Radiation Protection

  • Aris KaratasakisEmail author
  • Barbara A. Danek
  • Emmanouil S. Brilakis


The harmful effects of ionizing radiation on both interventional cardiology patients and staff have been well documented. Minimizing ionizing radiation exposure to as low as reasonably achievable (ALARA) is essential. This effort begins with education on radiation safety and protection, which must be an integral part of a comprehensive radiation protection program at each facility. Appropriate dosimetry practices must be encouraged. Operator behavior modification, such as use of the fluoroscopy store function, low-frame-rate fluoroscopy and acquisition imaging, and avoidance of radiation-intensive X-ray beam angles can significantly reduce radiation dose. Appropriate shielding provides significant protection from scatter radiation and should be universally utilized. X-ray equipment must be regularly updated and maintained, and should be configured in cooperation with a medical physicist to emit the minimum amount of radiation required to produce images of adequate quality for clinical use. Novel technologies, such as devices that provide audiovisual feedback on radiation utilization and robotic percutaneous coronary intervention systems, have the potential to change the future of occupational radiation protection and are evolving rapidly.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Aris Karatasakis
    • 1
    Email author
  • Barbara A. Danek
    • 1
  • Emmanouil S. Brilakis
    • 2
  1. 1.VA North Texas Health Care System and University of Texas Southwestern Medical Center, Division of CardiologyDallasUSA
  2. 2.Minneapolis Heart InstituteMinneapolisUSA

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