。本研究針對心導管診療技術檢查病人之皮膚劑量進行評估。本文採用三氧化二銘添加碳活化劑之光激發光劑量計(Optically Stimulated Luminescence Dosimeter, OSLD)作為心導管診療技術檢查皮膚劑量量測工具，OSLD為近年研發成功的新型劑量計，相較於熱發光劑量計(TLD)，OSLD具光學快速計讀優勢、寬廣的輻射劑量偵測範圍、高敏度及可重複計讀分析劑量等優點，在劑量驗證上極具優勢。OSLD佈點於擬人型假體表面，檢查條件依照臨床平均照射時間量化X光機對病人造成皮膚劑量累積，其結果可獲得檢查部位表面等價劑量值。接受心導管診療技術之病人平均曝露率約每分鐘2.5侖琴(R)，經換算約2.2cGy(2.5R=2.5*2.58*10_4C/Kg*34J/C=2.2cGy)，此數值會因儀器設備、病人尺寸及檢查條件有所變化。典型心導管室所量測得到劑量率約每分鐘0.5~10侖琴之間。本文期望能給予國内各大醫療院所做一參考，使得放射醫學心導管診療技術能夠獲得更有效的規範及控制，落實合理抑低(ALARA)概念，以病人安全與最適化原則建立出一套標準程序來提升病人劑量水平。

The top of ten causes of death according to the Ministry of Health and Welfare 104 year of publication in Taiwan, the death toll of cardiovascular disease nineteen thousand four hundred people. Cardiac catheterization technique radiology clinics a substantial increase in the frequency of use, it has been most effective in the control of heart disease. However, patients undergoing cardiac catheterization to check medical technology, in a short time to accept a large number of radiation exposure, it causes the organism's biological effects worth exploring. The present study was conducted to assess skin dose for cardiac catheterization to check the patient's diagnosis and treatment techniques. In this study, aluminum oxide added activator of the excitation light carbon Dosimeter (Optically Stimulated Luminescence Dosimeter, OSLD) treatment techniques as cardiac catheterization to check skin dose measuring tool, OSLD successfully developed in recent years for a new type of dosimeter, compared to Thermoluminescent dosimeter (TLD), OSLD quick count reading with optical advantages, wide radiation dose detection range, high sensitivity and repeatable analysis of dose meter reading, etc., a strong competitive advantage in the dose verification. OSLD distribution in anthropomorphic prosthesis surface and check the conditions according to the average exposure time quantification of clinical X-ray dose to the patient resulting in skin accumulation, the results obtained to check parts of the surface dose equivalent value. In this study, hoping to give major domestic medical institutions to make a reference, so that cardiac catheterization radiology treatment technology can be more effectively regulate and control, implementing As Low As Reasonably Achievable (ALARA) concept to the principle of patient safety and to establish the optimal one sets of standard procedures to enhance patient dose levels.