ICRP Publication 120: Radiological Protection in Cardiology, Annals of the ICRP Volume 42 Issue 1

ICRP Publication 120: Radiological Protection in Cardiology

Annals of the ICRP Volume 42 Issue 1

By ICRP


PREFACE *

EXECUTIVE SUMMARY *

GLOSSARY *

1. INTRODUCTION *

1.1. Introduction *

1.2. Fluoroscopically guided procedures *

1.3. Cardiac CT *

1.4. Nuclear cardiology *

1.5. Occupational radiation risk *

1.6. Summary *

2. THE BIOLOGICAL EFFECTS OF RADIATION *

2.1. Types of radiation effects *

2.2. Background *

2.3. Radiation Effects and the Skin *

2.4. The Lens of the Eye and Radiation *

2.5. Cardiovascular effects of radiation exposure *

2.6. Occupational radiation exposure and intracranial neoplasms *

3. CLINICAL EXAMPLES OF TISSUE REACTIONS DUE TO FLUOROSCOPICALLY GUIDED CARDIOLOGY PROCEDURES *

3.1. Introduction *

3.2. Case 1 (Vliestra et al., 2004) *

3.3. Case 2 (Koenig et al., 2001) *

3.4. Case 3 (Wagner and Archer, 1997) *

3.5. Case 4 (Vliestra et al., 2004) *

3.6. Case 5 (Vaņķ et al., 1998a) *

3.7. Case 6 (Courtesy of Dr. M. Portas, Buenos Aires, Argentina) *

4. PRINCIPLES OF RADIOLOGICAL PROTECTION IN MEDICINE *

4.1. Introduction *

4.2. Justification *

4.3. Optimization of protection *

4.4. Dose limits *

5. MANAGING PATIENT DOSE IN FLUOROSCOPICALLY GUIDED INTERVENTIONS *

5.1. Introduction *

5.2. Before the Procedure *

5.3. During the Procedure *

5.4. After the procedure *

5.5. Paediatric Patients *

6. PROTECTION OF STAFF DURING INTERVENTIONAL FLUOROSCOPY *

6.1. Introduction *

6.2. Comparison of radiation exposure with that of other staff *

6.3. The essentials of occupational radiological protection *

6.4. Personal protective devices *

6.5. Equipment-mounted shields *

6.6. Occupational exposure from fluoroscopy *

6.7. Personal dosimetry *

7. RADIOLOGICAL PROTECTION FOR NUCLEAR CARDIOLOGY *

7.1. Introduction *

7.2. Radiopharmaceuticals *

7.3. Dosimetry for nuclear cardiology *

7.4. Current dosimetry estimates *

7.5. Uncertainty in dosimetry *

7.6. Discrepancies between ICRP dosimetry and information from manufacturers *

7.7. Radiological protection of patients in nuclear cardiology *

7.8. Advice to patients *

7.9. Current research areas *

8. RADIOLOGICAL PROTECTION FOR CARDIAC CT *

8.1. Introduction *

8.2. Types of CT scanners *

8.3. Dosimetric Quantities *

8.4. Factors affecting patient dose *

8.5. Current Dosimetry Estimates *

8.6. Radiological Protection of Patients in Cardiac CT *

9. RADIOLOGICAL PROTECTION TRAINING FOR CARDIOLOGISTS *

9.1. Introduction *

9.2. Requirements on Radiological protection *

9.3. Interventional fluoroscopy *

10. QUALITY ASSURANCE PROGRAMMES *

10.1. Introduction *

10.2. Facilities *

10.3. Acceptance and constancy testing *

10.4. Staff *

10.5. Training *

10.6. Follow-up for possible radiation-induced skin injuries for interventional fluoroscopy procedures *

10.7. Dose audits *

REFERENCES *