Advertisement

Pediatric Radiology

, Volume 39, Supplement 1, pp 71–73 | Cite as

Controlling radiation exposure during interventional procedures in childhood cancer patients

  • John M. RacadioEmail author
ALARA CONCEPT IN PEDIATRIC IMAGING: ONCOLOGY

Abstract

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.

Keywords

ALARA Radiation exposure Pediatric oncology 

References

  1. 1.
    Connolly B, Racadio J, Towbin R (2006) Practice of ALARA in the pediatric interventional suite. Pediatr Radiol 36(Suppl 2):163–167PubMedCrossRefGoogle Scholar
  2. 2.
    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
  3. 3.
    Bittles MA, Hoffer FA (2007) Interventional radiology and the care of the pediatric oncology patient. Surg Oncol 16:229–233PubMedCrossRefGoogle Scholar
  4. 4.
    Hoffer FA (2003) Biopsy, needle localization, and radiofrequency ablation for pediatric patients. Tech Vasc Interv Radiol 6:192–196PubMedCrossRefGoogle Scholar
  5. 5.
    Racadio JM, Babic D, Homan R et al (2007) Live 3D guidance in the interventional radiology suite. AJR 189:W357–364PubMedCrossRefGoogle Scholar
  6. 6.
    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
  7. 7.
    Silverman SG, Tuncali K, Adams DF et al (1999) CT fluoroscopy-guided abdominal interventions: techniques, results, and radiation exposure. Radiology 212:673–681PubMedGoogle Scholar
  8. 8.
    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
  9. 9.
    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
  10. 10.
    Vano E, Gonzalez L, Guibelalde E (2005) Evaluation of risk of deterministic effects in fluoroscopically guided procedures. Radiat Prot Dosimetry 117:190–194PubMedCrossRefGoogle Scholar
  11. 11.
    Gulec SA, Fong Y (2007) Yttrium 90 microsphere selective internal radiation treatment of hepatic colorectal metastases. Arch Surg 142:675–682PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Department of Radiology, Division of Pediatric Interventional RadiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA

Personalised recommendations