Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Radiation injuries after fluoroscopic procedures.

Fred A Mettler1, Titus R Koenig, Louis K Wagner

  • 1Department of Radiology, University of New Mexico Health Science Center, Albuquerque, NM 87131-5336, USA.

Seminars in Ultrasound, CT, and MR
|January 2, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Radiation risks and information needs of pregnant and lactating women.

Birth defects research·2023
Same author

Patient Exposure from Radiologic and Nuclear Medicine Procedures in the United States and Worldwide: 2009-2018.

Radiology·2023
Same author

Patient Exposure from Radiologic and Nuclear Medicine Procedures in the United States and Worldwide: 2009-2018.

Radiology·2022
Same author

Occupational Exposure in General Radiology and Nuclear Medicine: A Changing Target.

Radiology·2021
Same author

Henry Fraser Campbell.

Annals of medical history·2021
Same author

Evolution of radiation protection for medical workers.

The British journal of radiology·2020

Fluoroscopically guided procedures can deliver high radiation doses, leading to severe skin injuries. Improved dose monitoring and physician training are crucial to prevent these avoidable complications.

Area of Science:

  • Medical Imaging
  • Interventional Radiology
  • Radiation Oncology

Background:

  • Fluoroscopically guided procedures are increasingly common.
  • Current fluoroscopes can deliver high dose rates (0.2 Gy/min), varying significantly with patient factors.
  • Existing dose monitoring is inadequate, relying on fluoroscopy time and neglecting fluorography doses.

Purpose of the Study:

  • To highlight the risks of high radiation doses during fluoroscopically guided interventions.
  • To underscore the incidence and severity of radiation-induced skin injuries.
  • To emphasize the need for better dose awareness and management strategies.

Main Methods:

  • Review of documented cases of radiation injury.
  • Analysis of dose rates during diagnostic and interventional fluoroscopy.

Related Experiment Videos

  • Assessment of current dose monitoring capabilities and limitations.

    • Main Results:

    • Over 100 cases of documented radiation skin and tissue injury, including dermal necrosis, have occurred.
    • Complex interventions like angioplasties and TIPS procedures result in the highest doses, sometimes exceeding 60 Gy.
    • Many severe injuries were linked to inadequate physician training in radiation effects and dose reduction techniques.

    Conclusions:

    • Severe radiation injuries from fluoroscopically guided procedures are often avoidable.
    • Enhanced patient dose monitoring and comprehensive physician training are essential.
    • Implementing strategies to reduce patient and staff radiation exposure is critical.