SIR ePoster Library

Update to Dose Reduction Techniques in the Interventional Suite
SIR ePoster library. Bui K. 03/04/17; 170040; 604
Kevin Bui
Kevin Bui
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Abstract
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Final ID
604

Type
Educational Exhibit-Poster Only

Authors
K Bui1, A Lam1, E Kuoy1, A Solberg1, H Javan1, B Sadeghi1, D Fernando1, K Nelson1, N Abi-Jaoudeh1

Institutions
1University of California, Irvine, Orange, CA

Purpose
1) Discuss methods in which to reduce radiation exposure to the patient 2) Discuss recent developments and technologies in radiation exposure reduction 3) Review recent studies concerning risks of occupational radiation 4) Discuss societal guidelines, studies and awareness efforts

Materials & Methods
With increased demand for imaging and image-guided procedures, a heightened awareness has developed in the medical community regarding the deleterious effects of radiation. While fluoroscopic guided interventional procedures are universally regarded as beneficial, many procedures have the potential of high radiation doses. Biologic effects of radiation are manifested through stochastic effects (cancer induction) and deterministic effects (reproductive-sterilization of cells). These risks should be mitigated through safe practice and adoption of a dose reduction mentality.

Results
The exhibit will review methods for radiation dose reduction. The interventional radiologist controls the exposure parameters. Safe practice is achieved through optimization of various factors from radiation parameters to patient and operator positioning relative to the table. Operators should know the intricacies and tradeoffs (i.e. beam hardening with collimation). Recent developments in angiography equipment and dose reducing technology will be explained. Novel protective equipment for staff and patient dose reduction will be reviewed including the literature behind it. This includes but not limited to zero gravity lead, active monitoring radiation systems and sterile disposable drapes for scatter radiation. Updated literature on occupational radiation risks will be reviewed and the strength of evidence pertaining to radiation induced cataracts, brain tumors and heart disease will be explained. Societal guidelines and current research supported by the Society of Interventional Radiology (SIR) will be discussed.

Conclusions
Adherence to safe practice is paramount in identifying and managing radiation exposure in the procedure room. Knowledge of novel tools and recent advancement in technologies is paramount. SIR continues to promote continual dose reduction.

Final ID
604

Type
Educational Exhibit-Poster Only

Authors
K Bui1, A Lam1, E Kuoy1, A Solberg1, H Javan1, B Sadeghi1, D Fernando1, K Nelson1, N Abi-Jaoudeh1

Institutions
1University of California, Irvine, Orange, CA

Purpose
1) Discuss methods in which to reduce radiation exposure to the patient 2) Discuss recent developments and technologies in radiation exposure reduction 3) Review recent studies concerning risks of occupational radiation 4) Discuss societal guidelines, studies and awareness efforts

Materials & Methods
With increased demand for imaging and image-guided procedures, a heightened awareness has developed in the medical community regarding the deleterious effects of radiation. While fluoroscopic guided interventional procedures are universally regarded as beneficial, many procedures have the potential of high radiation doses. Biologic effects of radiation are manifested through stochastic effects (cancer induction) and deterministic effects (reproductive-sterilization of cells). These risks should be mitigated through safe practice and adoption of a dose reduction mentality.

Results
The exhibit will review methods for radiation dose reduction. The interventional radiologist controls the exposure parameters. Safe practice is achieved through optimization of various factors from radiation parameters to patient and operator positioning relative to the table. Operators should know the intricacies and tradeoffs (i.e. beam hardening with collimation). Recent developments in angiography equipment and dose reducing technology will be explained. Novel protective equipment for staff and patient dose reduction will be reviewed including the literature behind it. This includes but not limited to zero gravity lead, active monitoring radiation systems and sterile disposable drapes for scatter radiation. Updated literature on occupational radiation risks will be reviewed and the strength of evidence pertaining to radiation induced cataracts, brain tumors and heart disease will be explained. Societal guidelines and current research supported by the Society of Interventional Radiology (SIR) will be discussed.

Conclusions
Adherence to safe practice is paramount in identifying and managing radiation exposure in the procedure room. Knowledge of novel tools and recent advancement in technologies is paramount. SIR continues to promote continual dose reduction.

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