The radiation safety education and the pain physicians’efforts to reduce radiation exposure
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Background: C-arm fluoroscopy equipment is important for interventional pain management and can cause radiation injury to physicians and patients. We compared radiation safety education and efforts to reduce the radiation exposure of pain specialists. Methods: A survey of 49 pain specialists was conducted anonymously in 2016. The questionnaire had 16 questions. That questionnaire was about radiation safety knowledge and efforts to reduce exposure. We investigated the correlation between radiation safety education and efforts of radiation protection. We compared the results from 2016 and a published survey from 2011. Results: According to the 2016 survey, all respondents used C-arm fluoroscopy in pain interventions. Nineteen respondents (39%) had received radiation safety education. Physicians had insufficient knowledge about radiation safety. When the radiation safety education group and the non-education group are compared, there was no significant difference in efforts to reduce radiation exposure and radiation safety knowledge. When the 2011 and 2016 surveys were compared, the use of low dose mode (P = 0.000) and pulsed mode had increased significantly (P = 0.001). The number checking for damage to radiation protective garments (P = 0.000) and use of the dosimeter had also increased significantly (P = 0.009). But there was no significant difference in other efforts to reduce radiation exposure. Conclusions: Pain physicians seem to lack knowledge of radiation safety and the number of physicians receiving radiation safety education is low. According to this study, education does not lead to practice. Therefore, pain physicians should receive regular radiation safety education and the education should be mandatory. (Korean J Pain 2017; 30: 104-15)
Abstract
Background: C-arm fluoroscopy equipment is important for interventional pain management and can cause radiation injury to physicians and patients. We compared radiation safety education and efforts to reduce the radiation exposure of pain specialists. Methods: A survey of 49 pain specialists was conducted anonymously in 2016. The questionnaire had 16 questions. That questionnaire was about radiation safety knowledge and efforts to reduce exposure. We investigated the correlation between radiation safety education and efforts of radiation protection. We compared the results from 2016 and a published survey from 2011. Results: According to the 2016 survey, all respondents used C-arm fluoroscopy in pain interventions. Nineteen respondents (39%) had received radiation safety education. Physicians had insufficient knowledge about radiation safety. When the radiation safety education group and the non-education group are compared, there was no significant difference in efforts to reduce radiation exposure and radiation safety knowledge. When the 2011 and 2016 surveys were compared, the use of low dose mode (P = 0.000) and pulsed mode had increased significantly (P = 0.001). The number checking for damage to radiation protective garments (P = 0.000) and use of the dosimeter had also increased significantly (P = 0.009). But there was no significant difference in other efforts to reduce radiation exposure. Conclusions: Pain physicians seem to lack knowledge of radiation safety and the number of physicians receiving radiation safety education is low. According to this study, education does not lead to practice. Therefore, pain physicians should receive regular radiation safety education and the education should be mandatory. (Korean J Pain 2017; 30: 104-15)
참고문헌 (23)
- Sheyn DD, "Efficacy of a radiation safety education initiative in reducing radiation exposure in the pediatric IR suite", Pediatr Radiol, 38, pp.669~674 (2008)
- SuYoungKim, "Factors Affecting Radiation Exposure during Lumbar Epidural Steroid Injection: A Prospective Study in 759 Patients", Korean Journal of Radiology, 17(3), pp.405~412 (2016), 대한영상의학회[DOI]
- Fishman SM, "Radiation safety in pain medicine", Reg Anesth Pain Med, 27, pp.296~305 (2002)
- Broadman LM, "Radiation risk management during fluoroscopy for interventional pain medicine physicians", Curr Pain Headache Rep, 8, pp.49~55 (2004)
- Schueler BA, "Operator shielding: how and why", Tech Vasc Interv Radiol, 13, pp.167~171 (2010)
- 류재성, "The Survey about the Degree of Damage of Radiation-Protective Shields in Operation Room", The Korean Journal of Pain, 26(2), pp.142~147 (2013), 대한통증학회
- Jae Hun Cho, "A Study to Compare the Radiation Absorbed Dose of the C-arm Fluoroscopic Modes", The Korean Journal of Pain, 24(4), pp.199~204 (2011), 대한통증학회
- 백승우, "A Randomized Controlled Trial about the Levels of Radiation Exposure Depends on the Use of Collimation C-arm Fluoroscopic-guided Medial Branch Block", The Korean Journal of Pain, 26(2), pp.148~153 (2013), 대한통증학회
- 김아나, "How Effective Are Radiation Reducing Gloves in C-arm Fluoroscopy-guided Pain Interventions?", The Korean Journal of Pain, 27(2), pp.145~151 (2014), 대한통증학회
- Pyong Eun Park, "Radiation Safety and Education in the Applicants of the Final Test for the Expert of Pain Medicine", The Korean Journal of Pain, 25(1), pp.16~21 (2012), 대한통증학회
- Cousins C, "Medical interventional proceduresreducing the radiation risks", Clin Radiol, 59, pp.468~473 (2004)
- Ploussi A, "Importance of establishing radiation protection culture in radiology department", World J Radiol, 8, pp.142~147 (2016)
- Mahajan A, "Occupational radiation exposure from C arm fluoroscopy during common orthopaedic surgical procedures and its prevention", J Clin Diagn Res, 9, pp.RC01~RC04 (2015)
- Wagner M, "An approach to simulate and visualize intraoperative scattered radiation exposure to improve radiation protection training", Stud Health Technol Inform, 160, pp.625~628 (2010)
- Yamashita K, "Radiation exposure to the surgeon and patient during a fluoroscopic procedure : how high is the exposure dose? A cadaveric study", Spine (Phila Pa 1976), 41, pp.1254~1260 (2016)
- Meisinger QC, "Radiation protection for the fluoroscopy operator and staff", AJR Am J Roentgenol (2016)
- Zhou Y, "Fluoroscopy radiation safety for spine interventional pain procedures in university teaching hospitals", Pain Physician, 8, pp.49~53 (2005)
- Nicol AL, "Radiation exposure in interventional pain management : we still have much to learn", Pain Pract, 15, pp.389~392 (2015)
- Frazier TH, "Fluoroscopy-induced chronic radiation skin injury : a disease perhaps often overlooked", Arch Dermatol, 143, pp.637~640 (2007)
- Mettler FA Jr, "Radiation injuries after fluoroscopic procedures", Semin Ultrasound CT MR, 23, pp.428~442 (2002)
- Dörr W, "Radiobiology of tissue reactions", Ann ICRP, 44, pp.58~68 (2015)
- Killewich LA, "Governmental regulations and radiation exposure", J Vasc Surg, 53, pp.44S~46S (2011)
- Chambers CE, "Radiation safety program for the cardiac catheterization laboratory", Catheter Cardiovasc Interv, 77, pp.546~556 (2011)