ALARA+: Summit on Radiation and Orthopedic Risks in Fluoroscopic Laboratories

Area of Science:

• Medical Physics
• Occupational Health
• Cardiovascular Interventions

Background:

• Occupational radiation exposure is linked to long-term health effects, disproportionately affecting women, trainees, and support staff.
• Current radiation protection methods and equipment are often limited and nonergonomic, leading to orthopedic injuries and career impacts.

Purpose of the Study:

• To address the dual dangers of ionizing radiation and musculoskeletal injuries in healthcare settings.
• To advocate for the adoption of advanced radiation protection technologies and imaging systems.

Main Methods:

• A multidisciplinary Think Tank summit was convened at the 2025 Society for Cardiovascular Angiography & Interventions Scientific Sessions.
• Discussions involved stakeholders from professional societies, advocacy groups, and industry partners.

Main Results:

• Identified significant orthopedic injury rates associated with nonergonomic radiation protection equipment.
• Highlighted challenges in implementing enhanced radiation protection devices.
• Focused on the dual risks of ionizing radiation and musculoskeletal strain.

Conclusions:

• There is a need for widespread implementation of enhanced radiation protection technologies and imaging systems.
• Actionable steps are outlined to achieve ALARA+ (as low and as light as reasonably achievable) radiation exposure.
• Collaboration among stakeholders is essential to improve safety and reduce health risks.