| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
RadioGraphics, Vol 16, 1195-1199, Copyright © 1996 by Radiological Society of North America
ARTICLES |
TB Shope
Office of Science and Technology, Rockville, MD 20857, USA.
Since 1992, the U.S. Food and Drug Administration (FDA) has received reports of radiation-induced injuries to the skin in patients who had undergone fluoroscopically guided interventional procedures. The reports were investigated to determine the procedure- or equipment- related factors that may have contributed to the injury. The injuries ranged in severity from erythema to moist desquamation to tissue necrosis that required skin grafting. They occurred after a variety of interventional procedures that required extended periods of fluoroscopy compared with those of typical diagnostic procedures. Medical facilities and physicians should be aware of the magnitude of radiation doses to the skin that can result from the long exposure times required by complex interventional procedures. The FDA recommends several steps for reducing these injuries, including establishing protocols for each procedure, determining radiation dose rates for specific fluoroscopy systems and operating modes, and monitoring cumulative absorbed doses to areas of the skin.
This article has been cited by other articles:
|
|
 |
|
  E J HALL and D J BRENNER Cancer risks from diagnostic radiology Br. J. Radiol., May 1, 2008; 81(965): 362 - 378. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Faulkner and A. Werduch ANALYSIS OF THE FREQUENCY OF INTERVENTIONAL CARDIOLOGY IN VARIOUS EUROPEAN COUNTRIES Radiat Prot Dosimetry, March 16, 2008; (2008) ncn020v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R E Morrell and A T Rogers A mathematical model for patient skin dose assessment in cardiac catheterization procedures. Br. J. Radiol., September 1, 2006; 79(945): 756 - 761. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R E Morrell and A T Rogers Kodak EDR2 film for patient skin dose assessment in cardiac catheterization procedures. Br. J. Radiol., July 1, 2006; 79(943): 603 - 607. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. S. Storm, D. L. Miller, L. J. Hoover, J. D. Georgia, and T. Bivens Radiation Doses from Venous Access Procedures Radiology, March 1, 2006; 238(3): 1044 - 1050. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Faulkner, P. Ortiz-Lopez, and E. Vano Patient dosimetry in diagnostic and interventional radiology: a practical approach using trigger levels Radiat Prot Dosimetry, December 1, 2005; 117(1-3): 166 - 168. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Trianni, G. Chizzola, H. Toh, E. Quai, E. Cragnolini, G. Bernardi, A. Proclemer, and R. Padovani Patient skin dosimetry in haemodynamic and electrophysiology interventional cardiology Radiat Prot Dosimetry, December 1, 2005; 117(1-3): 241 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Geleijns and J. Wondergem X-ray imaging and the skin: radiation biology, patient dosimetry and observed effects Radiat Prot Dosimetry, May 17, 2005; 114(1-3): 121 - 125. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. E. Morrell and A. T. Rogers Film dosimetry for fluoroscopic procedures: potential errors Radiat Prot Dosimetry, May 17, 2005; 114(1-3): 147 - 149. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Hirshfeld Jr, S. Balter, J. A. Brinker, M. J. Kern, L. W. Klein, B. D. Lindsay, C. L. Tommaso, C. M. Tracy, L. K. Wagner, M. A. Creager, et al. ACCF/AHA/HRS/SCAI Clinical Competence Statement on Physician Knowledge to Optimize Patient Safety and Image Quality in Fluoroscopically Guided Invasive Cardiovascular Procedures: A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training Circulation, February 1, 2005; 111(4): 511 - 532. [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Hirshfeld Jr, S. Balter, J. A. Brinker, M. J. Kern, L. W. Klein, B. D. Lindsay, C. L. Tommaso, C. M. Tracy, L. K. Wagner, M. A. Creager, et al. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: A report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training J. Am. Coll. Cardiol., December 7, 2004; 44(11): 2259 - 2282. [Full Text] [PDF]
|
|
|
|
|
|
J. A. Seibert Vertebroplasty and Kyphoplasty: Do Fluoroscopy Operators Know about Radiation Dose, and Should They Want to Know? Radiology, September 1, 2004; 232(3): 633 - 634. [Full Text] [PDF]
|
|
|
|
|
|
K. Perisinakis, J. Damilakis, N. Theocharopoulos, G. Papadokostakis, A. Hadjipavlou, and N. Gourtsoyiannis Patient Exposure and Associated Radiation Risks from Fluoroscopically Guided Vertebroplasty or Kyphoplasty Radiology, September 1, 2004; 232(3): 701 - 707. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Miller Why Use Remote Guidance to Steer Catheters and Guide Wires? Radiology, August 1, 2004; 232(2): 313 - 314. [Full Text] [PDF]
|
|
|
|
|
|
M. Schiemann, R. Killmann, M. Kleen, N. Abolmaali, J. Finney, and T. J. Vogl Vascular Guide Wire Navigation with a Magnetic Guidance System: Experimental Results in a Phantom Radiology, August 1, 2004; 232(2): 475 - 481. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Lee, D. Hoss, and T. J. Phillips Fluoroscopy-Induced Skin Necrosis Arch Dermatol, February 1, 2003; 139(2): 140 - 142. [Full Text] [PDF]
|
|
|
|
|
|
E Vano, C Prieto, J M Fernandez, L Gonzalez, M Sabate, and C Galvan Skin dose and dose-area product values in patients undergoing intracoronary brachytherapy Br. J. Radiol., January 1, 2003; 76(901): 32 - 38. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Miller, S. Balter, P. T. Noonan, and J. D. Georgia Minimizing Radiation-induced Skin Injury in Interventional Radiology Procedures Radiology, November 1, 2002; 225(2): 329 - 336. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E Vano, J Goicolea, C Galvan, L Gonzalez, L Meiggs, J I Ten, and C Macaya Skin radiation injuries in patients following repeated coronary angioplasty procedures Br. J. Radiol., November 1, 2001; 74(887): 1023 - 1031. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. R. Koenig, D. Wolff, F. A. Mettler, and L. K. Wagner Skin Injuries from Fluoroscopically Guided Procedures: Part 1, Characteristics of Radiation Injury Am. J. Roentgenol., July 1, 2001; 177(1): 3 - 11. [Full Text] [PDF]
|
|
|
|
|
|
T. R. Koenig, F. A. Mettler, and L. K. Wagner Skin Injuries from Fluoroscopically Guided Procedures: Part 2, Review of 73 Cases and Recommendations for Minimizing Dose Delivered to Patient Am. J. Roentgenol., July 1, 2001; 177(1): 13 - 20. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Mahesh Fluoroscopy: Patient Radiation Exposure Issues RadioGraphics, July 1, 2001; 21(4): 1033 - 1045. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P WILDE, E M PITCHER, and K SLACK Radiation hazards for the patient in cardiological procedures Heart, February 1, 2001; 85(2): 127 - 130. [Full Text]
|
|
|
|
|
|
L. K. Wagner CT Fluoroscopy: Another Advancement with Additional Challenges in Radiation Management Radiology, July 1, 2000; 216(1): 9 - 10. [Full Text]
|
|
|
|
 |
|
 Cooperative Study between the ASNR ASITN, and the Quality Improvement Guidelines for Adult Diagnostic Neuroangiography AJNR Am. J. Neuroradiol., January 1, 2000; 21(1): 146 - 150. [Full Text] [PDF]
|
|
|
|
|
|
L. K. Wagner, M. D. McNeese, M. V. Marx, and E. L. Siegel Severe Skin Reactions from Interventional Fluoroscopy: Case Report and Review of the Literature Radiology, December 1, 1999; 213(3): 773 - 776. [Abstract] [Full Text]
|
|
|
|
|
|
R. A. Parry, S. A. Glaze, and B. R. Archer The AAPM/RSNA Physics Tutorial for Residents : Typical Patient Radiation Doses in Diagnostic Radiology RadioGraphics, September 1, 1999; 19(5): 1289 - 1302. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOGRAPHICS | RADIOLOGY | RSNA JOURNALS ONLINE |
