scholarly journals Radiation Protection in Interventional Radiology/Cardiology—Is State-of-the-Art Equipment Used?

2021 ◽  
Vol 18 (24) ◽  
pp. 13131
Author(s):  
Christiane Behr-Meenen ◽  
Heiner von Boetticher ◽  
Jan Felix Kersten ◽  
Albert Nienhaus
Keyword(s):  
Interventional Radiology ◽  
Radiation Protection ◽  
State Of The Art ◽  
Interventional Cardiology ◽  
Radiological Protection ◽  
High Radiation ◽  
Organ Specific ◽  
Partial Body ◽  
Working Practices ◽  
Cardiac Society

Interventional radiology/cardiology is one of the fields with the highest radiation doses for workers. For this reason, the International Commission on Radiological Protection (ICRP) published new recommendations in 2018 to shield staff from radiation. This study sets out to establish the extent to which these recommendations are observed in Germany. For the study, areas were selected which are known to have relatively high radiation exposure along with good conditions for radiological protection—interventional cardiology, radiology and vascular surgery. The study was advertised with the aid of an information flyer which was distributed via organisations including the German Cardiac Society (Deutsche Gesellschaft für Kardiologie- Herz- und Kreislaufforschung e. V.). Everyone who participated in our study received a questionnaire to record their occupational medical history, dosimetry, working practices, existing interventional installations and personal protective equipment. The results were compared with international recommendations, especially those of the ICRP, based on state-of-the-art equipment. A total of 104 respondents from eight German clinics took part in the survey. Four participants had been medically diagnosed with cataracts. None of the participants had previously worn an additional dosimeter over their apron to determine partial-body doses. The interventional installations recommended by the ICRP have not been fitted in all examination rooms and, where they have been put in place, they are not always used consistently. Just 31 participants (36.6%) stated that they “always” wore protective lead glasses or a visor. This study revealed considerable deficits in radiological protection—especially in connection with shielding measures and dosimetric practices pertaining to the head and neck—during a range of interventions. Examination rooms without the recommended interventional installations should be upgraded in the future. According to the principle of dose minimization, there is considerable potential for improving radiation protection. Temporary measurements should be taken over the apron to determine the organ-specific equivalent dose to the lens of the eye and the head.

MINIMIZING THE EXPOSURE TO THE EYE LENS OF RADIOLOGIC TECHNOLOGISTS ASSISTING PATIENTS DURING CHEST X RAYS: A PHANTOM STUDY

2021 ◽  
Vol 193 (1) ◽  
pp. 43-54
Author(s):  
Yasuda Mitsuyoshi ◽  
Funada Tomoya ◽  
Sato Hisaya ◽  
Kato Kyoichi
Keyword(s):  
Radiation Protection ◽  
Phantom Study ◽  
International Commission ◽  
Eye Lens ◽  
Radiological Protection ◽  
X Rays ◽  
Radiologic Technologists ◽  
Maximum Reduction ◽  
The Right

Abstract As chest x rays involve risks of patients falling, radiologic technologists (technologists) commonly assist patients, and as the assistance takes place near the patients, the eye lenses of the technologists are exposed to radiation. The recommendations of the International Commission on Radiological Protection suggest that the risk of developing cataracts due to lens exposure is high, and this makes it necessary to reduce and minimize the exposure. The present study investigated the positions of technologists assisting patients that will minimize exposure of the eye lens to radiation. The results showed that it is possible to reduce the exposure by assisting from the following positions: 50% at the sides rather than diagonally behind, 10% at the right side of the patient rather than the left and 40% at 250 mm away from the patient. The maximum reduction with radiation protection glasses was 54% with 0.07 mmPb and 72% with 0.88 mmPb.

scholarly journals Radiation-Induced Noncancer Risks in Interventional Cardiology: Optimisation of Procedures and Staff and Patient Dose Reduction

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Zhonghua Sun ◽  
Aini AbAziz ◽  
Ahmad Khairuddin Md Yusof
Keyword(s):  
Potential Risk ◽  
Medical Staff ◽  
Interventional Procedure ◽  
Cardiovascular Effects ◽  
Interventional Cardiology ◽  
Evidence Based ◽  
Radiation Doses ◽  
High Radiation ◽  
Radiation Induced ◽  
Patient Dose Reduction

Concerns about ionizing radiation during interventional cardiology have been increased in recent years as a result of rapid growth in interventional procedure volumes and the high radiation doses associated with some procedures. Noncancer radiation risks to cardiologists and medical staff in terms of radiation-induced cataracts and skin injuries for patients appear clear potential consequences of interventional cardiology procedures, while radiation-induced potential risk of developing cardiovascular effects remains less clear. This paper provides an overview of the evidence-based reviews of concerns about noncancer risks of radiation exposure in interventional cardiology. Strategies commonly undertaken to reduce radiation doses to both medical staff and patients during interventional cardiology procedures are discussed; optimisation of interventional cardiology procedures is highlighted.

scholarly journals Interventional cardiology in Poland in the year 2011. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society

2012 ◽  
Vol 2 ◽  
pp. 102-113
Author(s):  
Dariusz Dudek ◽  
Jacek Legutko ◽  
Zbigniew Siudak ◽  
Paweł Maciejewski ◽  
Andrzej Ochała ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Summary Report ◽  
Cardiovascular Interventions ◽  
Cardiac Society

scholarly journals A Novel Lead Garment Structural System to Alleviate Orthopedic Stress for Surgeons

2018 ◽  
Author(s):  
Hilary Johnson ◽  
Sally Miller ◽  
Prianca Tawde ◽  
Bethany LaPenta ◽  
Daniel Teo ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Protection ◽  
Preliminary Analysis ◽  
Healthcare Professionals ◽  
User Feedback ◽  
Musculoskeletal Injuries ◽  
Structural System ◽  
Testing Procedures ◽  
Emergency Procedures ◽  
Interventional Radiology Procedures

Cardiovascular, orthopedic, and interventional radiology procedures using fluoroscopy require healthcare professionals to wear heavy lead garments for radiation protection, sometimes for up to 12 hours per day. Wearing lead garments for prolonged periods of time can lead to musculoskeletal injuries, discomfort, and fatigue. MobiLead is a mobile lead garment frame that was developed to reduce the weight supported by the user in an effort to mitigate these problems. The MobiLead system moves the lower garment load off the user’s body to a structural ground-supported frame and redistributes the upper load from the shoulders to the hips through a torso frame. The system is compact and maximizes the limited space available in operating rooms, while still giving the surgeon adequate mobility for various emergency procedures. Preliminary analysis of device effectiveness was conducted using electromyography and qualitative surgeon user feedback surveys. This paper will discuss the design, fabrication, and testing procedures for this mobile radiation protection system optimizing both support and mobility.

scholarly journals Cancer Morbidity as Radiation Protection Efficiency Indicator in Urainium Mining Facilities

2017 ◽  
pp. 56-59 ◽  
Author(s):  
T. Pavlenko ◽  
A. Operchuk
Keyword(s):  
Radiation Protection ◽  
Mining Industry ◽  
Surface Mining ◽  
Lung Cancer Mortality ◽  
Radiological Protection ◽  
Protection Efficiency ◽  
The Past ◽  
Dosimetric Data ◽  
The Individual ◽  
Total Effective Dose

The paper reviews the efficience of radiation protection in uranium mining industry. The officially provided data on individual doses for underground and surface mining professionals is analysed and cancer morbity risk is assessed. The researchers defined the individual components of the total effective dose and separately assessed their contributions. The total of 114 cancer cases have been registered during the past 15 years. Accumulated equivalent doses for lungs are estimated from 20 to 430 mSv. The total working time in 56% of individual cancer cases diagnosed made over 20 years. The actual lung cancer mortality rate for miners is established 3 cases per 1000 individuals, which permits to question the authenticity of the dosimetric data and the efficiency of radiological protection applied.

A MULTICENTRE SURVEY OF LOCAL DIAGNOSTIC REFERENCE LEVELS AND ACHIEVABLE DOSE FOR CORONARY ANGIOGRAPHY AND PERCUTANEOUS TRANSLUMINAL CORONARY INTERVENTION PROCEDURES IN KOREA

2019 ◽  
Vol 187 (3) ◽  
pp. 378-382
Author(s):  
Jung Su Kim ◽  
Bong-Ki Lee ◽  
Dong Ryeol Ryu ◽  
Kwang Jin Chun ◽  
Hyun-Hee Choi ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Radiation Doses ◽  
Diagnostic Reference Levels ◽  
Reference Levels ◽  
High Radiation ◽  
Exposure Data ◽  
Area Product ◽  
Percutaneous Transluminal

Abstract Interventional cardiology procedures can involve relatively high radiation doses compared to general radiography. During coronary angiography (CAG) and percutaneous transluminal coronary intervention (PCI), the same area is exposed to radiation for a long period. In this study, radiation exposure data of 1071 examinations in Korean hospitals were collected, and the achievable dose (AD) and diagnostic reference levels (DRLs) in actual medical practice for two types of interventional cardiology procedures in Korea were established. In CAG, 75th percentile DRLs and AD of the total kerma-area product were 47.0 and 33.1 Gy·cm 2, respectively. In PCI, those values were 171.3 and 102.6 Gy·cm2, respectively. This is the first study to introduce the DRLs for cardiovascular interventional procedures in Korea. These results will help optimise the interventional cardiology procedures for Korean cardiac centres.

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