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Radiation safety for pain physicians: principles and recommendations

Minjung Kim|Jae Hun Kim|Sewon Park
대한통증학회 (The Korean Pain Society)|2022.04|The Korean Journal of Pain|제35권 제2호|pp. 129-139|DOI 10.3344/kjp.2022.35.2.129

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키워드

SafetyPainRadiationRadiation ExposureRadiologyRadiographyFluoroscopyRadiation DosageScatteringIonizingProceduralInterventionalRadiation EffectsX-Rays.

초록

C-arm fluoroscopy is a useful tool for interventional pain management. However, with the increasing use of C-arm fluoroscopy, the risk of accumulated radiation exposure is a significant concern for pain physicians. Therefore, efforts are needed to reduce radiation exposure. There are three types of radiation exposure sources: (1) the primary X-ray beam, (2) scattered radiation, and (3) leakage from the X-ray tube. The major radiation exposure risk for most medical staff members is scattered radiation, the amount of which is affected by many factors. Pain physicians can reduce their radiation exposure by use of several effective methods, which utilize the following main principles: reducing the exposure time, increasing the distance from the radiation source, and radiation shielding. Some methods reduce not only the pain physician’s but also the patient’s radiation exposure. Taking images with collimation and minimal use of magnification are ways to reduce the intensity of the primary X-ray beam and the amount of scattered radiation. It is also important to carefully select the C-arm fluoroscopy mode, such as pulsed mode or low-dose mode, for ensuring the physician’s and patient’s radiation safety. Pain physicians should practice these principles and also be aware of the annual permissible radiation dose as well as checking their radiation exposure. This article aimed to review the literature on radiation safety in relation to C-arm fluoroscopy and provide recommendations to pain physicians during C-arm fluoroscopy-guided interventional pain management.

Abstract

C-arm fluoroscopy is a useful tool for interventional pain management. However, with the increasing use of C-arm fluoroscopy, the risk of accumulated radiation exposure is a significant concern for pain physicians. Therefore, efforts are needed to reduce radiation exposure. There are three types of radiation exposure sources: (1) the primary X-ray beam, (2) scattered radiation, and (3) leakage from the X-ray tube. The major radiation exposure risk for most medical staff members is scattered radiation, the amount of which is affected by many factors. Pain physicians can reduce their radiation exposure by use of several effective methods, which utilize the following main principles: reducing the exposure time, increasing the distance from the radiation source, and radiation shielding. Some methods reduce not only the pain physician’s but also the patient’s radiation exposure. Taking images with collimation and minimal use of magnification are ways to reduce the intensity of the primary X-ray beam and the amount of scattered radiation. It is also important to carefully select the C-arm fluoroscopy mode, such as pulsed mode or low-dose mode, for ensuring the physician’s and patient’s radiation safety. Pain physicians should practice these principles and also be aware of the annual permissible radiation dose as well as checking their radiation exposure. This article aimed to review the literature on radiation safety in relation to C-arm fluoroscopy and provide recommendations to pain physicians during C-arm fluoroscopy-guided interventional pain management.

참고문헌 (58)

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관련 논문AI추천

The radiation safety education and the pain physicians’efforts to reduce radiation exposure김재헌, 김태희, 김해경, 우남식, 홍승완대한통증학회 · The Korean Journal of Pain2017 · 제30권 제2호Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management강민혜, 김가람, 김재훈, 김초롱, 김해경, 우남식, 이가영, 임정애, 천보경대한통증학회 · The Korean Journal of Pain2018 · 제31권 제4호Radiation Exposure to Physicians During Interventional Pain Procedures윤경봉, 윤덕미, Hyun Joo Jeon, Jang Hwan Jung, Tae Wan Kim대한통증학회 · The Korean Journal of Pain2010 · 제23권 제1호Radiation Safety and Education in the Applicants of the Final Test for the Expert of Pain Medicine김용철, 심우석, Jae Hun Cho, Jae Hun Kim, Joo Eun Kang, Jung Min Park, Pyong Eun Park, Suk Ju Cho대한통증학회 · The Korean Journal of Pain2012 · 제25권 제1호Radiation Exposure of the Hand and Chest during C-arm Fluoroscopy-Guided Procedures김재훈, 김혜경, 류재성, 백승우, 오지혜, 우남식, 정철희대한통증학회 · The Korean Journal of Pain2013 · 제26권 제1호The Radiation Exposure of Radiographer Related to the Location in C-arm Fluoroscopy-guided Pain Interventions김아나, 김재헌, 김해경, 오인수, 우남식, 창용재대한통증학회 · The Korean Journal of Pain2014 · 제27권 제2호

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