Clinical radiation management for fluoroscopically guided interventional procedures

Donald L. Miller, Stephen Balter, Beth A. Schueler, Louis K. Wagner, Keith J. Strauss, Eliseo Vañó

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

The primary goal of radiation management in interventional radiology is to minimize the unnecessary use of radiation. Clinical radiation management minimizes radiation risk to the patient without increasing other risks, such as procedural risks. A number of factors are considered when estimating the likelihood and severity of patient radiation effects. These include demographic factors, medical history factors, and procedure factors. Important aspects of the patient's medical history include coexisting diseases and genetic factors, medication use, radiation history, and pregnancy. As appropriate, these are evaluated as part of the preprocedure patient evaluation; radiation risk to the patient is considered along with other procedural risks. Dose optimization is possible through appropriate use of the basic features of interventional fluoroscopic equipment and intelligent use of dose-reducing technology. For all fluoroscopically guided interventional procedures, it is good practice to monitor radiation dose throughout the procedure and record it in the patient's medical record. Patients who have received a clinically significant radiation dose should be followed up after the procedure for possible deterministic effects. The authors recommend including radiation management as part of the departmental quality assurance program.

Original languageEnglish (US)
Pages (from-to)321-332
Number of pages12
JournalRadiology
Volume257
Issue number2
DOIs
StatePublished - Nov 2010

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Radiation
Interventional Radiology
Reproductive History
Inborn Genetic Diseases
Radiation Effects
Medical Records
Demography
Technology
Equipment and Supplies

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Miller, D. L., Balter, S., Schueler, B. A., Wagner, L. K., Strauss, K. J., & Vañó, E. (2010). Clinical radiation management for fluoroscopically guided interventional procedures. Radiology, 257(2), 321-332. https://doi.org/10.1148/radiol.10091269

Clinical radiation management for fluoroscopically guided interventional procedures. / Miller, Donald L.; Balter, Stephen; Schueler, Beth A.; Wagner, Louis K.; Strauss, Keith J.; Vañó, Eliseo.

In: Radiology, Vol. 257, No. 2, 11.2010, p. 321-332.

Research output: Contribution to journalArticle

Miller, DL, Balter, S, Schueler, BA, Wagner, LK, Strauss, KJ & Vañó, E 2010, 'Clinical radiation management for fluoroscopically guided interventional procedures', Radiology, vol. 257, no. 2, pp. 321-332. https://doi.org/10.1148/radiol.10091269
Miller DL, Balter S, Schueler BA, Wagner LK, Strauss KJ, Vañó E. Clinical radiation management for fluoroscopically guided interventional procedures. Radiology. 2010 Nov;257(2):321-332. https://doi.org/10.1148/radiol.10091269
Miller, Donald L. ; Balter, Stephen ; Schueler, Beth A. ; Wagner, Louis K. ; Strauss, Keith J. ; Vañó, Eliseo. / Clinical radiation management for fluoroscopically guided interventional procedures. In: Radiology. 2010 ; Vol. 257, No. 2. pp. 321-332.
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