Madan M. Rehani

Last updated
Madan M. Rehani
Madan Rehani.jpg
NationalityIndian
Alma mater All India Institute of Medical Sciences (Ph.D.)
Known forPatient and staff radiation protection, patient exposure tracking, radiation and cataract, training of cardiologists and doctors using fluoroscopy
Scientific career
Fields Medical Physics, Medical Imaging, and Radiation Protection
Institutions International Atomic Energy Agency, Massachusetts General Hospital, Harvard Medical School

Madan M. Rehani is an Indian-born medical physicist.

Contents

Employment and voluntary positions

Madan Rehani is currently director of global outreach for radiation protection at the Massachusetts General Hospital, Harvard Medical School, Boston, US, [1] and an adjunct professor at the Duke University Medical Center, Durham, NC, US. [2] He worked earlier for over 11 years at the International Atomic Energy Agency (IAEA), Vienna, Austria. He was professor and head of medical physics at the All India Institute of Medical Sciences (AIIMS), New Delhi, India, before joining the IAEA in 2001. He was also head of the World Health Organization’s (WHO) Collaborating Centre on Imaging Technology & Radiation Protection, which he established in 1997. He held faculty positions at different levels from 1977-2001 in different medical institutes in India. He is currently president (2018-2021) of the International Organization for Medical Physics (IOMP). [3] [4] He is a member of the International Commission on Radiological Protection (ICRP). Under his chairmanship, 4 Annals of the ICRP have been published, and another 4 with him as member of the Task Group. He is senior editor of The British Journal of Radiology, [5] associate editor of Medical Physics and was assistant editor of American Journal of Roentgenology for several years.

Work on Radiation Protection

Rehani has made contributions in patient dosimetry in over 70 countries by his actions through the International Atomic Energy Agency (IAEA). [6] [7] [8] He established a website on radiation protection of patients; [9] [10] the smart card project for tracking radiation exposures of patients; [11] [12] [13] research on radiation-induced cataract in the eyes of interventional cardiologists and support staff; [14] research on radiation safety of children in developing countries; [15] development of training material on radiation protection; [16] and training of doctors using fluoroscopy outside radiology (cardiologists, urologists, orthopedic surgeons, vascular surgeons, gastroenterologist, and gynecologists) from over 60 countries. [17] He also set up the EuroSafe Imaging program by the European Society of Radiology. [18] He has recently developed a new concept on “acceptable quality dose (AQD)” to take into account limitations of diagnostic reference levels (DRLs), which have been used as an index in radiation protection for nearly three decades. [19] He is currently Chair of the Program Committee of the IAEA International Conference on Radiation Protection in Medicine. [20]

Honors and awards

During his tenure at the IAEA, a certificate was awarded to Madan Rehani to commemorate the 2005 Nobel Peace Prize, which was jointly awarded to the Head of the IAEA and to the IAEA. [21] Staff members whose work was included in the citation (e.g. “safe use of radiation” in the case of Rehani), were awarded a certificate with a copy of the original prize; [22] the prize money was donated to a cancer fund charity.

Rehani was chosen among 50 medical physicists who have made outstanding contributions in the world over the last 50 years (1963–2013) and honored at the International Conference on Medical Physics in Brighton, UK on 1–4 September 2013. [23] [24] He received the 2015 Butterfly Award from the Alliance for Radiation Safety in Pediatric Imaging. [25]

He was elected as Fellow of the International Organization for Medical Physics (IOMP) in 2013, [26] and awarded Honorary Membership of the Society for Pediatric Radiology in May 2011, [27] [28] the Dr. N.C. Singhal Oration by the Association of Medical Physicists of India (Northern Chapter) in April 2011, the Harold Johns Medal by the International Organization for Medical Physics (IOMP) in 2009, [29] [30] the Dr. K.M. Rai Oration by the Indian Radiological & Imaging Association in 2001, and the Homi Bhabha Memorial Oration by the Society of Nuclear Medicine India in 1999.

Rehani was president of the Association of Medical Physicists of India (UPDEL Chapter) from 1990 to 1994, president of the Society of Nuclear Medicine, India in 2001, Fellow of the Indian College of Nuclear Medicine, and secretary of the College from 1997-2001.

Publications

The following is a list of selected publications. He has edited 5 books, is responsible for 15 IAEA publications, 8 Annals of ICRP, published more than 130 papers in peer reviewed journals and contributed Editorials in British Medical Journal, International Journal of Cardiology, and Indian Journal of Radiology & Imaging. An exhaustive publication list can be found on Rehani's Google Scholar page. [31]

Media coverage

Related Research Articles

<span class="mw-page-title-main">CT scan</span> Medical imaging procedure using X-rays to produce cross-sectional images

A computed tomography scan is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or radiology technologists.

<span class="mw-page-title-main">Radiography</span> Imaging technique using ionizing and non-ionizing radiation

Radiography is an imaging technique using X-rays, gamma rays, or similar ionizing radiation and non-ionizing radiation to view the internal form of an object. Applications of radiography include medical radiography and industrial radiography. Similar techniques are used in airport security. To create an image in conventional radiography, a beam of X-rays is produced by an X-ray generator and is projected toward the object. A certain amount of the X-rays or other radiation is absorbed by the object, dependent on the object's density and structural composition. The X-rays that pass through the object are captured behind the object by a detector. The generation of flat two dimensional images by this technique is called projectional radiography. In computed tomography an X-ray source and its associated detectors rotate around the subject which itself moves through the conical X-ray beam produced. Any given point within the subject is crossed from many directions by many different beams at different times. Information regarding attenuation of these beams is collated and subjected to computation to generate two dimensional images in three planes which can be further processed to produce a three dimensional image.

<span class="mw-page-title-main">Sievert</span> SI unit of equivalent dose of ionizing radiation

The sievert is a unit in the International System of Units (SI) intended to represent the stochastic health risk of ionizing radiation, which is defined as the probability of causing radiation-induced cancer and genetic damage. The sievert is important in dosimetry and radiation protection. It is named after Rolf Maximilian Sievert, a Swedish medical physicist renowned for work on radiation dose measurement and research into the biological effects of radiation.

Medical physics deals with the application of the concepts and methods of physics to the prevention, diagnosis and treatment of human diseases with a specific goal of improving human health and well-being. Since 2008, medical physics has been included as a health profession according to International Standard Classification of Occupation of the International Labour Organization.

Radiation dosimetry in the fields of health physics and radiation protection is the measurement, calculation and assessment of the ionizing radiation dose absorbed by an object, usually the human body. This applies both internally, due to ingested or inhaled radioactive substances, or externally due to irradiation by sources of radiation.

Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.

Equivalent dose is a dose quantity H representing the stochastic health effects of low levels of ionizing radiation on the human body which represents the probability of radiation-induced cancer and genetic damage. It is derived from the physical quantity absorbed dose, but also takes into account the biological effectiveness of the radiation, which is dependent on the radiation type and energy. In the SI system of units, the unit of measure is the sievert (Sv).

Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection, and radiology. It is also used to directly compare the effect of radiation on inanimate matter such as in radiation hardening.

The International Commission on Radiological Protection (ICRP) is an independent, international, non-governmental organization, with the mission to protect people, animals, and the environment from the harmful effects of ionising radiation. Its recommendations form the basis of radiological protection policy, regulations, guidelines and practice worldwide.

Radiobiology is a field of clinical and basic medical sciences that involves the study of the action of ionizing radiation on living things, especially health effects of radiation. Ionizing radiation is generally harmful and potentially lethal to living things but can have health benefits in radiation therapy for the treatment of cancer and thyrotoxicosis. Its most common impact is the induction of cancer with a latent period of years or decades after exposure. High doses can cause visually dramatic radiation burns, and/or rapid fatality through acute radiation syndrome. Controlled doses are used for medical imaging and radiotherapy.

Cumulative dose is the total dose resulting from repeated exposures of ionizing radiation to an occupationally exposed worker to the same portion of the body, or to the whole body, over a period of time.

Patients are exposed to ionizing radiation when they undergo diagnostic examinations using x-rays or radiopharmaceuticals. Radiation emitted by radioisotopes or radiation generators is utilized in therapy for cancer or benign lesions and also in interventional procedures using fluoroscopy. There has been a tremendous increase in the use of ionizing radiation in medicine during recent decades and health professionals and patients are concerned about the harmful effects of radiation. The International Atomic Energy Agency (IAEA) has established a program on radiological protection of patients in recognition of the increasing importance of this topic. The emphasis in the past had been on radiation protection of staff and this has helped to reduce radiation doses to staff at levels well below the limits prescribed by the International Commission on Radiological Protection (ICRP) and accepted by most countries. The recent emphasis on radiation protection of patients is helping in developing strategies to reduce radiation doses to patients without compromising on diagnostic or therapeutic purpose.

A microbeam is a narrow beam of radiation, of micrometer or sub-micrometer dimensions. Together with integrated imaging techniques, microbeams allow precisely defined quantities of damage to be introduced at precisely defined locations. Thus, the microbeam is a tool for investigators to study intra- and inter-cellular mechanisms of damage signal transduction.

<span class="mw-page-title-main">Roentgen (unit)</span> Measurement of radiation exposure

The roentgen or röntgen is a legacy unit of measurement for the exposure of X-rays and gamma rays, and is defined as the electric charge freed by such radiation in a specified volume of air divided by the mass of that air . In 1928, it was adopted as the first international measurement quantity for ionizing radiation to be defined for radiation protection, as it was then the most easily replicated method of measuring air ionization by using ion chambers. It is named after the German physicist Wilhelm Röntgen, who discovered X-rays and was awarded the first Nobel Prize in Physics for the discovery.

Computational human phantoms are models of the human body used in computerized analysis. Since the 1960s, the radiological science community has developed and applied these models for ionizing radiation dosimetry studies. These models have become increasingly accurate with respect to the internal structure of the human body.

Effective dose is a dose quantity in the International Commission on Radiological Protection (ICRP) system of radiological protection.

<span class="mw-page-title-main">Radiation exposure</span> Measure of ionization of air by ionizing radiation

Radiation exposure is a measure of the ionization of air due to ionizing radiation from photons. It is defined as the electric charge freed by such radiation in a specified volume of air divided by the mass of that air. As of 2007, "medical radiation exposure" was defined by the International Commission on Radiological Protection as exposure incurred by people as part of their own medical or dental diagnosis or treatment; by persons, other than those occupationally exposed, knowingly, while voluntarily helping in the support and comfort of patients; and by volunteers in a programme of biomedical research involving their exposure. Common medical tests and treatments involving radiation include X-rays, CT scans, mammography, lung ventilation and perfusion scans, bone scans, cardiac perfusion scan, angiography, radiation therapy, and more. Each type of test carries its own amount of radiation exposure. There are two general categories of adverse health effects caused by radiation exposure: deterministic effects and stochastic effects. Deterministic effects are due to the killing/malfunction of cells following high doses; and stochastic effects involve either cancer development in exposed individuals caused by mutation of somatic cells, or heritable disease in their offspring from mutation of reproductive (germ) cells.

Grigoriev Institute for Medical Radiology (GIMR) is a medical radiology and oncology research institution in Kharkiv, Ukraine, founded in 1920. GIMR works in the areas of radiation oncology, radiology, radiotherapy, clinical radiobiology, radiation dosimetry in medicine and radiation safety of patients and medical personnel. The main campus is located at 82 Pushkinska St., Kharkiv, Ukraine.

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<span class="mw-page-title-main">Flight-time equivalent dose</span> Dose measurement of radiation

Flight-time equivalent dose (FED) is an informal unit of measurement of ionizing radiation exposure. Expressed in units of flight-time, one unit of flight-time is approximately equivalent to the radiological dose received during the same unit of time spent in an airliner at cruising altitude. FED is intended as a general educational unit to enable a better understanding of radiological dose by converting dose typically presented in sieverts into units of time. FED is only meant as an educational exercise and is not a formally adopted dose measurement.

References

  1. Global Outreach for Radiation Protection - Madan Rehani, PhD - Massachusetts General Hospital
  2. Faculty - Duke Medical Physics
  3. IOMP - Officers
  4. Announcements - Association of Medical Physicists of India
  5. The British Journal of Radiology - Editorial Board
  6. Madan M. Rehani - Short CV
  7. Imaging services prepare for tighter radiation safety regulations - DiagnosticImaging
  8. Interventional-related radiation exposure skyrockets in developing world
  9. MEDICAL PHYSICS INTERNATIONAL Journal, vol.1, No.1, 2013
  10. RPOP celebrates sending the 100th update to its subscribers
  11. IAEA Smart Card/SmartRad Track Project
  12. Rehani, MM; Frush, DP (2011). "Patient exposure tracking: the IAEA smart card project". Radiat Prot Dosimetry. 147 (1–2): 314–6. doi:10.1093/rpd/ncr300. PMID   21778155.
  13. International agency wants smart cards to track patient radiation histories - DiagnosticImaging
  14. Rehani, MM; Vano, E; Ciraj-Bjelac, O; Kleiman, NJ (Sep 2011). "Radiation and cataract". Radiat Prot Dosimetry. 147 (1–2): 300–4. doi:10.1093/rpd/ncr299. PMID   21764807.
  15. Rehani, MM (2014). "Multi-national findings on radiation protection of children". Pediatr Radiol. 44 Suppl 3: 475–8. doi:10.1007/s00247-014-3125-7. PMID   25304707. S2CID   24398660.
  16. Free Material - Radiation Protection of Patients
  17. Rehani, MM; Ciraj-Bjelac, O; Vañó, E; Miller, DL; Walsh, S; Giordano, BD; Persliden, J (2010). "ICRP Publication 117. Radiological protection in fluoroscopically guided procedures performed outside the imaging department". Ann ICRP. 40 (6): 1–102. doi: 10.1016/j.icrp.2012.03.001 . PMID   22732420. S2CID   205160159.
  18. ECR Today - Friday, March 7, 2014
  19. Rehani, MM (Jan 2015). "Limitations of diagnostic reference level (DRL) and introduction of acceptable quality dose (AQD)". Br J Radiol. 88 (1045): 20140344. doi:10.1259/bjr.20140344. PMC   4277375 . PMID   25430807.
  20. IAEA International Conference on Radiation Protection in Medicine
  21. The Nobel Peace Prize 2005
  22. Nobel Peace Prize 2005 Certificate - Madan M. Rehani
  23. Outstanding Contributions Over the Last 50 Years - Madan M. Rehani - International Organization for Medical Physics [ permanent dead link ]
  24. 50 Medical physicists who have made an outstanding contribution - International Organization for Medical Physics
  25. Temporary reference - 2015 Alliance for Radiation Safety in Pediatric Imaging Butterfly Award
  26. Fellow of IOMP (FIOMP) awards - International Organization for Medical Physics
  27. Award to Dr. Madan M. Rehani of Honorary Membership of The Society of Pediatric Radiology (SPR) - YouTube
  28. The Society for Pediatric Radiology - Honorary Members Archived 2015-06-18 at the Wayback Machine
  29. Award to Dr. Madan Rehani - YouTube
  30. IOMP - Award Recipients
  31. Madan Rehani - Google Scholar
  32. Concerns emerge about EU radiation safety directive - AuntMinnieEurope
  33. YouTube videos weigh threat of CT radiation exposure - DiagnosticImaging
  34. IAEA Calls for Enhanced Radiation Protection of Patients - CNN
  35. Cataract Risk Points to Need for Better Safety Measures - RSNA
  36. Overview of media coverage regarding radiation exposure to patients during interventional procedures
  37. ESR's EuroSafe Imaging campaign promotes radiation protection
  38. RPOP celebrates sending the 100th update to its subscribers