Protecting patients by training physicians in fluoroscopic radiation management.
During the past 15 years, developments in x-ray technologies have substantially enhanced the ability of practitioners to treat patients using fluoroscopically guided interventional techniques. However, many of these procedures require a greater use of fluoroscopy and serial imaging (cine). This has increased the potential for radiation-induced dermatitis, epilation, and severe radiation-induced burns to patients. It has also increased the potential for radiation injury and radiation-induced cancer in personnel. This work will describe a number of the cases that have appeared in the literature and current recommendations and credentialing requirements of various organizations whose members use fluoroscopy. Finally, a program for implementing training of physicians in radiation management as a means of reducing the risk of injury to patients and personnel is recommended.
Archer
B R
BR
Department of Radiology, Baylor College of Medicine, Houston, Texas 77030, USA. barcher@bcm.tmc.edu
Wagner
L K
LK
D002056:Burns / Q000209:etiology / Q000517:prevention & control; D002568:Certification; D004503:Education, Medical, Graduate / Q000592:standards; D005260:Female; D005471:Fluoroscopy / Q000009:adverse effects* / Q000379:methods / Q000592:standards*; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control*; D011871:Radiology / Q000193:education* / Q000592:standards