{"id":248,"date":"2018-06-10T09:33:22","date_gmt":"2018-06-10T07:33:22","guid":{"rendered":"https:\/\/www.iemest.eu\/liss\/?p=248"},"modified":"2021-01-13T09:50:25","modified_gmt":"2021-01-13T08:50:25","slug":"radioprotection-in-2018-an-update","status":"publish","type":"post","link":"https:\/\/www.iemest.eu\/life-safety-and-security\/2018\/06\/10\/radioprotection-in-2018-an-update\/","title":{"rendered":"Radioprotection In 2018: An Update"},"content":{"rendered":"\n

Vincenzo D Palumbo, Antonio Bruno, Benedetto Di Trapani, Simone Tomasini, Antonello Basile, Giovanni Tomasello<\/p>\n\n\n\n

Abstract<\/strong><\/p>\n\n\n\n

Fluoroscopically-guided interventional procedures are performed in large numbers in Europe and in the United States. Radiation doses received by interventional radiologists can vary for the same type of procedure and for similar patient doses. Occupational radiation protection is a necessity whenever radiation is used in the practice of medicine. The International Commission on Radiological Protection is engaging against occupational radiation damages, publishing regular recommendations on dose limits. These limits are expressed as effective doses for the whole body and also as equivalent doses for particular regions or tissues of practitioners\u2019 bodies. Shielding and personal protective clothes are the most common tools for radiation protection employed up to now. Radiation protection is a dynamic field. It has undergone a significant evolutionary period during the past few decades and general improvement of protection techniques and technology is expected to continue. Further progress in the application of protection principles and concepts will contribute to balanced protection.<\/p>\n\n\n\n

References<\/strong><\/p>\n\n\n\n

  1. Miller DL. Overview of contemporary interventional fluoroscopy\nprocedures. Health Phys 2008;95:638-644.<\/li>
  2. Va\u00f1\u00f3 E, Gonzalez L, Fern\u00e1ndez JM, Haskal ZJ. Eye lens exposure to\nradiation in interventional suites: caution is\nwarranted. Radiology 2008;248:945-953.<\/li>
  3. Stecker MS, Balter S, Towbin RB, Miller DL, Va\u00f1\u00f3 E, Bartal G, Angle JF,\nChao CP, Cohen AM, Dixon RG, Gross K, Hartnell GG, Schueler B, Statler JD, de\nBa\u00e8re T, Cardella JF; SIR Safety and Health Committee; CIRSE Standards of\nPractice Committee. Guidelines for patient radiation dose management. J\nVasc Interv Radiol 2009;20:S263-S273.<\/li>
  4. Kim KP, Miller DL, Balter S, Kleinerman RA, Linet MS, Kwon D, Simon SL.\nOccupational radiation doses to operators performing cardiac catheterization\nprocedures. Health Phys 2008;94:211-227.<\/li>
  5. Kleiman NJ. Radiation cataract. In: Working party on research implications\non health and safety standards of the article 31 group of experts. Radiation\nProtection 145 EU Scientific Seminar 2006. New insights in radiation risk and\nbasic safety standards. European Commission, Brussels, 2007; pp 81-95.<\/li>
  6. Worgul BV, Kundiyev YI, Sergiyenko NM, Chumak VV, Vitte PM, Medvedovsky\nC, Bakhanova EV, Junk AK, Kyrychenko OY, Musijachenko NV, Shylo SA, Vitte OP,\nXu S, Xue X, Shore RE. Cataracts among Chernobyl clean-up workers: implications\nregarding permissible eye exposures. Radiat Res 2007;167:233-243.<\/li>
  7. Nakashima E, Neriishi K, Minamoto A. A reanalysis of atomic-bomb\ncataract data, 2000\u20132002: a threshold analysis. Health\nPhys 2006;90:154-160.<\/li>
  8. Neriishi K, Nakashima E, Minamoto A, Fujiwara S, Akahoshi M, Mishima HK,\nKitaoka T, Shore RE. Postoperative cataract cases among atomic bomb survivors:\nradiation dose response and threshold. Radiat Res 2007;168:404-408.<\/li>
  9. World Health Organization (2000). Efficacy and radiation safety in interventional\nradiology. Geneva.<\/li>
  10. Valentin J. Avoidance of radiation injuries from medical interventional\nprocedures. Ann ICRP 2000;30:7-67.<\/li>
  11. Va\u00f1\u00f3 E, Gonz\u00e1lez L, Guibelalde E, Fern\u00e1ndez JM, Ten JI. Radiation\nexposure to medical staff in interventional and cardiac radiology. Br J Radiol 1998;71:954-960.<\/li>
  12. Stoeckelhuber BM, Leibecke T, Schulz E, Melchert UH, Bergmann-Koester\nCU, Helmberger T, Gellissen J. Radiation dose to the radiologist\u2019s hand during\ncontinuous CT fluoroscopy-guided interventions. Cardiovasc Interv\nRadiol 2005;28:589-594.<\/li>
  13. Hohl C, Suess C, Wildberger JE, Honnef D, Das M, M\u00fchlenbruch G, Schaller\nA, G\u00fcnther RW, Mahnken AH. Dose reduction during CT fluoroscopy: phantom study\nof angular beam modulation. Radiology 2008;246:519-525.<\/li>
  14. European Commission. Directorate-General for the Environment, European\nCommission (2000). Radiation protection 116. Guidelines on education and\ntraining in radiation protection for medical exposures. Luxembourg.<\/li>
  15. The 2007 recommendations of the International Commission on Radiological\nProtection. ICRP Publication 103. Ann ICRP 2007;37:1-332.<\/li>
  16. National Council on Radiation Protection and Measurements (1995). Use of\npersonal monitors to estimate effective dose equivalent and effective dose to\nworkers for external exposure to low-LET radiation. NCRP Report No. 122. Bethesda.<\/li>
  17. Balter S. Radiation safety in the cardiac catheterization laboratory:\nbasic principles. Catheter Cardiovasc Interv 1999;47:229-236.<\/li>
  18. Balter S, Sones FM Jr, Brancato R. Radiation exposure to the operator\nperforming cardiac angiography with U-arm systems. Circulation 1978;58:925-932.<\/li>
  19. Geijer H. Radiation dose and image quality in diagnostic radiology.\nOptimization of the dose-image quality relationship with clinical experience\nfrom scoliosis radiography, coronary intervention and a flat-panel digital\ndetector. Acta Radiol Suppl 2002;43:1-43.<\/li>
  20. Crane GD, Abbott PV. Radiation shielding in dentistry: an update. Aust\nDent J 2016;61:277-281.<\/li>
  21. Kim KP, Miller DL, Berrington de Gonzalez A, Balter S, Kleinerman RA,\nOstroumova E, Simon SL, Linet MS. Occupational radiation doses to operators\nperforming fluoroscopically-guided procedures. Health Phys 2012;103:80-99.<\/li>
  22. Whitby M, Martin CJ. A study of the distribution of dose across the\nhands of interventional radiologists and cardiologists. Br J Radiol\n2005;78:219-229. <\/li>
  23. Comiss\u00e3o Nacional de Energia Nuclear \u2013 CNEN (2011). CNEN-NN-3.01:\ndiretrizes b\u00e1sicas de prote\u00e7\u00e3o radiol\u00f3gica. Brasilia.<\/li>
  24. Miller DL, Va\u00f1\u00f3 E, Bartal G, Balter S, Dixon R, Padovani R, Schueler B,\nCardella JF, de Ba\u00e8re T. Occupational radiation protection in interventional\nradiology: a joint guideline of the Cardiovascular and Interventional Radiology\nSociety of Europe and the Society of Interventional Radiology. Cardiovasc\nIntervent Radiol 2010;33:230-239.<\/li>
  25. Le Heron J, Padovani R, Smith I, Czarwinski R. Radiation\nprotection of medical staff. Eur J Radiol\n2010;76:20-23.<\/li>
  26. Maeder M, Brunner-La Rocca HP, Wolber T, Ammann P, Roelli H, Rohner F,\nRickli H. Impact of a lead glass screen on scatter radiation to eyes and hands\nin interventional cardiologists. Cath Cardiovasc Interv 2006;67:18-23.<\/li>
  27. Thornton RH, Altamirano J, Dauer L. Comparing strategies for IR eye\nprotection. J Vasc Interv Radiol 2009;20:S52-S53.<\/li>
  28. King JN, Champlin AM, Kelsey CA,\nTripp DA. Using a sterile disposable protective surgical drape for\nreduction of radiation exposure to interventionalists. Am J Roentgenol 2002;178:153-157.<\/li>
  29. Wagner LK, Mulhern OR. Radiation-attenuating surgical gloves:\neffects of scatter and secondary electron production. Radiology 1996;200:45-48.<\/li>
  30. Zeinali-Rafsanjani B, Rasekhi A, Saeedi-Moghadam M, Zarei F, Jalli R,\nSefidbakht S, Pishdad P. A useful gadget to reduce the radiation dose of\ninterventionist’s hands. Health physics 2017;112:494-497.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

    Vincenzo D Palumbo, Antonio Bruno, Benedetto Di Trapani, Simone Tomasini, Antonello Basile, Giovanni Tomasello Abstract Fluoroscopically-guided interventional procedures are performed in large numbers in Europe<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[41,43,42,44],"class_list":["post-248","post","type-post","status-publish","format-standard","hentry","category-commentary","tag-embolization","tag-interventional-radiology","tag-minivasive-procedures","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/posts\/248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/comments?post=248"}],"version-history":[{"count":1,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/posts\/248\/revisions"}],"predecessor-version":[{"id":251,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/posts\/248\/revisions\/251"}],"wp:attachment":[{"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/media?parent=248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/categories?post=248"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.iemest.eu\/life-safety-and-security\/wp-json\/wp\/v2\/tags?post=248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}