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Interventional Fluoroscopy: Reducing Radiation Risks for Patients and Staff
    Posted: 04/18/2005



Introduction






Increasing use and complexity






Determinants of radiation dose






Radiation risks






Strategies to optimize radiation exposure






Physician-patient communication before and after







Dosimetry records and follow up






Education and training






Conclusion






Reference list



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Dosimetry records and follow up

Measure & record patient radiation dose:
  • Record fluoroscopy time
  • Record available measures - DAP (dose area product), cumulative dose, skin dose

Inform patients who have received high doses to examine the x-ray beam entrance site for skin erythema

 

Develop methods to quantify late effects:
  • Design medical records to clearly document the number and types of interventional procedures received by the patient
  • Maintain a database of all patients with procedure and dose information
  • Review dose information to identify patients with high doses (>2Gy) for follow up
  • Establish procedures for follow-up, including skin examination at 30 days

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