APQS consensus regarding patient shielding during routine radiographic imaging

2021 ◽  
Vol 94 (1123) ◽  
pp. 20210252
Author(s):  
Russell Oliver Kosik ◽  
Swee-Tian Quek ◽  
Elaine Kan ◽  
Shigeki Aoki ◽  
Chin Hua Yang ◽  
...  

Shielding, particularly of the gonads, has been a routine part of diagnostic radiographic imaging for many years. However, recent thinking suggests that such shielding may offer little benefit, and in some cases may actually cause harm, e.g. by obscuring anatomy or paradoxically increasing patient radiation dose secondary to the need for repeat imaging. This thinking has led many institutions in the West to abandon routine shielding. However, in Asia, shielding is still commonplace. It was felt that the Asia-Pacific Forum on Quality and Safety in Medical Imaging (APQS) was an ideal place to discuss the merits of shielding and deliver a pan-Asian consensus. The APQS is an annual meeting that convenes radiation safety and imaging quality experts from all of the major Asian regions. During the 2020 APQS meeting, radiation safety experts from each region discussed their opinions of shielding during a dedicated session. These experts’ views were mostly in line with the views of Western radiologists. However, important country specific and cultural factors were noted by each of the experts. A pan-Asian consensus was issued by the forum. It is hoped that this consensus will guide the development of future shielding policies throughout Asia.

2016 ◽  
Vol 17 (2) ◽  
pp. 208-231 ◽  
Author(s):  
ALAN CHONG

AbstractAsian diplomatic practices consistently frustrate western policymakers. This, I argue, is due in large part to cultural factors and the differences in interpreting political modernization. I will identify the features that contribute to a ‘diplomacy of encounter’ by, firstly, performing a historical reading of early indigenous annals that treat diplomacy in Asia, as well as of Jesuit and Portuguese encounters with Asia in the 1500s and 1600s; secondly, by reading a sample of nationalist tracts from Asia between the late 1800s and 1960s; and, thirdly, by reading the practices of ASEAN and wider Asia-Pacific regionalism between the 1990s and 2000s. It is only through discourse analysis of the Foucaultian variety that one can tease out the cultural and modernization-related road bumps in so-called ‘modern Asian diplomacy’. This study hopes to contribute to enhancing appreciation of the ongoing procedural and substantive tensions between Asian states and their western, and mostly developed, dialogue partners.


2017 ◽  
Vol 178 (3) ◽  
pp. 298-303 ◽  
Author(s):  
Adnan Lahham ◽  
Ahlam Issa ◽  
Hussein ALMasri

2021 ◽  
Vol 85 ◽  
pp. 192-199
Author(s):  
Julia Rousseau ◽  
Serge Dreuil ◽  
Céline Bassinet ◽  
Sophie Cao ◽  
Hélène Elleaume

2009 ◽  
Vol 65 (7) ◽  
pp. 903-912 ◽  
Author(s):  
Tomonari Sano ◽  
Hideyuki Matsutani ◽  
Takeshi Kondo ◽  
Takako Sekine ◽  
Takehiro Arai ◽  
...  

Atomic Energy ◽  
2021 ◽  
Author(s):  
A. G. Tsovyanov ◽  
A. G. Sivenkov ◽  
V. E. Zhuravleva ◽  
V. V. Kosterev

2017 ◽  
Author(s):  
Roger Buckley

Supported by an in-depth Introduction and contextual analysis, this six-volume set complements Series I (1918-1937 – From Armistice to North China), addressing the history between 1938 and1945. Despite the widespread operation of war-time censorship and surveillance, publishers in the West and, to a lesser degree in East Asia, put out a range of material that remains of considerable value to later generations. Some of the texts selected are undeniably partisan but the quantity of the published material (and to some extent its quality) left the general public with a vast and varied archive of printed matter that deserves to be consulted and debated by today's researchers and students. Greater attention is given to American and British literature rather than Chinese or Japanese simply by virtue of the practical realities.


2021 ◽  
Author(s):  
Wen Yang ◽  
Xing Li ◽  
Jinrong Qiu ◽  
Lun Zhou

Abstract With the rapid development of nuclear energy, spent fuel will accumulate in large quantities. Spent fuel is generally cooled and placed in a storage pool, and then transported to a reprocessing plant at an appropriate time. Because spent fuel is content with a high level of radiation, spent fuel storage and transportation safety play important roles in the nuclear safety. Radiation dose safety are checked and validated using source analysis and Monte Carlo method to establish a radiation dose rate calculation model for PWR spent fuel storage pool and transport container. The calculation results show that the neutron and photon dose rates decrease exponentially with increase of water level under normal condition of storage pool. The attenuation multiples of neutron and photon dose rates are 4.64 and 1.59, respectively. According to radiation dose levels in different water height situations, spent fuel pool under loss of coolant accident can be divides into five workplaces. They are supervision zone, regular zone, intermittent zone, restricted zone and radiation zone. Under normal condition of transport container, the dose rates at the surface of the container and at a distance of 1 m from the surface are 0.1759 mSv/h and 0.0732 mSv/h, respectively. The dose rates decrease with the increasing radius of break accident, and dose rate at the surface of the transport container is 0.278 mSv/h when the break radius is 20 cm. Transport container conforms to the radiation safety standards of International Atomic Energy Agency (IAEA). This study can provide some reference for radiation safety analysis of spent fuel storage and transportation.


2020 ◽  
Vol 6 (1) ◽  
pp. 52-56
Author(s):  
Sri Sugiarti ◽  
Surip Surip ◽  
Merrytiana Fadila

Concerning radiation safety must meet several radiation protection requirements which include justification or utilization of nuclear power, dose limitation, optimization of protection, and radiation safety. The purpose of this study was to determine the optimization of the exposure factor selection and determine the radiation dose received by the patient based on the selection of exposure factors on the thorax examination. The author observed the use of exposure factors on chest radiographic examination with a sample of 60 people. The design of this study uses the correlational method. The independent variables in this study are age, body weight, object thickness, kV, and mAs. Dependent variable exposure to radiation dose on chest examination. The conclusion of this study is the dose exposure level is influenced by age, object thickness, weight, and use of exposure factors which will then be obtained by the DRL (Diagnostic Reference Level) value.


2020 ◽  
Vol 35 (4) ◽  
pp. 380-385
Author(s):  
Dea Dundara-Debeljuh ◽  
Slaven Jurkovic ◽  
Ivan Pribanic ◽  
Neva Girotto ◽  
Svjetlana Grbac-Ivankovic ◽  
...  

Dose assessment of diagnostic nuclear medicine procedures is necessary to further optimize respective procedure, estimate radiation risk, improve radiation safety and verify compliance of local practice with guidelines. In line with Council Directive 2013/59/EURATOM, patient medical documentation should include information related to radiation exposure. The aim of this work is to present the patient radiation dose assessment system designed for routine clinical use, that uses in-house designed worksheets for dose calculation based on relevant parameters introduced by the ICRP publications. Dose reports provide information about the absorbed dose delivered to the target and non-target organs of interest and the effective dose for each diagnostic procedure. The data from the dose reports was used to investigate average patient exposure levels during a one-year period and the results are presented. The implemented system has improved the quality of services provided and understanding of radiation risks. Moreover, the presented results have stimulated further optimization of nuclear medicine processes.


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