Radiation protection of patients

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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. [1] 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. [2]

Contents

ALARA

"ALARA" ("As Low As Reasonably Achievable") should be maintained to reduce radiation doses to staff as well as patients. [3]

See also

Related Research Articles

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Nuclear engineering is the branch of engineering concerned with the application of breaking down atomic nuclei (fission) or of combining atomic nuclei (fusion), or with the application of other sub-atomic processes based on the principles of nuclear physics. In the sub-field of nuclear fission, it particularly includes the design, interaction, and maintenance of systems and components like reactors, power plants, or weaponry. The field also includes the study of medical and other applications of radiation, particularly Ionizing radiation, nuclear safety, heat/thermodynamics transport, nuclear fuel, or other related technology and the problems of nuclear proliferation. This field also includes chemical engineering and electrical engineering.

<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">Acute radiation syndrome</span> Health problems caused by exposure to high levels of ionizing radiation

Acute radiation syndrome (ARS), also known as radiation sickness or radiation poisoning, is a collection of health effects that are caused by being exposed to high amounts of ionizing radiation in a short period of time. Symptoms can start within an hour of exposure, and can last for several months. Early symptoms are usually nausea, vomiting and loss of appetite. In the following hours or weeks, initial symptoms may appear to improve, before the development of additional symptoms, after which either recovery or death follow.

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

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The roentgen equivalent man (rem) is a CGS unit of equivalent dose, effective dose, and committed dose, which are dose measures used to estimate potential health effects of low levels of ionizing radiation on the human body.

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<span class="mw-page-title-main">Radioactive contamination</span> Undesirable radioactive elements on surfaces or in gases, liquids, or solids

Radioactive contamination, also called radiological pollution, is the deposition of, or presence of radioactive substances on surfaces or within solids, liquids, or gases, where their presence is unintended or undesirable.

In radiation physics, Kerma is an acronym for "kinetic energy released per unit mass", defined as the sum of the initial kinetic energies of all the charged particles liberated by uncharged ionizing radiation in a sample of matter, divided by the mass of the sample. It is defined by the quotient .

<span class="mw-page-title-main">Linear no-threshold model</span> Deprecated model predicting health effects of radiation

The linear no-threshold model (LNT) is a dose-response model used in radiation protection to estimate stochastic health effects such as radiation-induced cancer, genetic mutations and teratogenic effects on the human body due to exposure to ionizing radiation. The model statistically extrapolates effects of radiation from very high doses into very low doses, where no biological effects may be observed. The LNT model lies at a foundation of a postulate that all exposure to ionizing radiation is harmful, regardless of how low the dose is, and that the effect is cumulative over lifetime.

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.

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Exposure to ionizing radiation is known to increase the future incidence of cancer, particularly leukemia. The mechanism by which this occurs is well understood, but quantitative models predicting the level of risk remain controversial. The most widely accepted model posits that the incidence of cancers due to ionizing radiation increases linearly with effective radiation dose at a rate of 5.5% per sievert; if correct, natural background radiation is the most hazardous source of radiation to general public health, followed by medical imaging as a close second. Additionally, the vast majority of non-invasive cancers are non-melanoma skin cancers caused by ultraviolet radiation. Non-ionizing radio frequency radiation from mobile phones, electric power transmission, and other similar sources have been described as a possible carcinogen by the WHO's International Agency for Research on Cancer, but the link remains unproven.

<span class="mw-page-title-main">Madan M. Rehani</span>

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

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

Radiation is a moving form of energy, classified into ionizing and non-ionizing type. Ionizing radiation is further categorized into electromagnetic radiation and particulate radiation. Electromagnetic radiation consists of photons, which can be thought of as energy packets, traveling in the form of a wave. Examples of electromagnetic radiation includes X-rays and gamma rays. These types of radiation can easily penetrate the human body because of high energy. 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. Medical exposure is defined by the International Commission on Radiological Protection as exposure incurred by patients 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.

References

  1. Berlin, L. (November 2011). "Communicating the harmful effects of radiation exposure from medical imaging: malpractice considerations". Health Phys. 101: 583–88. doi:10.1097/HP.0b013e3182259a81. PMID   21979545.
  2. "IAEA: Radiation Protection of Patients: About Us". rpop.iaea.org. Retrieved 1 February 2015.
  3. Edwards v. National Coal Board. (1949) All ER 743 (CA)