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High-dose fluoroscopy: the administrator's responsibilities
1Baylor College of Medicine, Houston, Texas, USA. barcher@bcm.tmc.edu
Radiology Management
|April 19, 2002
Summary
Advanced fluoroscopic imaging increases risks of radiation injury for patients and staff. Mandatory training in radiation safety is crucial for all practitioners using fluoroscopy to prevent harm.
Area of Science:
- Medical Imaging
- Radiation Oncology
- Patient Safety
Background:
- Developments in x-ray technology have enhanced fluoroscopically guided interventional procedures.
- Increased use of fluoroscopy and serial imaging (cine) raises concerns about radiation exposure.
Observation:
- High-dose fluoroscopic procedures pose risks of radiation-induced dermatitis, epilation, and severe burns to patients.
- Personnel also face increased risks of radiation injury and cancer from these procedures.
Findings:
- Many physicians using fluoroscopy lack adequate training in radiation management and its biological effects.
- Existing training for modern fluoroscope use is often insufficient, as warned by the FDA and medical organizations.
- There is a consensus that "rubber-stamp" privileges for fluoroscopic procedures should be discontinued.
Implications:
- Mandatory, focused training in radiation physics, biology, and safety is essential for all fluoroscopic radiation users.
- Facilities need to ensure practitioners complete approved educational programs with testing for qualification.
- A concerted effort from medical organizations and regulatory agencies is required to disseminate preventative information and ensure its application.