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Radiation Protection

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Abstract

With increasing number and complexity of catheter-based cardiovascular interventions exposure to ionizing radiation to patients and personnel has markedly increased. To avoid X-ray exposure-related health damage besides the knowledge of the operational principles of the X-ray equipment, a detailed knowledge and understanding of radiation protection is required. In this chapter, relevant principles are reviewed and measures designed to minimize the X-ray radiation exposure are discussed.

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References

  1. Sources and effects of ionising radiation. United Nations Scientific Committee on Effects of Atomic Radiation (UNSCEAR) (2008)

    Google Scholar 

  2. Avoidance of serious x-ray induced skin injuries to patients during fluoroscopically-guided procedures. http://www.fda.gov/downloads/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/MedicalX-Rays/ucm116677.pdf

  3. Persliden J, Helmrot E, Hjort P, Resjo M (2004) Dose and image quality in the comparison of analogue and digital techniques in paediatric urology examinations. Eur Radiol 14:436–644

    Article  Google Scholar 

  4. International Commission on Radiological Protection (2007) Recommendations of the ICRP: ICRP Publication 103. Annals of the ICRP

    Google Scholar 

  5. Mann JT, Cubeddu G, Arrowood M (1996) Operator radiation exposure in PTCA: comparison of radial and femoral approaches. J Invasive Cardiol 8(Suppl D):22D–25D

    PubMed  Google Scholar 

  6. Hedrick WR, Feltes JJ, Starchman DE, Berry GC (1986) Managing the pregnant radiation worker: a realistic policy for hospitals today. Radiol Manage 8(3):28–34

    PubMed  CAS  Google Scholar 

  7. Vano E, Gonzalez L, Fernández JM, Haskal ZJ (2008) Eye lens exposure to radiation in interventional suites: caution is warranted. Radiology 248(3):945–953

    Article  PubMed  Google Scholar 

  8. Vano E, Gonzalez L, Guibelalde E, Frenandez JM, Ten JI (1998) Radiation exposure to medical staff in interventional and cardiac radiology. Br J Radiol 71:954–960

    PubMed  CAS  Google Scholar 

  9. Miller DL, Balter S, Schueler BA, Wagner LK, Strauss KJ, Vañó E (2010) Clinical radiation management for fluoroscopically guided interventional procedures. Radiology 257:321–332

    Article  PubMed  Google Scholar 

  10. International Commission on Radiological Protection (2000) Recommendations of the ICRP: ICRP Publication 84. Annals of the ICRP

    Google Scholar 

  11. Stecker MS, Balter S et al (2009) Guidelines for patient radiation dose management. J Vasc Interv Radiol 20:S263–S273

    Article  PubMed  Google Scholar 

  12. Mahadevappa M (2001) The AAPM/RSNA physics tutorial for residents fluoroscopy: patient radiation exposure issues. Radiographics 21:1033–1045

    Google Scholar 

  13. Kuon E, Dahm JB, Empen E, Robinson DM, Reuter G, Wucherer M (2004) Identification of less-irradiating tube angulations in invasive cardiology. J Am Coll Cardiol 44(7):1420–1428

    Article  PubMed  Google Scholar 

  14. Broadhead DA, Chapple CL, Faulkner K, Davies ML, McCallum H (1997) The impact of cardiology on the collective effective dose in North England. Br J Radiol 70:492–497

    PubMed  CAS  Google Scholar 

  15. Livingstone RS, Chandy S, Peace TBS, George PV, John B, Pati P (2007) Audit of radiation dose to patients during coronary angiography. Indian J Med Sci 61(2):83–90

    Article  PubMed  Google Scholar 

  16. Tsapaki V, Kottou S, Kollaros N, Dafnomili P, Koutelou M, Vano E, Neopfotistou V (2004) Comparison of a conventional and a flat-panel digital system in interventional cardiology procedures. Br J Radiol 77:562–567

    Article  PubMed  CAS  Google Scholar 

  17. Schmid G, Schmitz A, Borchardt D, Ewen K, Rothenburg TV, Koester O, Jergas M (2006) Effective dose of CT- and fluoroscopy-guided perineural/epidural injections of the lumbar spine: a comparative study. Cardiovasc Intervent Radiol 29:84–91

    Article  PubMed  Google Scholar 

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Correspondence to Roshan Samuel Livingstone Ph.D. .

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© 2013 Springer-Verlag Berlin Heidelberg

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Livingstone, R.S. (2013). Radiation Protection. In: Lanzer, P. (eds) Catheter-Based Cardiovascular Interventions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27676-7_15

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  • DOI: https://doi.org/10.1007/978-3-642-27676-7_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-27675-0

  • Online ISBN: 978-3-642-27676-7

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