Many pediatric cancer patients undergo multiple diagnostic and therapeutic radiologic procedures over the course of their illnesses and are therefore at high risk for radiation exposure. There are a variety of measures that radiologists can employ to reduce this risk. These include limiting the use of radiation whenever possible, using specific strategies to reduce radiation exposure during interventional procedures, using quality assurance programs to ensure compliance, and maintaining continuing staff radiation safety educational programs. Some of the diagnostic and therapeutic interventional radiologic procedures that are performed in pediatric oncology patients are discussed here, along with specific tips for managing radiation exposure.
ALARA Radiation exposure Pediatric oncology
This is a preview of subscription content, log in to check access.
Connolly B, Racadio J, Towbin R (2006) Practice of ALARA in the pediatric interventional suite. Pediatr Radiol 36(Suppl 2):163–167PubMedCrossRefGoogle Scholar
Bacher K, Bogaert E, Lapere R et al (2005) Patient-specific dose and radiation risk estimation in pediatric cardiac catheterization. Circulation 111:83–89PubMedCrossRefGoogle Scholar
Bittles MA, Hoffer FA (2007) Interventional radiology and the care of the pediatric oncology patient. Surg Oncol 16:229–233PubMedCrossRefGoogle Scholar
Hoffer FA (2003) Biopsy, needle localization, and radiofrequency ablation for pediatric patients. Tech Vasc Interv Radiol 6:192–196PubMedCrossRefGoogle Scholar
Racadio JM, Babic D, Homan R et al (2007) Live 3D guidance in the interventional radiology suite. AJR 189:W357–364PubMedCrossRefGoogle Scholar
Stoeckelhuber BM, Leibecke T, Schulz E et al (2005) Radiation dose to the radiologist’s hand during continuous CT fluoroscopy-guided interventions. Cardiovasc Intervent Radiol 28:589–594PubMedCrossRefGoogle Scholar
Silverman SG, Tuncali K, Adams DF et al (1999) CT fluoroscopy-guided abdominal interventions: techniques, results, and radiation exposure. Radiology 212:673–681PubMedGoogle Scholar
Sheyn DD, Racadio JM, Ying J et al (2008) Efficacy of a radiation safety initiative in reducing radiation exposure in the pediatric IR suite. Pediatr Radiol 38:669–674PubMedCrossRefGoogle Scholar
Cardella JF, Miller DL, Cole PE et al (2003) Society of Interventional Radiology position statement on radiation safety. J Vasc Interv Radiol 14:S387PubMedCrossRefGoogle Scholar
Vano E, Gonzalez L, Guibelalde E (2005) Evaluation of risk of deterministic effects in fluoroscopically guided procedures. Radiat Prot Dosimetry 117:190–194PubMedCrossRefGoogle Scholar
Gulec SA, Fong Y (2007) Yttrium 90 microsphere selective internal radiation treatment of hepatic colorectal metastases. Arch Surg 142:675–682PubMedCrossRefGoogle Scholar