Articoli correlati a Avoidance of Radiation Injuries from Medical Interventional...
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Interventional radiology (fluoroscopically-guided) techniques are being used by an increasing number of clinicians not adequately trained in radiation safety or radiobiology. Many of these interventionists are not aware of the potential for injury from these procedures or the simple methods for decreasing their incidence. Many patients are not being counselled on the radiation risks, nor followed up when radiation doses from difficult procedures may lead to injury. Some patients are suffering radiation-induced skin injuries and younger patients may face an increased risk of future cancer. Interventionists are having their practice limited or suffering injury, and are exposing their staff to high doses.
In some interventional procedures, skin doses to patients approach those experienced in some cancer radiotherapy fractions. Radiation-induced skin injuries are occurring in patients due to the use of inappropriate equipment and, more often, poor operational technique. Injuries to physicians and staff performing interventional procedures have also been observed. Acute radiation doses (to patients) may cause erythema at 2 Gy, cataract at 2 Gy, permanent epilation at 7 Gy, and delayed skin necrosis at 12 Gy. Protracted (occupational) exposures to the eye may cause cataract at 4 Gy if the dose is received in less than 3 months, at 5.5 Gy if received over a period exceeding 3 months.
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Contenuti
Preface. Abstract. 1. Introduction.
1.1. History. 1.2. Safety and interventional techniques. 1.3. Purpose of this document. 1.4. References for Introduction.
2. Case Reports.
2.1. Background. 2.2. Injuries. 2.3. References for Case Reports.
3. Radiopathology of Skin and Eye and Radiation Risk.
3.1. Introduction. 3.2. Radiopathology - skin. 3.3. Radiopathology - eye. 3.4 References for radiopathology and radiation risk.
4. Controlling Dose.
4.1. Factors that affect dose to patients. 4.2. Factors that affect staff doses. 4.3. Procurement. 4.4. References for controlling dose.
5. Patient's Needs.
5.1. Counselling on radiation risks. 5.2. Records of exposure. 5.3. Follow up. 5.4. Information to personal physician. 5.5. Advice to patient. 5.6. System to identify repeated procedures.
6. Interventionist's Needs.
6.1. Knowledge. 6.2. Training. 6.3. Continuing professional development. 6.4. Audits. 6.5. Development of new procedures.
7. Recommendations. Annex A: Procedures List. Annex B: Patient and Staff Doses. Annex C: Example of Clinical Protocol. Annex D: Dose Quantities. Annex E: Procurement Checklist.
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Avoidance of Radiation Injuries from Medical Interventional Procedures: Annals of the ICRP v. 30/2 (International Commission on Radiological Protection)
Da: J J Basset Books, bassettbooks, bookfarm.co.uk, Peter Tavy, Regno Unito
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Glossy Card. Condizione: Near Fine (NEAR NEW). No Jacket. This is a First Edition of This Edition. Publication 85. Volume 30. No.2. 2000. This book is part of a large purchase from a Public Sector Library and except where mentioned are for the most part LIKE NEW! MOSTLY the ONLY flaws are the blacked out (they insisted) Library stamps which show many of them to be UNUSED! This copy is Near Fine (NEAR NEW). FEEL FREE TO E-MAIL FOR PHOTOGRAPHS AND FURTHER DETAILS. FROM A DEALER WHO TELLS YOU WHO THEY ARE AND WHAT THEIR TELEPHONE AND ADDRESS CONTACT DETAILS ARE! Size: 8vo - over 7¾" - 9¾". EX PUBLIC SECTOR LIBRARY BLACK. Codice articolo 33333337666
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