scholarly journals Radiation Safety Culture: The Way Forward in Practicing Interventional Radiology

2017 ◽  
Vol 01 (02) ◽  
pp. 100-106 ◽  
Author(s):  
Roshan Livingstone ◽  
Anna Varghese

AbstractRadiation dose from catheter-based interventional procedures performed in catheterization laboratories are of concern as an increase of radiation dose beyond threshold limits will be detrimental to the patient. It is important that radiation personnel understand the biological effects of radiation since patient and staff exposure may be significantly high when not adhered to radiation safety standards. Use of protective accessories, such as lead aprons and goggles, has been practiced worldwide for individual protection. Dose audit during interventional procedures is important for the benefit of the patient. Several factors including angiographic equipment, preset protocols, and tube angulations that influence radiation dose to patient and operators and hence modification on radiation safety work practices in the catheterization lab is warranted. Implementing periodic radiation safety training for occupational workers would be beneficial to practice a radiation safety culture.

2015 ◽  
Author(s):  
Amy B. Reed ◽  
Melissa L Kirkwood

Modern vascular surgeons perform an ever-increasing number of complex endovascular procedures, largely based on patient preference, decreased length of stay, and improved outcome. With the upsurge of endovascular cases, concern has grown regarding the harmful effects of radiation exposure delivered to the patient and the operator. Surgeon education on the appropriate use of fluoroscopic operating factors coupled with appropriate training in radiation safety has been shown to decrease radiation dose. This review elucidates dose terminology and metrics, possible radiation-induced injuries, risk factors for deterministic injury, and radiation safety principles and techniques. Tables provide practical tips to lower patient and operator radiation dose during fluoroscopically guided intervention, and National Council on Radiation Protection & Measurements recommended dose limits for occupational exposure. Figures illustrate reference air kerma, radiation-induced skin injury, effects of image receptor and table position, and operator exposure. This review contains 4 figures, 3 tables, and 53 references.


2017 ◽  
Vol 54 (4) ◽  
pp. 446-452 ◽  
Author(s):  
Min-Jeong Cho ◽  
Timothy Blackburn ◽  
Rami R. Hallac ◽  
Alex A. Kane ◽  
Korgun Koral ◽  
...  

An understanding of radiation dose and the anticipated risk to the patient is an important aspect of ordering radiological imaging studies responsibly. It is especially true for the pediatric practitioner because children are more vulnerable to the biological effects of radiation, such as radiosensitivity, longer lifetime years, and higher cellular mitotic activity. The use of fluoroscopy and computed tomography is commonplace in the practice of craniofacial surgery, but often dose reports from varied investigations are not directly comparable, and the risk of patient harm from the investigation is unclear. This article presents the fundamentals of radiation, dose, and risk as it applies to radiological imaging and also introduces our low dose craniofacial computed tomography protocol.


2021 ◽  
Vol 1 (1) ◽  
pp. 56-62
Author(s):  
Tuti Amalia ◽  
◽  
Benny Zulkarnaien

The use of ionizing radiation for diagnostic and therapeutic purposes has a significant impact on patient treatment, especially for CT Scan services and interventional procedures that contribute to a high radiation dose. The radiation safety culture of an organization is a combination of positive individual attitudes, priorities, policies and practices towards radiation safety that are oriented towards the safety of patients, staff, and the environment. The benefits of implementing a radiation safety culture are to minimize radiation doses received by patients and staff, increase awareness of the risks caused by radiation, minimize unsafe radiation practices, and improve radiation protection and safety programs. This paper aims to analyze and evaluate the implementation of radiation safety culture at RSUPN dr. Cipto Mangunkusumo. Analysis and evaluation is carried out on practices that reflect radiation safety culture in supporting diagnostic and interventional radiology services. The results of the analysis and evaluation show that the implementation of a radiation safety culture in radiology and interventional services at RSUPN Dr.Cipto Mangunkusumo requires an increase in continuing education, effective communication and collaboration between stakeholders at all levels, as well as the implementation of quality assurance programs. Recommendations are given in an effort to improve radiation safety culture, such as e-learning on radiation safety.


Author(s):  
Tadashi Watabe ◽  
Makoto Hosono ◽  
Seigo Kinuya ◽  
Takahiro Yamada ◽  
Sachiko Yanagida ◽  
...  

AbstractWe present the guideline for use of [211At] sodium astatide (NaAt) for targeted alpha therapy in clinical trials on the basis of radiation safety issues in Japan. This guideline was prepared by a study supported by the Ministry of Health, Labour, and Welfare, and approved by the Japanese Society of Nuclear Medicine on 8th Feb, 2021. The study showed that patients receiving [211At]NaAt do not need to be admitted to a radiotherapy room and outpatient treatment is possible. The radiation exposure from the patient is within the safety standards of the ICRP and IAEA recommendations for the general public and caregivers. Precautions for patients and their families, safety management associated with the use of [211At]NaAt, education and training, and disposal of medical radioactive contaminants are also included in this guideline. Treatment using [211At]NaAt in Japan should be carried out according to this guideline. Although this guideline is applied in Japan, the issues for radiation protection and evaluation methodology shown here are considered internationally useful as well.


Nature ◽  
1958 ◽  
Vol 182 (4643) ◽  
pp. 1118-1119
Author(s):  
J. F. LOUTIT

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