Determining procedures for simulation-based training in radiology

DEFF Research Database (Denmark)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth

2018-01-01

, and basic abdominal ultrasound. CONCLUSION: A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. KEY POINTS: • Simulation-based training can supplement training on patients......OBJECTIVES: New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs...... assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. METHODS: A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored...

Work procedures and risk factors for high rdiation exposure among radiologic technologists in South Korea

Energy Technology Data Exchange (ETDEWEB)

Kim, Jae Young; Choi, Yeong Chull [Dept. of Preventive Medicine, Keimyung University College of Medicine, Daegu (Korea, Republic of); Lee, Won Jin; Cha, Eun Shil [Dept. of Preventive Medicine, Korea University College of Medicine, Seoul (Korea, Republic of)

2016-12-15

Radiologic technologists currently consist of 31.5% among diagnostic radiation workers in South Korea. Among diagnostic radiation workers, radiologic technologists receive the highest annual and collective doses in South Korea. Comprehensive assessment of the work practices and associated radiation doses from diagnostic radiology procedures should be undertaken for effective prevention for radiologic technologists. Using the national survey, this study aimed (1) to explore the distribution of the work procedures performed by gender, (2) to evaluate occupational radiation exposure by work characteristics and safety compliance, (3) to identify the primary factors influencing high radiation exposure among radiologic technologists in South Korea. This study provided detailed information on work practices, number of procedures performed on weekly basis, and occupational radiation doses among radiologic technologists in South Korea. Average radiation dose for radiologic technologists is higher than other countries, and type of facility, work safety, and wearing lead apron explained quite a portion of increased risk in the association between radiology procedures and radiation exposure among radiologic technologists.

Work procedures and risk factors for high rdiation exposure among radiologic technologists in South Korea

International Nuclear Information System (INIS)

Kim, Jae Young; Choi, Yeong Chull; Lee, Won Jin; Cha, Eun Shil

2016-01-01

Radiologic technologists currently consist of 31.5% among diagnostic radiation workers in South Korea. Among diagnostic radiation workers, radiologic technologists receive the highest annual and collective doses in South Korea. Comprehensive assessment of the work practices and associated radiation doses from diagnostic radiology procedures should be undertaken for effective prevention for radiologic technologists. Using the national survey, this study aimed (1) to explore the distribution of the work procedures performed by gender, (2) to evaluate occupational radiation exposure by work characteristics and safety compliance, (3) to identify the primary factors influencing high radiation exposure among radiologic technologists in South Korea. This study provided detailed information on work practices, number of procedures performed on weekly basis, and occupational radiation doses among radiologic technologists in South Korea. Average radiation dose for radiologic technologists is higher than other countries, and type of facility, work safety, and wearing lead apron explained quite a portion of increased risk in the association between radiology procedures and radiation exposure among radiologic technologists.

Radiological protection of the environment: the path forward to a new policy?

International Nuclear Information System (INIS)

2002-01-01

The international system of radiological protection is currently being revised with the aim of making it more coherent and concise. During the revision process, particular attention is being given to the development of an explicit system for the radiological protection of the environment in addition to that of human beings. In order to support the ongoing discussions of the international community of radiological protection experts, these proceedings try to answer the questions: Is there an international rationale behind the wish to protect the environment from radiation? Do we have enough scientific information to develop and define a broadly accepted policy? What are the socio-political dynamics, beyond science, that will influence policy on radiological protection of the environment? What are the characteristics of the process for developing a system of radiological protection of the environment? These proceedings comprise the views of a broad range of invited speakers, including policy makers, regulators, radiological protection and environmental protection professionals, industry, social scientists and representatives of both non-governmental and intergovernmental organisations. (author)

The future policy for radiological protection

International Nuclear Information System (INIS)

2004-01-01

At the end of the 1990's, the International Commission on Radiological Protection (ICRP) launched a process for establishing new recommendations, which are expected to serve as guidelines for national systems of radiological protection. Currently the ICRP's proposed recommendations are being subjected to extensive stakeholder comment and modifications. The NEA Committee on Radiation Protection and Public Health (CRPPH) has been actively involved in this process. Part of the Committee's work has been to undertake collaborative efforts with the ICRP through, for example, the organisation of broad stakeholder fora. The first of these, held in Taormina, Italy in 2002, focused on the development of a policy basis for the radiological protection of the environment. The second forum, held in Lanzarote, Spain in April 2003, addressed the latest concepts and approaches in the ICRP proposed recommendations for a system of radiological protection. During this meeting, the ICRP listened to the views of various stakeholder groups, including radiological protection regulators, environmental protection ministries, the nuclear power industry and NGOs. As a result, the ICRP modified its proposals to better reflect stakeholder needs and wishes. This report presents the outcomes of the discussions, examining what the ICRP proposed and how its proposals have been affected and modified as a result of stakeholder input. (author)

The economics of interventional radiology

International Nuclear Information System (INIS)

Price, G.W.

1988-01-01

At a time when policy makers and regulators are scheming to reduce the costs and utilization of medical services, interventional radiology is poised for growth. Part of this potential for growth is based on wider acceptance of the procedures performed by interventional radiologists. A second factor in the growth potential is the relative value in cost of these procedures compared with alternative therapies. The author presents a discussion of the differences in the relative value of these procedures when performed by physicians of different specialties. This paper reviews the status of the economic climate in the health care delivery system and the role and potential growth of interventional radiology. This includes a review of current data on the utilization of interventional radiology procedures in the Medicare program. This overview includes a discussion of the initiatives of the federal government which directly impact interventional radiology

Central venous catheterization: comparison between interventional radiological procedure and blind surgical reocedure

International Nuclear Information System (INIS)

Song, Won Gyu; Jin, Gong Yong; Han, Young Min; Yu, He Chul

2002-01-01

To determine the usefulness and safety of radiological placement of a central venous catheter by prospectively comparing the results of interventional radiology and blind surgery. For placement of a central venous catheter, the blind surgical method was used in 78 cases (77 patients), and the interventional radiological method in 56 cases (54 patients). The male to female ratio was 66:68, and the patients' mean age was 48 (range, 18-80) years. A tunneled central venous catheter was used in 74 cases, and a chemoport in 60. We evaluated the success and duration of the procedures, the number of punctures required, and ensuing complications, comparing the results of the two methods. The success rates of the interventional radiological and the blind surgical procedure were 100% and 94.8%, respectively. The duration of central catheterization was 3-395 (mean, 120) day, that of chemoport was 160.9 days, and that of tunneled central venous catheter was 95.1 days. The mean number of punctures of the subclavian vein was 1.2 of interventional radiology, and 2.1 for blind surgery. The mean duration of the interventional radiology and the blind surgical procedure was, respectively, 30 and 40 minutes. The postprocedure complication rate was 27.6% (37 cases). Early complications occurred in nine cases (6.7%): where interventional radiology was used, there was one case of hematoma, and blind surgery gave rise to hematoma (n=2), pneumothorax (n=2), and early deviation of the catheter (n=4). Late complications occurred in 32 cases (23.9%). Interventional radiology involved infection (n=4), venous thrombosis (n=1), catheter displacement (n=2) and catheter obstruction (n=5), while the blind surgical procedure gave rise to infection (n=5), venous thrombosis (n=3), catheter displacement (n=4) and catheter obstruction (n=8). The success rate of interventional radiological placement of a central venous catheter was high and the complication rate was low. In comparison with the blind

Generic procedures for assessment and response during a radiological emergency

International Nuclear Information System (INIS)

2000-08-01

One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately determine and take actions to protect members of the public and emergency workers. Radiological accident assessment must take account of all critical information available at any time and must be an iterative and dynamic process aimed at reviewing the response as more detailed and complete information becomes available. This manual provides the tools, generic procedures and data needed for an initial response to a non-reactor radiological accident. This manual is one out of a set of IAEA publications on emergency preparedness and response, including Method for the Development of Emergency Response Preparedness for Nuclear or Radiological Accidents (IAEA-TECDOC-953), Generic Assessment Procedures for Determining Protective Actions During a Reactor Accident (IAEA-TECDOC-955) and Intervention Criteria in a Nuclear or Radiation Emergency (Safety Series No. 109)

Determining procedures for simulation-based training in radiology: a nationwide needs assessment.

Science.gov (United States)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth; Bachmann Nielsen, Michael; Paltved, Charlotte; Lindorff-Larsen, Karen Gilboe; Nielsen, Bjørn Ulrik; Konge, Lars

2018-01-09

New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures. Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound. A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.

Occupational exposures from selected interventional radiological procedures

International Nuclear Information System (INIS)

Janeczek, J.; Beal, A.; James, D.

2001-01-01

The number of radiology and cardiology interventional procedures has significantly increased in recent years due to better diagnostic equipment resulting in an increase in radiation dose to the staff and patients. The assessment of staff doses was performed for cardiac catheterization and for three other non-cardiac procedures. The scattered radiation distribution resulting from the cardiac catheterization procedure was measured prior to the staff dose measurements. Staff dose measurements included those of the left shoulder, eye, thyroid and hand doses of the cardiologist. In non-cardiac procedures doses to the hands of the radiologist were measured for nephrostomy, fistulogram and percutaneous transluminal angioplasty procedures. Doses to the radiologist or cardiologist were found to be relatively high if correct protection was not observed. (author)

An observation study of radiation exposure to nurses during interventional radiology procedure

International Nuclear Information System (INIS)

Komemushi, Atsushi; Tanigawa, Noboru; Aoki, Atsuko

2010-01-01

The purpose of this study was to prospectively measure the level of radiation exposure among nursing staff during interventional radiology procedures. All interventional radiology procedures performed at our institution between April 20 and June 19, 2009 were included in this study. Radiation exposure was measured as the equivalent dose penetrating tissue to a depth of 10 mm using electronic personal dosimeters attached outside (Ha) and inside (Hb) lead aprons. Effective dose (HE) was estimated by calculating from Ha and Hb. In total, data from 68 procedures were included in this study. Four nurses performed 71 nursing cares. The mean Ha was 0.70±1.0 μSv, while the mean Hb was 0.06±0.2 μSv. The mean HE was 0.14±0.3 μSv. The present findings indicate that during interventional radiology procedures, nurses were exposed to very low levels of radiation. (author)

Policies and attitudes toward the pregnant radiology resident

International Nuclear Information System (INIS)

Sheth, S.; Freedman, M.T.; Arak, G.

1985-01-01

To evaluate attitudes and policies toward pregnant radiology residents, a questionnaire was sent to the chiefs of radiology residency programs across the country. A return rate of 76.4% and a response rate of 75.4% were achieved. A large majority of the respondents indicated that schedule changes would be made to avoid excessive exposure of a pregnant resident to radiation. The accommodations they suggest are reviewed, and suggestions are made that would help alleviate some of the stress and conflicts that invariably arise when a resident becomes pregnant

Radiologically assisted percutaneous gastrostomy or enterostomy. A retrospective analysis of 90 procedures

International Nuclear Information System (INIS)

Mildenberger, P.; Oberholzer, K.; Kauczor, H.U.; Dueber, C.; Kurz, S.; Schild, H.; Thelen, M.

1996-01-01

To analyse retrospectively the indications, technique and results of radiologically induced gastrostomies or enterostomies. Radiologically assisted gastrostomies or enterostomies were induced in 90 patients, mostly with high grade obstructions due to head and neck tumours or oesophageal tumours. 19/90 patients had had previous resection of the oesophagus or gastric operations. A catheter was successfully introduced in all patients. In 11/90 patients this was followed by a two-stage procedure. In 16/90 patients puncture was performed under CT control because of some anatomical peculiarity. Serious complication occurred in 9/90 patients but in only one was surgery necessary. There were no deaths resulting from the procedure but mortality after 30 days was 6.7%. Radiologically assisted gastrostomies or enterostomies are a reliable and effective form of treatment even amongst difficult patients. The results and complications are comparable to those from endoscopic procedures. (orig.) [de

Patients exposure assessment for radiographic procedures in diagnostic radiology

International Nuclear Information System (INIS)

Arandjic, D.; Ciraj-Bjelac, O.; Stankovic, K.; Lazarevic, Dj.; Ciraj-Bjelac, O.)

2007-01-01

In this work the results of dose assessment for the most frequent radiographic procedures in diagnostic radiology are shown. Entrance surface doses were assessed for 7 radiographic procedures. Three hospitals, six x-ray units in total, were enrolled in investigation. Patient doses were estimated based on results of x-ray tube output measurements. Finally, doses were compared with Diagnostic reference level. Higher dose values were observed for chest examinations. In comparison with results from other countries, doses from this procedure in Serbia are significantly higher. Estimated doses for other procedures were well below Diagnostic reference levels [sr

42 CFR 413.122 - Payment for hospital outpatient radiology services and other diagnostic procedures.

Science.gov (United States)

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for hospital outpatient radiology services... radiology services and other diagnostic procedures. (a) Basis and purpose. (1) This section implements section 1833(n) of the Act and establishes the method for determining Medicare payments for radiology...

Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

Energy Technology Data Exchange (ETDEWEB)

Lorenzini, F.; Rizzati, M.R. [Emergency Hospital of Porto Alegre, HPS (Brazil)

1998-12-31

The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

International Nuclear Information System (INIS)

Lorenzini, F.; Rizzati, M.R.

1998-01-01

The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

Maternity leave policies in academic and private radiology practices

International Nuclear Information System (INIS)

Spirt, B.A.; Rauth, V.; Price, A.P.F.; Pagani, A.H.

1988-01-01

In 1987, the American Association of Women Radiologists surveyed both academic and private radiology departments regarding pregnancy and maternity leave policies. One hundred academic institutions (70% response), 30 radiotherapy departments (38% response), and 31 private practices responded. Details were obtained regarding maternity leave policy for residents and attending physicians; availability of paternity leave; policies regarding on-call time, fluoroscopy time and intracavitary/interstitial applications during pregnancy; and problems that occurred during resident or attending physician pregnancies. There was a wide range of responses regarding paid leave time, availability of additional time, and the use of vacation time during maternity leave

Open Access Journal Policies: A Systematic Analysis of Radiology Journals.

Science.gov (United States)

Narayan, Anand; Lobner, Katie; Fritz, Jan

2018-02-01

The open access movement has pushed for greater access to scientific knowledge by expanding access to scientific journal articles. There is limited information about the extent to which open access policies have been adopted by radiology journals. We performed a systematic analysis to ascertain the proportion of radiology journals with open access options. A search was performed with the assistance of a clinical informationist. Full and mixed English-language diagnostic and interventional radiology Web of Science journals (impact factors > 1.0) were included. Nuclear medicine, radiation oncology, physics, and solicitation-only journals were excluded. Primary outcome was open access option (yes or no) with additional outcomes including presence or absence of embargo, complete or partial copyright transfer, publication fees, and self-archiving policies. Secondary outcomes included journal citations, journal impact factors, immediacy, Eigenfactor, and article influence scores. Independent double readings were performed with differences resolved by consensus, supplemented by contacting editorial staff at each journal. In all, 125 journals were identified; review yielded 49 journals (39%, mean impact factor of 2.61). Thirty-six of the journals had open access options (73.4%), and four journals were exclusively open access (8.2%). Twelve-month embargoes were most commonly cited (90.6%) with 28.6% of journals stating that they did not require a complete transfer of copyright. Prices for open access options ranged from $750 to $4,000 (median $3,000). No statistically significant differences were found in journal impact measures comparing journals with open access options to journals without open access options. Diagnostic and interventional radiology journals have widely adopted open access options with a few radiology journals being exclusively open access. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Quality control procedures of dental diagnostic radiology systems

International Nuclear Information System (INIS)

Andrade, Paula Serra Sasaki

2007-01-01

This work presents quality control reference procedures for dental diagnostic radiology systems, following the recommendations of the Publication 453 of the Brazilian Health Ministry (PF453), to be applied in dental clinics, in order to achieve an improvement in the radiological image qualities and the patient dose reduction. All tests were applied in an intraoral X rays system, following the methodology developed and the requirements of the PF 453. In order to verify the best quality of the image in relation to the smaller exposition time an object test was also developed in this work. The use of this object allowed the reduction of the exposition time of 0.5 seconds, the maximum value of the linear region of the characteristic curve, for 0.2 seconds. The tested X rays system showed a very good agreement with the applied procedures, detaching the reduction of the skin entrance dose using the film-holding devices. However, the size of the field increased and exceeded the maximum value of 6 cm recommended in the standard. The importance of the quality control in dental diagnostic radiology systems is essential due to the constant use of X radiation in dental clinics. The PF453 recommends the frequency of at least two years for the constancy tests. However, it is suggested that the professional, surgeon-dentist, should be responsible for the internal control of the image quality obtained from the X rays device. This can be done through monthly exposures of the object test developed in this work. (author)

Modern radiology in oncology and waiting lists for procedures: Breast cancer screening in Slovenia

Directory of Open Access Journals (Sweden)

Maksimiljan Kadivec

2007-12-01

Full Text Available Background: Good and modern radiology equipment is needed for successful treatment of the oncologic patients. New Department of Radiology of the Institute of Oncology Ljubljana is entirely digital and can compete with the similar radiologic departments all over the world. It si possible to perform all the new modern procedures that the oncologic patients need. Important diagnostic modality is PET CT that fulfill the selection of the diagnostic procedures for cancer patients. The problem of Slovenian radiology is lack of the radiologists. This problem could be solved with telemedicine and properly awarded work that was performed. Waiting lists for procedures like CT, MR, US are short for oncologic patients in comparison with the other radiologic units in Slovenia.Conclusions: At the beginning of the year 2008 we will start the Breast Cancer Screening Program in Slovenia. It is organized by Institute of Oncology Ljubljana (DORA program. Breast cancer screening program will be centralized, in accordance with of the European guidelines for quality assurance in breast cancer screening and diagnosis 2006 (fourth edition and supervision of reference breast screening center. The main goal of the breast cancer screening program in Slovenia is reduction of the breast cancer death for 25 % or more.

Cost analysis of radiological interventional procedures and reimbursement within a clinic

International Nuclear Information System (INIS)

Strotzer, M.; Voelk, M.; Lenhart, M.; Fruend, R.; Feuerbach, S.

2002-01-01

Purpose: Analysis of costs for vascular radiological interventions on a per patient basis and comparison with reimbursement based on GOAe(Gebuehrenordnung fuer Aerzte) and DKG-NT (Deutsche Krankenhausgesellschaft-Nebenkostentarif). Material and Methods: The ten procedures most frequently performed within 12 months were evaluated. Personnel costs were derived from precise costs per hour and estimated procedure time for each intervention. Costs for medical devices were included. Reimbursement based on GOAewas calculated using the official conversion factor of 0.114 DM for each specific relative value unit and a multiplication factor of 1.0. The corresponding conversion factor for DKG-NT, determined by the DKG, was 0.168 DM. Results: A total of 832 interventional procedures were included. Marked differences between calculated costs and reimbursement rates were found. Regarding the ten most frequently performed procedures, there was a deficit of 1.06 million DM according GOAedata (factor 1.0) and 0.787 million DM according DKG-NT. The percentage of reimbursement was only 34.2 (GOAe; factor 1.0) and 51.3 (DKG-NT), respectively. Conclusion: Reimbursement of radiological interventional procedures based on GOAeand DKG-NT data is of limited value for economic controlling purposes within a hospital. (orig.) [de

Organ doses in interventional radiology procedures: Evaluation of software

International Nuclear Information System (INIS)

Tort, I.; Ruiz-Cruces, R.; Perez-Martinez, M.; Carrera, F.; Ojeda, C.; Diez de los Rios, A.

2001-01-01

Interventional Radiology (IR) procedures require large fluoroscopy times and important number of radiological images, so the levels of radiation to patient are high, which leads us to calculate the organ doses. The objective of this work is to estimate and make a comparison of the results given by the different software that we have to do the calculation of organ doses in complex procedures of IR. To do this, 28 patients have been selected, distributed in the 3 procedures with highest doses. The determination of organ doses and effective doses has been made using the projections utilized and different software based on Monte Carlo Methods: Eff-dose, PCXMC and Diasoft. We have obtained very high dispersion in the average organ dose between the 3 programs. In many cases, it is higher than 25% and in some particular cases, it is greater than 100%. Dispersion obtained in effective doses is not so high, being under 20% in all cases. This shows that a better solution is needed to solve the problem of the organ doses calculation; a more accurate method is necessary that brings us to a trustworthy approach to reality, and, at the moment, that we do not dispose of it. (author)

Software for the estimation of organ equivalent and effective doses from diagnostic radiology procedures

International Nuclear Information System (INIS)

Osei, Ernest K; Barnett, Rob

2009-01-01

Diagnostic radiological imaging such as conventional radiography, fluoroscopy and computed tomography (CT) examinations will continue to provide tremendous benefits in modern healthcare. The benefit derived by the patient should far outweigh the risk associated with a properly conducted imaging examination. Nonetheless, it is very important to be able to quantify the risk associated with any radiological examination of patients, and effective dose has been considered a useful indicator of patient exposure. Quantification of the risks associated with radiological imaging is very important as such information will be helpful to physicians and their patients for comparing risks from various imaging examinations and for making informed decisions whenever there is a need for any radiological imaging. The determination of equivalent and effective doses in diagnostic radiology is of interest as a basis for estimates of risk from medical exposures. In this paper we describe a simple computer program OrgDose, which calculates the doses to 27 organs in the body and then calculates the organ equivalent and effective doses and the risk from various procedures in the radiology department including conventional radiography, fluoroscopy and computed tomography examinations. The program will be a useful tool for the medical and paramedical personnel who are involved with assessing organ and effective doses and risks from diagnostic radiology procedures.

Patient dose in interventional radiology: a multicentre study of the most frequent procedures in France

International Nuclear Information System (INIS)

Etard, Cecile; Bigand, Emeline; Salvat, Cecile; Vidal, Vincent; Beregi, Jean Paul; Hornbeck, Amaury; Greffier, Joel

2017-01-01

A national retrospective survey on patient doses was performed by the French Society of Medical physicists to assess reference levels (RLs) in interventional radiology as required by the European Directive 2013/59/Euratom. Fifteen interventional procedures in neuroradiology, vascular radiology and osteoarticular procedures were analysed. Kerma area product (KAP), fluoroscopy time (FT), reference air kerma and number of images were recorded for 10 to 30 patients per procedure. RLs were calculated as the 3rd quartiles of the distributions. Results on 4600 procedures from 36 departments confirmed the large variability in patient dose for the same procedure. RLs were proposed for the four dosimetric estimators and the 15 procedures. RLs in terms of KAP and FT were 90 Gm.cm 2 and 11 mins for cerebral angiography, 35 Gy.cm 2 and 16 mins for biliary drainage, 75 Gy.cm 2 and 6 mins for lower limbs arteriography and 70 Gy.cm 2 and 11 mins for vertebroplasty. For these four procedures, RLs were defined according to the complexity of the procedure. For all the procedures, the results were lower than most of those already published. This study reports RLs in interventional radiology based on a national survey. Continual evolution of practices and technologies requires regular updates of RLs. (orig.)

Patient dose in interventional radiology: a multicentre study of the most frequent procedures in France

Energy Technology Data Exchange (ETDEWEB)

Etard, Cecile [Institut de Radioprotection et de Surete Nucleaire, Fontenay-aux-Roses (France); French Society of Medical Physicists (SFPM), Paris (France); Bigand, Emeline [French Society of Medical Physicists (SFPM), Paris (France); La Timone University Hospital, Department of Radiology, Marseille Cedex (France); Salvat, Cecile [French Society of Medical Physicists (SFPM), Paris (France); Lariboisiere Hospital, Department of Medical Physics and Radiation Protection, Paris (France); Vidal, Vincent [La Timone University Hospital, Department of Radiology, Marseille Cedex (France); French Society of Radiology (SFR) - Interventional Radiology Federation (FRI), Paris (France); Beregi, Jean Paul [French Society of Radiology (SFR) - Interventional Radiology Federation (FRI), Paris (France); Nimes University Hospital, Medical Imaging Group Nimes, Department of Radiology, Nimes (France); Hornbeck, Amaury [French Society of Medical Physicists (SFPM), Paris (France); Trousseau University Hospital, Department of Pediatric Radiology, Paris (France); Greffier, Joel [French Society of Medical Physicists (SFPM), Paris (France); Nimes University Hospital, Medical Imaging Group Nimes, Department of Radiology, Nimes (France)

2017-10-15

A national retrospective survey on patient doses was performed by the French Society of Medical physicists to assess reference levels (RLs) in interventional radiology as required by the European Directive 2013/59/Euratom. Fifteen interventional procedures in neuroradiology, vascular radiology and osteoarticular procedures were analysed. Kerma area product (KAP), fluoroscopy time (FT), reference air kerma and number of images were recorded for 10 to 30 patients per procedure. RLs were calculated as the 3rd quartiles of the distributions. Results on 4600 procedures from 36 departments confirmed the large variability in patient dose for the same procedure. RLs were proposed for the four dosimetric estimators and the 15 procedures. RLs in terms of KAP and FT were 90 Gm.cm{sup 2} and 11 mins for cerebral angiography, 35 Gy.cm{sup 2} and 16 mins for biliary drainage, 75 Gy.cm{sup 2} and 6 mins for lower limbs arteriography and 70 Gy.cm{sup 2} and 11 mins for vertebroplasty. For these four procedures, RLs were defined according to the complexity of the procedure. For all the procedures, the results were lower than most of those already published. This study reports RLs in interventional radiology based on a national survey. Continual evolution of practices and technologies requires regular updates of RLs. (orig.)

Evaluation of patient radiation doses using DAP meter in interventional radiology procedures

Energy Technology Data Exchange (ETDEWEB)

Kang, Byung Sam [Dept. of Radiological Technology. Shingu University, Sungnam (Korea, Republic of); Yoon, Yong Su [Dept. of Health Sciences, Graduate School of Medical Sciences, Kyushu Univeristy, Kyushu (Japan)

2017-03-15

The author investigated interventional radiology patient doses in several other countries, assessed accuracy of DAP meters embedded in intervention equipment in domestic country, conducted measurement of patient doses for 13 major interventional procedures with use of Dose Area Product(DAP) meters from 23 hospitals in Korea, and referred to 8,415 cases of domestic data related to interventional procedures by radiation exposure after evaluation the actual effective of dose reduction variables through phantom test. Finally, dose reference level for major interventional procedures was suggested. In this study, guidelines for patient doses were 237.7 Gy·cm{sup 2} in TACE, 17.3 Gy·cm{sup 2} in AVF, 114.1 Gy·cm{sup 2} in LE PTA and STENT, 188.5 Gy·cm{sup 2} in TFCA, 383.5 Gy·cm{sup 2} in Aneurysm Coil, 64.6 Gy·cm{sup 2} in PTBD, 64.6 Gy·cm{sup 2} in Biliary Stent, 22.4 Gy·cm{sup 2} in PCN, 4.3 Gy·cm{sup 2} in Hickman, 2.8 Gy·cm{sup 2} in Chemo-port, 4.4 Gy·cm{sup 2} in Perm-Cather, 17.1 Gy·cm{sup 2} in PCD, and 357.9 Gy·cm{sup 2} in Vis, EMB. Dose reference level acquired in this study is considered to be able to use as minimal guidelines for reducing patient dose in the interventional radiology procedures. For the changes and advances of materials and development of equipment and procedures in the interventional radiology procedures, further studies and monitoring are needed on dose reference level Korean DAP dose conversion factor for the domestic procedures.

Entrance surface dose in cerebral interventional radiology procedures

Energy Technology Data Exchange (ETDEWEB)

Barrera-Rico, M.; Lopez-Rendon, X.; Rivera-Ordonez, C. E.; Gamboa-deBuen, I. [Instituto de Ciencias Nucleares, Universidad Nacional Autonoma de Mexico, 04510 DF (Mexico); Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez, 14269 DF (Mexico); Instituto de Ciencias Nucleares, Universidad Nacional Autonoma de Mexico, 04510 DF (Mexico)

2012-10-23

At the Instituto Nacional de Neurologia y Neurocirugia (INNN) diagnostic as well as therapeutic procedures of interventional radiology are carried out. Since the procedures can last from some minutes to several hours, the absorbed dose for the patient could increase dangerously. An investigation had begun in order to determine the entrance surface dose (ESD) using 25 thermoluminiscent dosimeters TLD-100 and 8 strips of 15 Multiplication-Sign 1 cm{sup 2} of Gafchromic XR-QA2 film bound in a holder of 15 Multiplication-Sign 15 cm{sup 2} in the posteroanterior (PA) and lateral (LAT) positions during all the procedure. The results show that maximum ESD could be from 0.9 to 2.9 Gy for the PA position and between 1.6 and 2.5 Gy for the lateral position. The average ESD was between 0.7 and 1.3 Gy for the PA position, and from 0.44 to 1.1 Gy for the lateral position in a therapeutic procedure.

Entrance surface dose in cerebral interventional radiology procedures

International Nuclear Information System (INIS)

Barrera-Rico, M.; López-Rendón, X.; Rivera-Ordóñez, C. E.; Gamboa-deBuen, I.

2012-01-01

At the Instituto Nacional de Neurología y Neurocirugía (INNN) diagnostic as well as therapeutic procedures of interventional radiology are carried out. Since the procedures can last from some minutes to several hours, the absorbed dose for the patient could increase dangerously. An investigation had begun in order to determine the entrance surface dose (ESD) using 25 thermoluminiscent dosimeters TLD-100 and 8 strips of 15 ×1 cm 2 of Gafchromic XR-QA2 film bound in a holder of 15×15 cm 2 in the posteroanterior (PA) and lateral (LAT) positions during all the procedure. The results show that maximum ESD could be from 0.9 to 2.9 Gy for the PA position and between 1.6 and 2.5 Gy for the lateral position. The average ESD was between 0.7 and 1.3 Gy for the PA position, and from 0.44 to 1.1 Gy for the lateral position in a therapeutic procedure.

32 CFR 14.3 - Policies and procedures.

Science.gov (United States)

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Policies and procedures. 14.3 Section 14.3... QUALIFICATION OF CIVILIAN DEFENSE COUNSEL § 14.3 Policies and procedures. (a) Application procedures. (1... the subject of any sanction or disciplinary action by any court, bar, or other competent governmental...

Policies and Strategies for the Decommissioning of Nuclear and Radiological Facilities

International Nuclear Information System (INIS)

2011-01-01

This publication presents the main elements of policies and strategies for decommissioning activities of nuclear and radiological facilities. It is intended to help in facilitating proper and systematic planning, and safe, timely and cost effective implementation of all decommissioning activities. The policy establishes the principles for decommissioning and the strategy contains the approaches for the implementation of the policy. The publication will be a useful guide for strategic planners, waste managers, operators of facilities under decommissioning, regulators and other stakeholders.

Merrill's Atlas of radiographic positions and radiologic procedures. Volumes 1-3. Sixth edition

International Nuclear Information System (INIS)

Ballinger, P.W.

1985-01-01

Merrill's Atlas describes and explains the routine and specialized radiologic procedures for all body systems. This edition thoroughly reorganized, updated and expanded. Volumes one and two describe all routine and flouroscopic procedures; and volume three describes more specialized areas in the profession

Radiological procedures: Quality criteria and dose optimisation: French status

International Nuclear Information System (INIS)

Grenier, Ph.; Marshall-Depommier, E.; Bourguignon, M.; Beauvais-March, H.; Valero, M.; Lacronique, J.F.; Frijal, G.

2001-01-01

The Council Directive 97/43/Euratom of June 30 1997 on health protection of individuals against the dangers of ionising radiation in relation to medical exposure has come into force on May, 13 th 2000. French health directorate has entrusted the 'Office de Protection contre les Rayonnements Ionisants (OPRI)' together with the 'Societe Francaise de Radiologie' (SFR) to implement article 6 related to radiological procedures, in order to bring into operation the principle of optimisation. The most frequent diagnostic radiology and interventional procedures (120 protocols) have been standardised in writing. Corresponding patient dosimetry has been determined from measurements on site, calculations and literature review. The criteria for optimisation have been highlighted for each protocols. With the help of the French Society of Medical Physicists (SFPM), measurements are being collected on a large scale in France. Then, knowing more precisely the patient dosimetry of each protocol, referral criteria will be reviewed and prioritised to implement the principle of justification. The authors will present and explain the chosen methodology (methodology of the Accreditation and Evaluation in Health Agency: ANAES) for completing this two years workload program, and will demonstrate clinical examples as well. (author)

Endoscopy versus radiology in post-procedural monitoring after peroral endoscopic myotomy (POEM).

Science.gov (United States)

Nast, Jan Friso; Berliner, Christoph; Rösch, Thomas; von Renteln, Daniel; Noder, Tania; Schachschal, Guido; Groth, Stefan; Ittrich, Harald; Kersten, Jan F; Adam, Gerhard; Werner, Yuki B

2018-03-15

The newly developed technique of peroral endoscopic myotomy (POEM) has been shown to be effective in several short- and mid-term studies. Limited information is available about the adequacy of immediate post-POEM monitoring tests. POEM was performed under general anesthesia in 228 patients (59.6% male, mean age 45.6 ± 15.5 years). Post-procedural checks comprised clinical and laboratory examination, and, during post-procedure days 1-5, endoscopy and-in the first 114 cases-radiologic examination using water-soluble contrast (1st group); the remaining patients underwent post-procedure controls without radiology (2nd group). Main outcome was value of endoscopic compared to radiologic control for recognition of early adverse events. In the first group, routine fluoroscopic contrast swallow suggested minor leakages at the mucosal entry site in two cases which was confirmed endoscopically in only one. Endoscopy revealed two minor entry site leakages and, in six additional cases, dislocated clips without leakage (overall 5.3%). All eight patients underwent reclipping and healed without clinical sequelae. In the 2nd group, endoscopy showed 5 clip dislocations (all reclipped) and one ischemic cardiac perforation in a patient with clinical deterioration on post-POEM day 1 who had to undergo surgery after confirmation of leakage by CT. Radiologic monitoring (contrast swallow) after POEM is not useful and can be omitted. Even routine endoscopic monitoring for detection and closure of minor defects of the mucosal entry site yields limited information with regards to final outcome; major complications are very rare and probably associated with clinical deterioration. Clinical Trials Gov Registration number of the main study: NCT01405417.

Dosimetry in Interventional Radiology - Effective Dose Estimation

International Nuclear Information System (INIS)

Miljanic, S.; Buls, N.; Clerinx, P.; Jarvinen, H.; Nikodemova, D.; Ranogajec-Komor, M; D'Errico, F.

2008-01-01

Interventional radiological procedures can lead to significant radiation doses to patients and to staff members. In order to evaluate the personal doses with respect to the regulatory dose limits, doses measured by dosimeters have to be converted to effective doses (E). Measurement of personal dose equivalent Hp(10) using a single unshielded dosimeter above the lead apron can lead to significant overestimation of the effective dose, while the measurement with dosimeter under the apron can lead to underestimation. To improve the accuracy, measurements with two dosimeters, one above and the other under the apron have been suggested ( d ouble dosimetry ) . The ICRP has recommended that interventional radiology departments develop a policy that staff should wear two dosimeters. The aim of this study was to review the double dosimetry algorithms for the calculation of effective dose in high dose interventional radiology procedures. The results will be used to develop general guidelines for personal dosimetry in interventional radiology procedures. This work has been carried out by Working Group 9 (Radiation protection dosimetry of medical staff) of the CONRAD project, which is a Coordination Action supported by the European Commission within its 6th Framework Program.(author)

Use of Low-Fidelity Simulation Laboratory Training for Teaching Radiology Residents CT-Guided Procedures.

Science.gov (United States)

Picard, Melissa; Nelson, Rachel; Roebel, John; Collins, Heather; Anderson, M Bret

2016-11-01

To determine the benefit of the addition of low-fidelity simulation-based training to the standard didactic-based training in teaching radiology residents common CT-guided procedures. This was a prospective study involving 24 radiology residents across all years in a university program. All residents underwent standard didactic lecture followed by low-fidelity simulation-based training on three common CT-guided procedures: random liver biopsy, lung nodule biopsy, and drain placement. Baseline knowledge, confidence, and performance assessments were obtained after the didactic session and before the simulation training session. Approximately 2 months later, all residents participated in a simulation-based training session covering all three of these procedures. Knowledge, confidence, and performance data were obtained afterward. These assessments covered topics related to preprocedure workup, intraprocedure steps, and postprocedure management. Knowledge data were collected based on a 15-question assessment. Confidence data were obtained based on a 5-point Likert-like scale. Performance data were obtained based on successful completion of predefined critical steps. There was significant improvement in knowledge (P = .005), confidence (P simulation-based training to the standard didactic curriculum for all procedures. This study suggests that the addition of low-fidelity simulation-based training to a standard didactic-based curriculum is beneficial in improving resident knowledge, confidence, and tested performance of common CT-guided procedures. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Variability in the Use of Simulation for Procedural Training in Radiology Residency: Opportunities for Improvement.

Science.gov (United States)

Matalon, Shanna A; Chikarmane, Sona A; Yeh, Eren D; Smith, Stacy E; Mayo-Smith, William W; Giess, Catherine S

2018-03-19

Increased attention to quality and safety has led to a re-evaluation of the classic apprenticeship model for procedural training. Many have proposed simulation as a supplementary teaching tool. The purpose of this study was to assess radiology resident exposure to procedural training and procedural simulation. An IRB-exempt online survey was distributed to current radiology residents in the United States by e-mail. Survey results were summarized using frequency and percentages. Chi-square tests were used for statistical analysis where appropriate. A total of 353 current residents completed the survey. 37% (n = 129/353) of respondents had never used procedure simulation. Of the residents who had used simulation, most did not do so until after having already performed procedures on patients (59%, n = 132/223). The presence of a dedicated simulation center was reported by over half of residents (56%, n = 196/353) and was associated with prior simulation experience (P = 0.007). Residents who had not had procedural simulation were somewhat likely or highly likely (3 and 4 on a 4-point Likert-scale) to participate if it were available (81%, n = 104/129). Simulation training was associated with higher comfort levels in performing procedures (P simulation training is associated with higher comfort levels when performing procedures, there is variable use in radiology resident training and its use is not currently optimized. Given the increased emphasis on patient safety, these results suggest the need to increase procedural simulation use during residency, including an earlier introduction to simulation before patient exposure. Copyright © 2018 Elsevier Inc. All rights reserved.

Determining and managing fetal radiation dose from diagnostic radiology procedures in Turkey

International Nuclear Information System (INIS)

Ozbayrak, Mustafa; Cavdar, Iffet; Seven, Mehmet; Uslu, Lebriz; Yeyin, Nami; Tanyildizi, Handan; Abuqbeitah, Mohammad; Acikgoz, A. Serdar; Tuten, Abdullah; Demir, Mustafa

2015-01-01

We intended to calculate approximate fetal doses in pregnant women who underwent diagnostic radiology procedures and to evaluate the safety of their pregnancies. We contacted hospitals in different cities in Turkey where requests for fetal dose calculation are usually sent. Fetal radiation exposure was calculated for 304 cases in 218 pregnant women with gestational ages ranging from 5 days to 19 weeks, 2 days. FetDose software (ver. 4.0) was used in fetal dose calculations for radiographic and computed tomography (CT) procedures. The body was divided into three zones according to distance from the fetus. The first zone consisted of the head area, the lower extremities below the knee, and the upper extremities; the second consisted of the cervicothoracic region and upper thighs; and the third consisted of the abdominopelvic area. Fetal doses from radiologic procedures between zones were compared using the Kruskal-Wallis test and a Bonferroni-corrected Mann-Whitney U-test. The average fetal doses from radiography and CT in the first zone were 0.05 ± 0.01 mGy and 0.81 ± 0.04 mGy, respectively; 0.21 ± 0.05 mGy and 1.77 ± 0.22 mGy, respectively, in the second zone; and 6.42 ± 0.82 mGy and 22.94 ± 1.28 mGy, respectively, in the third zone (p < 0.001). Our results showed that fetal radiation exposures in our group of pregnant women did not reach the level (50 mGy) that is known to increase risk for congenital anomalies. Fetal radiation exposure in the diagnostic radiology procedures in our study did not reach risk levels that might have indicated abortion

Determining and managing fetal radiation dose from diagnostic radiology procedures in Turkey

Energy Technology Data Exchange (ETDEWEB)

Ozbayrak, Mustafa; Cavdar, Iffet; Seven, Mehmet; Uslu, Lebriz; Yeyin, Nami; Tanyildizi, Handan; Abuqbeitah, Mohammad; Acikgoz, A. Serdar; Tuten, Abdullah; Demir, Mustafa [Istanbul University, Istanbul (Turkmenistan)

2015-12-15

We intended to calculate approximate fetal doses in pregnant women who underwent diagnostic radiology procedures and to evaluate the safety of their pregnancies. We contacted hospitals in different cities in Turkey where requests for fetal dose calculation are usually sent. Fetal radiation exposure was calculated for 304 cases in 218 pregnant women with gestational ages ranging from 5 days to 19 weeks, 2 days. FetDose software (ver. 4.0) was used in fetal dose calculations for radiographic and computed tomography (CT) procedures. The body was divided into three zones according to distance from the fetus. The first zone consisted of the head area, the lower extremities below the knee, and the upper extremities; the second consisted of the cervicothoracic region and upper thighs; and the third consisted of the abdominopelvic area. Fetal doses from radiologic procedures between zones were compared using the Kruskal-Wallis test and a Bonferroni-corrected Mann-Whitney U-test. The average fetal doses from radiography and CT in the first zone were 0.05 ± 0.01 mGy and 0.81 ± 0.04 mGy, respectively; 0.21 ± 0.05 mGy and 1.77 ± 0.22 mGy, respectively, in the second zone; and 6.42 ± 0.82 mGy and 22.94 ± 1.28 mGy, respectively, in the third zone (p < 0.001). Our results showed that fetal radiation exposures in our group of pregnant women did not reach the level (50 mGy) that is known to increase risk for congenital anomalies. Fetal radiation exposure in the diagnostic radiology procedures in our study did not reach risk levels that might have indicated abortion.

Procedures manual for the ORNL Radiological Survey Activities (RASA) Program

International Nuclear Information System (INIS)

Myrick, T.E.; Berven, B.A.; Cottrell, W.D.; Goldsmith, W.A.; Haywood, F.F.

1987-04-01

The portion of the radiological survey program performed by ORNL is the subject of this Procedures Manual. The RASA group of the Health and Safety Research Division (HASRD) at ORNL is responsible for the planning, conducting, and reporting of the results of radiological surveys at specified sites and associated vicinity properties. The results of these surveys are used by DOE in determining the need for and extent of remedial actions. Upon completion of the necessary remedial actions, the ORNL-RASA group or other OOS contractor may be called upon to verify the effectiveness of the remedial action. Information from these postremedial action surveys is included as part of the data base used by DOE in certifying a site for unrestricted use

Procedures manual for the ORNL Radiological Survey Activities (RASA) Program

Energy Technology Data Exchange (ETDEWEB)

Myrick, T.E.; Berven, B.A.; Cottrell, W.D.; Goldsmith, W.A.; Haywood, F.F.

1987-04-01

The portion of the radiological survey program performed by ORNL is the subject of this Procedures Manual. The RASA group of the Health and Safety Research Division (HASRD) at ORNL is responsible for the planning, conducting, and reporting of the results of radiological surveys at specified sites and associated vicinity properties. The results of these surveys are used by DOE in determining the need for and extent of remedial actions. Upon completion of the necessary remedial actions, the ORNL-RASA group or other OOS contractor may be called upon to verify the effectiveness of the remedial action. Information from these postremedial action surveys is included as part of the data base used by DOE in certifying a site for unrestricted use.

Acquisition Policy and Procedures Program

National Research Council Canada - National Science Library

2001-01-01

This Instruction establishes policies, responsibilities, and procedures for the procurement of goods and services to include supplies, equipment, publications, furniture, and information technology...

Education and training in radiological protection for diagnostic and interventional procedures ICRP 113 in brief

International Nuclear Information System (INIS)

Salama, S.; Gomaa, M. A.; Alshoufi, J.H.

2013-01-01

The international commission on radiological protection (ICRP) is the primary body in protection against ionizing radiation. Among its latest publication is ICRP publication 113 e ducation and training in radiological protection for diagnostic and interventional procedures . This document introduces diagnostic and interventional medical procedures using ionizing radiations in deep details. The document is approved by the commission in October 2010 and translated into Arabic at December 2011. This work is a continuation of the efforts series to translate some of the most important of the radiological protection references into the Arabic; aiming to maximize the benefit. The previous translation include WHO handbook on indoor radon: a public health perspective, issued by world health organization 2009 and Radiation Protection in Medicine, ICRP Publication 105 2007 that translated into Arabic with support of Arab atomic energy authority at 2011.

Radiological management of patients with urinary obstruction following urinary diversion procedures: technical factors, complications, long-term management and outcome. Experience with 378 procedures.

LENUS (Irish Health Repository)

Maher, M M

2012-02-03

We aimed to assess management by interventional radiology techniques of patients with urinary diversion procedures (UD) complicated by urinary obstruction (UO). A 12-year electronic database of interventional cases was searched for urinary access in patients with UD. Patients\\' records were assessed for aetiology of obstruction, indication for procedure, types of interventional radiology, complications and outcome. Management issues included frequency of visits for catheter care, type of catheter placement and technical problems associated with catheter maintenance. Three hundred and seventy eight procedures were carried out in 25 patients (mean age 70 years; Male : Female ratio 13:12). Indications for UD were malignancy (n = 22) and neuropathic bladder (n = 3). UD included ileal conduits (n = 17), cutaneous ureterostomy (n = 3 (2 patients)) and sigmoid colon urinary conduit (n = 6). In most patients, catheters were placed antegradely through nephrostomy tract, but subsequent access was through the UD. Twenty of 25 patients had unilateral stents where as 5 had bilateral stents (8-10- Fr pigtail catheters (20-45 cm in length)). The mean number of procedures including catheter changes was 15 +\\/- 4 per patient and 331 of 378 procedures (87 %) were carried out as outpatients. Since catheter placement, 11 patients required hospital admission on 22 occasions for catheter-related complications. Ureteric strictures in patients with UD can be successfully managed by interventional radiology.

Radiological protection in interventional radiology

International Nuclear Information System (INIS)

Padovani, R.

2001-01-01

Interventional radiology (IR) reduces the need for many traditional interventions, particularly surgery, so reducing the discomfort and risk for patients compared with traditional systems. IR procedures are frequently performed by non-radiologist physicians, often without the proper radiological equipment and sufficient knowledge of radiation protection. Levels of doses to patients and staff in IR vary enormously. A poor correlation exists between patient and staff dose, and large variations of dose are reported for the same procedure. The occurrence of deterministic effects in patients is another peculiar aspect of IR owing to the potentially high skin doses of some procedures. The paper reviews the use of IR and the radiological protection of patients and staff, and examines the need for new standards for IR equipment and the training of personnel. (author)

2 CFR 3185.30 - What policies and procedures must I follow?

Science.gov (United States)

2010-01-01

... INSTITUTE OF MUSEUM AND LIBRARY SERVICES NONPROCUREMENT DEBARMENT AND SUSPENSION § 3185.30 What policies and procedures must I follow? The IMLS policies and procedures that you must follow are the policies and... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false What policies and procedures must I follow...

Optimization of Radiological Protection in Pediatric Patients Undergoing Common Conventional Radiological Procedures: Effectiveness of Increasing the Film to Focus Distance (FFD

Directory of Open Access Journals (Sweden)

Vahid Karami

2017-04-01

Full Text Available Background Increasing the x-ray film to focus distance (FFD, has been recommended as a practical dose optimization tool for patients undergoing conventional radiological procedures. In the previous study, we demonstrated a 32% reduction in absorbed dose is achievable due to increasing the FFD from 100 to 130 cm during pediatric chest radiography. The aim of this study was to examine whether increasing the FFD from 100 to 130 cm is equally effective for other common radiological procedures and performing a literature review of published studies to address the feasibility and probable limitations against implementing this optimization tool in clinical practice. Materials and Methods Radiographic examination of the pelvis (AP view, abdomen (AP view, skull (AP and lateral view, and spine (AP and lateral view, were taken of pediatric patients. The radiation dose and image quality of a radiological procedure is measured in FFD of 100 cm (reference FFD and 130 cm (increased FFD. The thermo-luminescent dosimeters (TLD were used for radiation dose measurements and visual grading analysis (VGA for image quality assessments. Results: Statistically significant reduction in the ESD ranged from 21.91% for the lateral skull projection to 35.24% for the lateral spine projection was obtained, when the FFD was increased from 100 to 130 cm (P0.05. Conclusion Increasing the FFD from 100 to 130 cm has significantly reduced radiation exposure without affecting on image quality. Our findings are commensurate with the literatures and emphasized that radiographers should learn to use of an updated reference FFD of 130 cm in clinical practice.

Needle stick injury in a radiology department: a decade analysis

International Nuclear Information System (INIS)

Sayani, R.; Rajani, A.

2012-01-01

Objectives: To determine the frequency of needle stick injury in health care workers of radiology department. Study type, settings and duration: Cross sectional, observational study conducted at the Radiology department of Aga Khan University hospital from January 2000 to May 2010. Subject and Methods: All self-reported needle stick injuries data of Health care workers of radiology department was recorded. The personnel involved (Radiologist, resident, radiographer, nurses etc), area of working and the causes of injury were identified including the procedural or post procedural details. Patient's status of hepatitis or blood borne infection was also noted. Data was recorded and analyzed in Excel worksheet. Results: A total of 55 health workers reported needle stick injuries at all sections of radiology departments with maximum number needle stick injuries at general radiography, fluoroscopy and IVP section. Radiographers and radiology residents received the maximum number of injuries. Major cause of injury was cannulation however, many injuries occurred during disposing or handling of bin. In majority of cases the patients were not infected with any known blood borne infections. Conclusions: Doctors and nurses get needle-stick injuries while carrying out clinical procedures, while, ancillary staff get infected post procedure during disposal of garbage. Policy message: Good occupational health and safety practices must be promoted to all staff. Safer disposal of needles is an important area where practice and procedure needs to be carefully reviewed. It is necessary to undertake a risk assessment, to offer counseling and Post Exposure Prophylaxis and treatment where necessary. (author)

Information security policies and procedures a practitioner's reference

CERN Document Server

Peltier, Thomas R

2004-01-01

INFORMATION SECURITY POLICIES AND PROCEDURES Introduction Corporate Policies Organizationwide (Tier 1) Policies Organizationwide Policy Document Legal Requirements Duty of Loyalty Duty of Care Other Laws and Regulations Business Requirements Where to Begin? Summary Why Manage This Process as a Project? Introduction First Things First: Identify the Sponsor Defining the Scope of Work Time Management Cost Management Planning for Quality Managing Human Resources Creating a Communications Plan Summary Planning and Preparation Introduction Objectives of Policies, Stand

A real-time haptic interface for interventional radiology procedures.

Science.gov (United States)

Moix, Thomas; Ilic, Dejan; Fracheboud, Blaise; Zoethout, Jurjen; Bleuler, Hannes

2005-01-01

Interventional Radiology (IR) is a minimally-invasive surgery technique (MIS) where guidewires and catheters are steered in the vascular system under X-ray imaging. In order to perform these procedures, a radiologist has to be correctly trained to master hand-eye coordination, instrument manipulation and procedure protocols. This paper proposes a computer-assisted training environment dedicated to IR. The system is composed of a virtual reality (VR) simulation of the anatomy of the patient linked to a robotic interface providing haptic force feedback.The paper focuses on the requirements, design and prototyping of a specific part of the haptic interface dedicated to catheters. Translational tracking and force feedback on the catheter is provided by two cylinders forming a friction drive arrangement. The whole friction can be set in rotation with an additional motor providing torque feedback. A force and a torque sensor are integrated in the cylinders for direct measurement on the catheter enabling disturbance cancellation with a close-loop force control strategy.

Radiation control standards and procedures

Energy Technology Data Exchange (ETDEWEB)

1956-12-14

This manual contains the Radiation Control Standards'' and Radiation Control Procedures'' at Hanford Operations which have been established to provide the necessary control radiation exposures within Irradiation Processing Department. Provision is also made for including, in the form of Bulletins'', other radiological information of general interest to IPD personnel. The purpose of the standards is to establish firm radiological limits within which the Irradiation Processing Department will operate, and to outline our radiation control program in sufficient detail to insure uniform and consistent application throughout all IPD facilities. Radiation Control Procedures are intended to prescribe the best method of accomplishing an objective within the limitations of the Radiation Control Standards. A procedure may be changed at any time provided the suggested changes is generally agreeable to management involved, and is consistent with department policies and the Radiation Control Standards.

15 CFR 291.6 - Additional requirements; Federal policies and procedures.

Science.gov (United States)

2010-01-01

... and Foreign Trade NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST... requirements; Federal policies and procedures. Recipients and subrecipients are subject to all Federal laws and Federal and Department of Commerce policies, regulations, and procedures applicable to Federal financial...

23 CFR 630.1106 - Policy and procedures for work zone safety management.

Science.gov (United States)

2010-04-01

... 23 Highways 1 2010-04-01 2010-04-01 false Policy and procedures for work zone safety management... Policy and procedures for work zone safety management. (a) Each agency's policy and processes, procedures, and/or guidance for the systematic consideration and management of work zone impacts, to be...

Estimating effective dose to pediatric patients undergoing interventional radiology procedures using anthropomorphic phantoms and MOSFET dosimeters.

Science.gov (United States)

Miksys, Nelson; Gordon, Christopher L; Thomas, Karen; Connolly, Bairbre L

2010-05-01

The purpose of this study was to estimate the effective doses received by pediatric patients during interventional radiology procedures and to present those doses in "look-up tables" standardized according to minute of fluoroscopy and frame of digital subtraction angiography (DSA). Organ doses were measured with metal oxide semiconductor field effect transistor (MOSFET) dosimeters inserted within three anthropomorphic phantoms, representing children at ages 1, 5, and 10 years, at locations corresponding to radiosensitive organs. The phantoms were exposed to mock interventional radiology procedures of the head, chest, and abdomen using posteroanterior and lateral geometries, varying magnification, and fluoroscopy or DSA exposures. Effective doses were calculated from organ doses recorded by the MOSFET dosimeters and are presented in look-up tables according to the different age groups. The largest effective dose burden for fluoroscopy was recorded for posteroanterior and lateral abdominal procedures (0.2-1.1 mSv/min of fluoroscopy), whereas procedures of the head resulted in the lowest effective doses (0.02-0.08 mSv/min of fluoroscopy). DSA exposures of the abdomen imparted higher doses (0.02-0.07 mSv/DSA frame) than did those involving the head and chest. Patient doses during interventional procedures vary significantly depending on the type of procedure. User-friendly look-up tables may provide a helpful tool for health care providers in estimating effective doses for an individual procedure.

The Ethics for Justification of Radiological Procedures

International Nuclear Information System (INIS)

Corbett, R.H.

2008-01-01

There has been a steady and continuing interest in ethical issues in radiation protection for a number of years. The International Radiation Protection Association (IRPA) has produced a Code of Ethics which was adopted at its last General assembly. Many RP Societies have similar Codes. However, the trend now is the application of ethics to more practical day to day matters. This paper will concentrate of the application of ethics in the field of Justification in Radiation Protection in Medicine. A description of basic ethical concepts will be given, together with some discussion of the application of ethics to the proposed new recommendations from the International Commission for Radiation Protection (ICRP). The paper will conclude with a more detailed discussion of the ethical process of requesting radiological procedures, particularly in line with European Commission Regulations (Directives) and how they can and should be applied locally. To assist participants, an extensive list of references is appended here

Patient-oriented presentation of results of radiological procedures using DICOM-compliant DVD media

Science.gov (United States)

Ratib, Osman M.; Aberle, Denise R.; Goldin, Jonathan G.; Lu, David S.; Dahlbom, Magdalena; McGill, D. Ric; McCoy, J. Michael

2003-05-01

Some institutions have adopted digital media such as CD ROMs to provide patients and referring physicians with results of radiological procedures. These systems require a computer to review the images and lack the supporting explanations and guidance for patients to properly understand the results. We developed a hybrid DVD encoding format that combines DICOM-compliant image storage format with video streams viewable on any consumer DVD players. The addition of the video material allows radiologists to provide explanations, disclaimers and guidance to the patients regarding the results of the study. The diagnostic report is also included on the DVD as a PDF file and as a set of video frames that can be viewed on a DVD player. The native high-resolution images are also included in DICOM format on the DVD and can be accessed by any workstation equipped with a DICOM viewer. The DVD that can be reviewed on any consumer DVD player overcomes the limitation of CD ROMS that require the use of a personal computer. The results of the radiological procedures become more accessible patients that could be reluctant or unable to use a computer. Also, live video clips add a more personalized note and allow radiologists to convey important messages to the patients. This is particularly useful for self-referred screening procedures where results should always be accompanied with education material and explanations of the findings.

Philosophy, policies, and procedures - The three P's of flight-deck operations

Science.gov (United States)

Degani, Asaf; Wiener, Earl L.

1991-01-01

Standard operating procedures are drafted and provided to flightcrews to dictate the manner in which tasks are carried out. Failure to conform to Standard Operating Procedures (SOP) is frequently listed as the cause of violations, incidents, and accidents. However, procedures are often designed piecemeal, rather than being based on a sound philosophy of operations and policies that follow from such a philosophy. A framework of philosophy, policies, and procedures is proposed.

Generic procedures for monitoring in a nuclear or radiological emergency

International Nuclear Information System (INIS)

2005-03-01

This book is a Japanese version of the International Atomic Energy Agency (IAEA) publication (Report No., IAEA-TECDOC-1092, published in Vienna, 1999) of the same title. The translation of the original English into Japanese was done by the Department of Dose Assessment, Research Center for Radiation Emergency Medicine, National Institute of Radiological Sciences (NIRS). Since the Department was organized in addition to the Emergency Medicine Dept. in the Center in 2003 to establish a system for rapid and accurate dose assessment at emergent radiation exposure, the translation is thus a result of the department works, and is published with permission by IAEA as one of a series of NIRS Report (NIRS-M--179) for use in the country. The book is essentially a manual for providing technical requirements and procedures for radiation monitoring, environmental sampling and laboratory analyses for a nuclear or other radiological emergency. The contents are: Introduction, Outline of monitoring, Monitoring of outdoor radiation and contamination, Outdoor sampling, Gross alpha/beta measurement, Gamma spectrometry, Activation analyses, Basic data assessment, Work-sheets, Check-list for measuring equipments, Appendices, References, and others. (S.I.)

Management and presentation of grouped procedures: has the IHE integration profile cracked the toughest radiology workflow nut?

Science.gov (United States)

Parisot, Charles R.; Channin, David S.; Avrin, David E.; Lindop, Christopher

2001-08-01

In a simple, typical radiology workflow process, an order generates a single procedure, which in turn generates a single data set, from which, one radiology report is generated. There are, however, occasions when a single order consists of more than one procedure each with a separate report, yet the procedures are accomplished by one physical acquisition of data. The prototypical example of this is the request for computed tomographic evaluation of the chest, abdomen and pelvis. The study is accomplished, with modern day scanners, by a single helical acquisition, yet there are typically three codable and billable procedures involved, and these may be reported independently either for administrative or academic reasons. This grouping of procedures remained up to now a challenge to automate across integrated modalities, PACS and RIS. This paper discusses a number of other practical cases where this situation occurs and reviews the capabilities of the Presentation of Grouped Procedures IHE Integration Profile in solving this problem. The DICOM services used are evaluated as well as the strengths and weaknesses of this IHE Integration Profile. The implementation experience gained on both a CT and an MR for the IHE Demonstration at RSNA 2000 and HIMSS 2001 is also reviewed. In conclusion, the resulting clinical and operational benefits are discussed.

Overview of double dosimetry procedures for the determination of the effective dose to the interventional radiology staff

International Nuclear Information System (INIS)

Jaervinen, H.; Buls, N.; Clerinx, P.; Jansen, J.; Miljanic, S.; Nikodemova, D.; Ranogajec-Komor, M.; D'Errico, F.

2008-01-01

In interventional radiology, for an accurate determination of effective dose to the staff, measurements with two dosemeters have been recommended, one located above and one under the protective apron. Such 'double dosimetry' practices and the algorithms used for the determination of effective dose were reviewed in this study by circulating a questionnaire and by an extensive literature search. The results indicated that regulations for double dosimetry almost do not exist and there is no firm consensus on the most suitable calculation algorithms. The calculation of effective dose is mainly based on the single dosemeter measurements, in which either personal dose equivalent, directly, (dosemeter below the apron) or a fraction of personal dose equivalent (dosemeter above the apron) is taken as an assessment of effective dose. The most recent studies suggest that there might not be just one double dosimetry algorithm that would be optimum for all interventional radiology procedures. Further investigations in several critical configurations of interventional radiology procedures are needed to assess the suitability of the proposed algorithms. (authors)

Bureau of radiological health compliance testing procedures for cabinet S-ray systems

International Nuclear Information System (INIS)

Miller, E.A.; Sprau, D.

1976-01-01

A manual has been developed by the Bureau of Radiological Health of the Food and Drug Administration to establish procedures for the routine field testing of cabinet x-ray systems to determine compliance with the Federal Performance Standard for Cabinet X-Ray Systems, 21 CFR 1020.40. The manual provides specific instructions for testing each model of cabinet x-ray system. Results from the inspection are recorded on a data from which is designed to permit automatic data processing

Handling of overexposed persons in radiological emergencies

International Nuclear Information System (INIS)

Estrada, E.

2000-01-01

The purpose of this standard procedure of the criteria in case of radiological emergencies is to describe the standard procedures used to define an radiological accident in terms of the doses received, and to describe the medical procedures for diagnoses and treatment of health hazards caused by external and internal irradiation in radiological emergencies

Sedation for pediatric radiological procedures: analysis of potential causes of sedation failure and paradoxical reactions

International Nuclear Information System (INIS)

Karian, V.E.; Burrows, P.E.; Connor, L.; Zurakowski, D.; Mason, K.P.

1999-01-01

Background. Sedation for diagnostic imaging and interventional radiologic procedures in pediatrics has greatly increased over the past decade. With appropriate patient selection and monitoring, serious adverse effects are infrequent, but failure to sedate and paradoxical reactions do occur. Objective. The purpose of this study was to determine, among patients undergoing sedation for radiologic procedures, the incidence of sedation failure and paradoxical reaction to pentobarbital and to identify potentially correctable causes. Materials and methods. Records of 1665 patients who were sedated in the radiology department from 1 November 1997 to 1 July 1998 were reviewed. Patients failing sedation or experiencing paradoxical reaction were compared with respect to sex, age group, diagnosis, scan type, time of day, NPO status, use of IV contrast and type of sedation agent using the Fisher exact test, Pearson chi-square, analysis of variance (ANOVA), the Student t-test, and logistic regression. Results. Data analysis revealed a sedation failure rate of 1 % and paradoxical reaction rate of 1.2 %. Stepwise multiple logistic regression revealed that the only significant independent multivariate predictor of failure was the need for the administration of a combination of pentobarbital, fentanyl, and midazolam IV. Conclusion. The low rate of sedation failure and paradoxical reactions to pentobarbital was near optimal and probably cannot be improved with the currently available sedatives. (orig.)

Sedation for pediatric radiological procedures: analysis of potential causes of sedation failure and paradoxical reactions

Energy Technology Data Exchange (ETDEWEB)

Karian, V.E.; Burrows, P.E.; Connor, L. [Dept. of Radiology, Children' s Hospital, Boston, MA (United States); Zurakowski, D. [Dept. of Biostatistics, Children' s Hospital, Boston, MA (United States); Mason, K.P. [Dept. of Anesthesiology, Children' s Hospital, Boston, MA (United States)

1999-11-01

Background. Sedation for diagnostic imaging and interventional radiologic procedures in pediatrics has greatly increased over the past decade. With appropriate patient selection and monitoring, serious adverse effects are infrequent, but failure to sedate and paradoxical reactions do occur. Objective. The purpose of this study was to determine, among patients undergoing sedation for radiologic procedures, the incidence of sedation failure and paradoxical reaction to pentobarbital and to identify potentially correctable causes. Materials and methods. Records of 1665 patients who were sedated in the radiology department from 1 November 1997 to 1 July 1998 were reviewed. Patients failing sedation or experiencing paradoxical reaction were compared with respect to sex, age group, diagnosis, scan type, time of day, NPO status, use of IV contrast and type of sedation agent using the Fisher exact test, Pearson chi-square, analysis of variance (ANOVA), the Student t-test, and logistic regression. Results. Data analysis revealed a sedation failure rate of 1 % and paradoxical reaction rate of 1.2 %. Stepwise multiple logistic regression revealed that the only significant independent multivariate predictor of failure was the need for the administration of a combination of pentobarbital, fentanyl, and midazolam IV. Conclusion. The low rate of sedation failure and paradoxical reactions to pentobarbital was near optimal and probably cannot be improved with the currently available sedatives. (orig.)

Generic procedures for monitoring in a nuclear or radiological emergency

International Nuclear Information System (INIS)

1999-06-01

One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately assess the need for protective actions. Protective action accident management must make use of the key relevant information available. Decision-making and accident assessment will be an iterative and dynamic process aimed at refining the initial evaluation as more detailed and complete information becomes available. Emergency monitoring is one of the main sources for obtaining needed information. This publication is in the scope of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Legal Series No. 14) under which the IAEA is authorized to assist a State Party or a Member State among other matters in developing appropriate radiation monitoring programmes, procedures and standards (Article 5). The scope of this manual is restricted to practical guidance for environmental and source monitoring during a nuclear or other radiological emergency. It does not address emergency response preparedness, nor does it cover the emergency management aspects of accident assessment. This manual is organised into sections relating to measurements in order of priority of a major reactor accident, namely: ambient gamma/beta dose rates from plume, ground deposition or source; radionuclide concentrations in air; deposition maps for 131 I and 137 Cs and other important radionuclides; radionuclide mix in deposition and radionuclide concentrations in food, drinking water and other samples. The introductory section provides an overview of the design of emergency monitoring and sampling programmes, monitoring teams and their qualifications and training, monitoring equipment and instrumentation, protective actions for emergency monitoring teams and quality assurance and quality control checks

42 CFR 50.403 - What is the policy basis for these procedures?

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false What is the policy basis for these procedures? 50.403 Section 50.403 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS POLICIES OF GENERAL APPLICABILITY Public Health Service Grant Appeals Procedure § 50.403 What is the policy...

Sensitivity of the diagnostic radiological index of protection to procedural factors in fluoroscopy

Energy Technology Data Exchange (ETDEWEB)

Jones, A. Kyle, E-mail: kyle.jones@mdanderson.org [Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 (United States); Pasciak, Alexander S. [Department of Radiology, The University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee 37922 (United States); Wagner, Louis K. [Department of Diagnostic and Interventional Imaging, The John P. and Katharine G. McGovern Medical School, Houston, Texas 77030 (United States)

2016-07-15

Purpose: To evaluate the sensitivity of the diagnostic radiological index of protection (DRIP), used to quantify the protective value of radioprotective garments, to procedural factors in fluoroscopy in an effort to determine an appropriate set of scatter-mimicking primary beams to be used in measuring the DRIP. Methods: Monte Carlo simulations were performed to determine the shape of the scattered x-ray spectra incident on the operator in different clinical fluoroscopy scenarios, including interventional radiology and interventional cardiology (IC). Two clinical simulations studied the sensitivity of the scattered spectrum to gantry angle and patient size, while technical factors were varied according to measured automatic dose rate control (ADRC) data. Factorial simulations studied the sensitivity of the scattered spectrum to gantry angle, field of view, patient size, and beam quality for constant technical factors. Average energy (E{sub avg}) was the figure of merit used to condense fluence in each energy bin to a single numerical index. Results: Beam quality had the strongest influence on the scattered spectrum in fluoroscopy. Many procedural factors affect the scattered spectrum indirectly through their effect on primary beam quality through ADRC, e.g., gantry angle and patient size. Lateral C-arm rotation, common in IC, increased the energy of the scattered spectrum, regardless of the direction of rotation. The effect of patient size on scattered radiation depended on ADRC characteristics, patient size, and procedure type. Conclusions: The scattered spectrum striking the operator in fluoroscopy is most strongly influenced by primary beam quality, particularly kV. Use cases for protective garments should be classified by typical procedural primary beam qualities, which are governed by the ADRC according to the impacts of patient size, anatomical location, and gantry angle.

Radiological survey activities: uranium mill tailings remedial action project procedures manual

International Nuclear Information System (INIS)

Little, C.A.; Berven, B.A.; Carter, T.E.

1986-07-01

The US Department of Energy (DOE) was assigned the responsibility for conducting remedial action at 24 sites, which are located in one eastern and nine western states. The DOE's responsibilities are being met through its Uranium Mill Tailings Remedial Action Project Office (UMTRA-PO) in Albuquerque, New Mexico. The purpose of this Procedures Manual is to provide a standardized set of procedures that document in an auditable manner the activities performed by the Radiological Survey Activities (RASA) group in the Dosimetry and Biophysical Transport Section (DABTS) of the Health and Safety Research Division (HASRD) at the Oak Ridge National Laboratory (ORNL), in its role as the Inclusion Survey Contractor (ISC). Members of the RASA group assigned to the UMTRA Project are headquartered in the ORNL/RASA office in Grand Junction, Colorado, and report to the ORNL/RASA Project Manager. The Procedures Manual ensures that the organizational, administrative, and technical activities of the RASA/UMTRA group conform properly to those of the ISC as described in the Vicinity Properties Management and Implementation Manual and the Summary Protocol. This manual also ensures that the techniques and procedures used by the RASA/UMTRA group and contractor personnel meet the requirements of applicable governmental, scientific, and industrial standards

General Employee Radiological Training and Radiological Worker Training: Program management manual

International Nuclear Information System (INIS)

1992-10-01

This manual defines and describes the DOE General Employee Radiological Training (GERT) and Radiological Worker I and II (RW I and II) Training programs. It includes material development requirements, standards and policies, and program administration. This manual applies to General Employee Radiological Training and Radiological Worker Training at all DOE contractor sites. The training materials of both GERT and RW I and II training reflect the requirements identified in the DOE Radiological Control Manual and DOE Order 5480.11. The training programs represent the minimum requirement for the standardized core materials. Each contractor shall implement the program in its entirety and may augment the standardized core materials to increase the general employee and radiological worker level of competency

Windscale inquiry and policy-making procedures

Energy Technology Data Exchange (ETDEWEB)

Von Moltke, K

1978-07-01

Policy decisions on the development and installation of nuclear facilities often strain both the time and human resources of a country, some countries having taken steps to involve the national government in specific siting decisions and shifting the constitutional balance in response to popular dissent. Challenges to nuclear facilities could be met by limiting the scope of intervenors and the use of judicial review. The 100-day Windscale Inquiry in the United Kingdom represents the most costly review any country has had of a specific nuclear policy and has international implications. A chronology of the inquiry illustrates how the debate evolved into a vote on whether nuclear energy should be developed at all and effectively cut off other avenues of recourse. The traditional procedures for planning are shown to be inadequate for setting nuclear energy policy without the intervention of Parliament. 18 references.

Attention for pediatric interventional radiology

International Nuclear Information System (INIS)

Zhu Ming; Cheng Yongde

2005-01-01

Radiological interventions possess wide utilization in the diagnosis and treatment for pediatric patients. Pediatric interventional radiology is an important branch of interventional radiology and also an important branch of pediatric radiology. Pediatric interventional radiology has grown substantially over the last 30 years, radiologists closely cooperation with surgeons and other physicians providing a new horizon in the management of pediatric diseases in western countries. It includes pediatric cardiac interventional radiology, pediatric neuro-interventional radiology, pediatric vascular interventional radiology, pediatric nonvascular interventional radiology, pediatric tumor interventional radiology and others. In the United States, every children hospital which owns two hundred beds has to have special trained interventional radiologists in radiologic department installing with advanced digital subtraction angiographic equipment. Interventional therapeutic procedures and diagnostic angiography have been proceeding more and more for the congenital and acquired diseases of children. The promising results give use uprising and interventional therapy as an alternative or a replacement or supplement to surgical operation. Pediatric interventional radiology is rather underdeveloped in China with a few special pediatric interventional radiologist, lack of digital subtraction angiography equipment. Pediatric radiologists have no enough field for interventional procedures such as pediatric neuro-interventional radiology and pediatric vascular interventional radiology. In the contrary adult interventional radiologists do have better interventional jobs in China and Pediatric cardiologists also share the same trend. They perform angiocardiography for congenital heart diseases and treat congenital heart disease with interventional procedures including balloon dilation of valves and vessels, coil embolization of collaterals, patent ducts and other arterial fistulae

Anesthesia for interventional radiology

International Nuclear Information System (INIS)

van Sonnenberg, E.; Casola, G.; Varney, R.R.; D'Agostino, H.B.; Zornow, M.; Mazzie, W.

1989-01-01

We recognized that the complexity and surgical nature of many interventional radiology procedures dictate essential radiologic involvement into traditional anesthesiologic areas. They reviewed our experience with a variety of interventional procedures to document complications and problems related to anesthetic use (or misuse) and compile recommendations for rational monitoring and control for these procedures. In particular, the authors have studied complications of drug therapies and the treatment of these complications; use of complex anesthesia procedures (e.g., epidural anesthesia, succinylcholine blockage); reasons for choice of drugs (e.g., fentanyl vs meperidine vs morphine); and medico-legal aspects of radiologist performing traditional anesthesiology-type procedures

Double dosimetry procedures for the determination of occupational effective dose in interventional radiology

International Nuclear Information System (INIS)

Jaervinen, H.; Buls, N.; Clerinx, P.; Miljanic, S.; Ranogajec-Komor, M.; Nikodemova, D.; D'Errico, F.

2008-01-01

Full text: In interventional radiology, for an accurate determination of occupational effective dose, measurements with two dosemeters ('double dosimetry', DD) have been recommended, one dosemeter located above and one under the protective apron. In this paper, based on an extensive literature search, the most recent algorithms developed for the determination of effective dose from the dosimeter readings have been compared for a few practical interventional procedures. Recommendations on the practices and algorithms are given on the basis of the results. For the comparison of algorithms, dosemeter readings and the effective dose were obtained both experimentally and by calculation. Further, data from published Monte Carlo calculations have been applied. The literature review has indicated that very few regulations for DD exist and the DD practices have not been harmonized. There is no firm consensus on the most suitable calculation algorithms. Single dosemeter (SD) measurements are still mostly used for the calculation of effective dose. Most DD and SD algorithms overestimate effective dose significantly, sometimes by over ten times. However, SD algorithms can significantly underestimate effective dose in certain interventional radiology conditions. Due to the possibility of underestimating effective dose, DD is generally recommended. The results suggest that there might not be a single DD algorithm which would be optimum for all interventional radiology procedures. However, the selection of a precise DD algorithm for each individual condition is not practical and compromises must be made. For accurate personnel dosimetry, the accuracy of the algorithm selected should be tested for typical local interventional radiology condition. Personnel dosemeters should be used in the recommended positions. The dosemeter above the apron should be on a collar and its reading also used to assess the risk of lens injuries. The dosemeter under the apron can be on the chest or

Interventional Radiology in Paediatrics.

Science.gov (United States)

Chippington, Samantha J; Goodwin, Susie J

2015-01-01

As in adult practice, there is a growing role for paediatric interventional radiology expertise in the management of paediatric pathologies. This review is targeted for clinicians who may refer their patients to paediatric interventional radiology services, or who are responsible for patients who are undergoing paediatric interventional radiology procedures. The article includes a brief overview of the indications for intervention, techniques involved and the commonest complications. Although some of the procedures described are most commonly performed in a tertiary paediatric centre, many are performed in most Children's hospitals.

Assessment of eye lens doses for workers during interventional radiology procedures

International Nuclear Information System (INIS)

Urboniene, A.; Sadzeviciene, E.; Ziliukas, J.

2015-01-01

The assessment of eye lens doses for workers during interventional radiology (IR) procedures was performed using a new eye lens dosemeter. In parallel, the results of routine individual monitoring were analysed and compared with the results obtained from measurements with a new eye lens dosemeter. The eye lens doses were assessed using H p (3) measured at the level of the eyes and were compared with H p (10) measured with the whole-body dosemeter above the lead collar. The information about use of protective measures, the number of performed interventional procedures per month and their fluoroscopy time was also collected. The assessment of doses to the lens of the eye was done for 50 IR workers at 9 Lithuanian hospitals for the period of 2012-2013. If the use of lead glasses is not taken into account, the estimated maximum annual dose equivalent to the lens of the eye was 82 mSv. (authors)

Proposed procedure and analysis of results to verify the indicator of the product dose-area in radiology equipment

International Nuclear Information System (INIS)

Garcia Marcos, R.; Gallego Franco, P.; Sierra Diaz, F.; Gonzalez Ruiz, C.; Rodriguez Checa, M.; Brasa Estevez, M.; Gomez Calvar, R.

2013-01-01

The aim of this work is to establish a procedure to verify the value of the product dose-area showing certain teams of Radiology, with an alternative to the use of external transmission cameras. (Author)

Contributions to the genetic and mean bone-marrow doses of the Australian population from radiological procedures

International Nuclear Information System (INIS)

Swindon, T.N.; Morris, N.D.

1980-06-01

The results of a national survey of radiological procedures used for diagnosis and therapy in medicine, dentistry and chiropracty are reviewed. Statistical data for the distribution and frequency of various procedures in Australian hospitals and practices are summarised, together with their associated radiation doses. Annual genetically significant and mean bone-marrow doses to the Australian population arising from these procedures are derived for the survey year of 1970. Values of 176 microgray and 651 microgray for the annual (per capita) genetic and mean bone-marrow doses respectively are reported. These compare closely with corresponding estimates in other countries with similar medical practices to those in Australia

12 CFR 609.930 - Policies and procedures.

Science.gov (United States)

2010-01-01

.... Before engaging in E-commerce, you must weigh its business risks against its benefits. You must also....930 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM ELECTRONIC COMMERCE Standards for Boards and Management § 609.930 Policies and procedures. The FCA supports E-commerce and wants to...

The management of post nuclear or radiological emergency situations in France

International Nuclear Information System (INIS)

Godet, Jean-Luc; Mehl-Auget, Isabelle; Johanna Fite

2008-01-01

For several years, public authorities have defined an organisation for the management of emergency situations arising from an accident occurring at a nuclear installation. So far, the management of the risk arising from the post accident step was, in itself, not explored with the same care. Whatsoever, no formal policy on which the action of public authority could be based is today available. The French Nuclear Safety Authority (ASN), in relation with the other concerned departments, is now in charge to prepare and implement the necessary provisions to respond to a post accident situation. In June 2005, ASN established the steering committee for the management of post nuclear or radiological emergency situations (CODIRPA). The definition of a national policy related to the management of the radiological risk during a post event situation has to integrate various organisation aspects such as: lifting of protection emergency provisions and rehabilitation of buildings, life in contaminated rural territories, agriculture and water, dose and radiological consequences, sanitary surveillance of victims and populations, indemnification, waste management of contaminated crops and soils, organisation of public Authorities. During the 2nd step of CODIRPA work (2008-2009), the first elements of policy will be consolidated and new scenarios will be studied (one worsened scenario and one scenario with alpha emitting radionuclide). In parallel, a procedure for local actor's consultation has just been launched. (author)

University Policies and Procedures on Sexual Harassment.

Science.gov (United States)

McIntyre, Jerilyn S.

Sexual harassment complaints are challenges to the abuse of power in certain kinds of communicative relationships, and sexual harassment policies and procedures are ways of defining the responsible exercise of power and providing the means to address grievances that result from irresponsible and potentially harmful uses of power in those…

Manual of use and accounting of radioactive material and procedures of radiological protection for nuclear medicine

International Nuclear Information System (INIS)

Chavez, Miguel

1997-03-01

This manual of use and accounting of material radioactive and procedures of radiological safety tries to facilitate workings of protection of material radioactive in services of medicine nuclear, during diagnosis (examinations with x-rays, or those that are made in nuclear medicine), or during the processing of diseases, mainly of the carcinomas (x-ray)

Dose evaluation in medical staff during diagnostics procedures in interventional radiology; Avaliacao da dose na equipe medica durante procedimentos diagnoticos de radiologia intervencionista

Energy Technology Data Exchange (ETDEWEB)

Bacchim Neto, Fernando A.; Alves, Allan F.F.; Rosa, Maria E.D.; Miranda, Jose R.A. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Instituto de Biociencias. Departamento de Fisica e Biofisica; Moura, Regina [Faculdade de Medicina de Botucatu, SP (Brazil). Departamento de Cirurgia e Ortopedia; Pina, Diana R., E-mail: bacchim@ibb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina. Departamento de Doencas Tropicais e Diagnostico por Imagem

2014-08-15

Studies show that personal dosimeters may underestimate the dose values in interventional physicians, especially in extremities and crystalline. The objective of this work was to study the radiation exposure levels of medical staff in diagnostic interventional radiology procedures. For this purpose LiF:Mg,Ti (TLD-100) dosimeters were placed in different regions of the physician body. When comparing with reference dose levels, the maximum numbers of annual procedures were found. This information is essential to ensure the radiological protection of those professionals. (author)

Evidence-based radiology: a new approach to evaluate the clinical practice of radiology

International Nuclear Information System (INIS)

Puig, S.; Felder-Puig, R.

2006-01-01

Over the last several years, the concept and methodology of evidence-based medicine (EBM) have received significant attention in the scientific community. However, compared to therapeutic medical disciplines, EBM-based radiological publications are still underrepresented. This article summarizes the principles of EBM and discusses the possibilities of their application in radiology. The presented topics include the critical appraisal of studies on the basis on EBM principles, the explanation of EBM-relevant statistical outcome parameters (e.g., ''likelihood ratio'' for diagnostic and ''number needed to treat'' for interventional procedures), as well as the problems facing evidence-based radiology. Evidence-based evaluation of radiological procedures does not only address aspects of cost-effectiveness, but is also particularly helpful in identifying patient-specific usefulness. Therefore it should become an integral part of radiologist training. (orig.)

Responding to Self-Harm: A Documentary Analysis of Agency Policy and Procedure

Science.gov (United States)

Paul, Sally; Hill, Malcolm

2013-01-01

This paper reports on the findings of a documentary analysis of policies and procedures relating to self-harm from a range of organisations working with young people in the UK. It identifies the extent to which policies and/or procedures relating to self-harm are available for service providers and offers a wider understanding of the concepts of…

Qualification guideline of the German X-ray association (DRG) und the German association for interventional radiology and minimal invasive therapy (DeGIR) for the performance of interventional-radiological minimal invasive procedures on arteries and veins

International Nuclear Information System (INIS)

Buecker, A.; Gross-Fengels, W.; Haage, P.; Huppert, P.; Landwehr, P.; Loose, R.; Reimer, P.; Tacke, J.; Vorwerk, D.; Fischer, J.

2012-01-01

The topics covered in the qualification guideline of the German X-ray association (DRG) und the German association for interventional radiology and minimal invasive therapy (DeGIR) for the performance of interventional-radiological minimal invasive procedures on arteries and veins are the following: Practical qualification: aorta iliac vessels and vessels in the upper and lower extremities, kidney and visceral arteries, head and neck arteries, dialysis shunts, veins and pulmonary arteries, aorta aneurysms and peripheral artery aneurysms. Knowledge acquisition concerning radiation protection: legal fundamentals, education and training, knowledge actualization and quality control, definition of the user and the procedure, competence preservation.

Academic medical libraries' policies and procedures for notifying library users of retracted scientific publications.

Science.gov (United States)

Hughes, C

1998-01-01

Academic medical libraries have a responsibility to inform library users regarding retracted publications. Many have created policies and procedures that identify flawed journal articles. A questionnaire was sent to the 129 academic medical libraries in the United States and Canada to find out how many had policies and procedures for identifying retracted publications. Of the returned questionnaires, 59% had no policy and no practice for calling the attention of the library user to retracted publications. Forty-one percent of the libraries called attention to retractions with or without a formal policy for doing so. Several responding libraries included their policy statement with the survey. The increasing number of academic medical libraries that realize the importance of having policies and practices in place highlights the necessity for this procedure.

12 CFR 616.6300 - Leasing policies, procedures, and underwriting standards.

Science.gov (United States)

2010-01-01

... property and associated risks; (e) Property tax and sales tax reporting; (f) Title and ownership of leased... engaged in lease underwriting must adopt a written policy (or policies). Management, at the direction of the board, must develop procedures that reflect lease practices that control risk and comply with all...

MyHealthAtVanderbilt: policies and procedures governing patient portal functionality

Science.gov (United States)

Rosenbloom, S Trent; Stenner, Shane P; Anders, Shilo; Muse, Sue; Johnson, Kevin B; Jirjis, Jim; Jackson, Gretchen Purcell

2011-01-01

Explicit guidelines are needed to develop safe and effective patient portals. This paper proposes general principles, policies, and procedures for patient portal functionality based on MyHealthAtVanderbilt (MHAV), a robust portal for Vanderbilt University Medical Center. We describe policies and procedures designed to govern popular portal functions, address common user concerns, and support adoption. We present the results of our approach as overall and function-specific usage data. Five years after implementation, MHAV has over 129 800 users; 45% have used bi-directional messaging; 52% have viewed test results and 45% have viewed other medical record data; 30% have accessed health education materials; 39% have scheduled appointments; and 29% have managed a medical bill. Our policies and procedures have supported widespread adoption and use of MHAV. We believe other healthcare organizations could employ our general guidelines and lessons learned to facilitate portal implementation and usage. PMID:21807648

Development of Policies, Institutions and Procedures for Water Reuse

Science.gov (United States)

Demouche, L.; Pfiefer, J.; Hanson, A.; Skaggs, R.

2009-12-01

In the arid, water scarce region of New Mexico and West Texas there is growing interest in the potential for water reuse to extend existing supplies and mitigate drought shortage impacts. There are no new sources of water in New Mexico, except reclaimed water. Communities and individuals are uncertain about and have many unanswered questions about polices, institutions involved (agencies), legal and regulatory requirements, and procedures governing water reuse. Issues to be addressed by this project include: the legal ability to reuse water, ownership of water rights, downstream or third party impacts, regulatory and procedural requirements, water quality concerns, state and local agency involvement, and cost effectiveness of water reuse compared to alternative sources. Presently, there is very little implementation or directives in New Mexico policy that addresses reuse, reclamation, or recycled water. The only regulations pertaining to reuse is New Mexico Environmental Department currently allows the use of reclaimed domestic wastewater for irrigation of golf courses and green spaces, which is listed in the Policy for the Above Ground Use of Reclaimed Domestic Wastewater (NMED, 2003). This document identifies the various reclaimed quality classifications that are required for specific applications and the permits required for application. This document does not identify or address policy applications on the distribution, ownership, or trading of reclaimed water. Even though reclaimed water reuse projects are currently being implemented in many cities in the U.S., mainly for commercial and municipal irrigation (golf courses and green space), its potential has not yet been exploited. A policy analysis matrix (PAM) is being designed to identify and examine the policy framework and consequences of non-policy implementation for decision makers and interest groups and assist them in understanding the consequences of policy actions and project outcomes if no laws or

32 CFR 168a.4 - Policy and procedures.

Science.gov (United States)

2010-07-01

... to pursue graduate degrees in science, engineering, or other fields of study that are designated, in... DEFENSE SCIENCE AND ENGINEERING GRADUATE FELLOWSHIPS § 168a.4 Policy and procedures. (a) Sponsoring... nationwide competition in which all appropriate actions have been taken to encourage applications from...

Risk of bleeding associated with interventional musculoskeletal radiology procedures. A comprehensive review of the literature

Energy Technology Data Exchange (ETDEWEB)

Foremny, Gregory B.; Jose, Jean; Subhawong, Ty K. [University of Miami Miller School of Medicine, Department of Radiology, Jackson Memorial Hospital, Miami, FL (United States); Pretell-Mazzini, Juan [University of Miami Miller School of Medicine, Department of Orthopaedic Surgery-Division of Musculoskeletal Oncology, Miami, FL (United States)

2015-05-01

This review compiles the current literature on the bleeding risks in common musculoskeletal interventional procedures and attempts to provide guidance for practicing radiologists in making decisions regarding the periprocedural management of patients on antithrombotic therapy. The practitioner must weigh the risk of bleeding if therapy is continued against the possibility a thromboembolic occurring if anticoagulation therapy is withheld or reversed. Unfortunately, there is little empirical data to guide evidence-based decisions for many musculoskeletal interventions. However, a review of the literature shows that for low-risk procedures, such as arthrograms/arthrocenteses or muscle/tendon sheath injections, bleeding risks are sufficiently small that anticoagulants and antiplatelet therapies need not be withheld. Additionally, relatively higher-risk procedures, such as needle biopsies of bone and soft tissue, may be safely performed without holding antithrombotic therapy, provided pre-procedural INR is within therapeutic range. Thus, while a patient's particular clinical circumstances should dictate optimal individualized management, anticoagulation alone is not a general contraindication to most interventional musculoskeletal radiology procedures. (orig.)

ICRP PUBLICATION 121: Radiological Protection in Paediatric Diagnostic and Interventional Radiology

International Nuclear Information System (INIS)

Khong, P-L.; Ringertz, H.; Donoghue, V.; Frush, D.; Rehani, M.; Appelgate, K.; Sanchez, R.

2013-01-01

Paediatric patients have a higher average risk of developing cancer compared with adults receiving the same dose. The longer life expectancy in children allows more time for any harmful effects of radiation to manifest, and developing organs and tissues are more sensitive to the effects of radiation. This publication aims to provide guiding principles of radiological protection for referring clinicians and clinical staff performing diagnostic imaging and interventional procedures for paediatric patients. It begins with a brief description of the basic concepts of radiological protection, followed by the general aspects of radiological protection, including principles of justification and optimisation. Guidelines and suggestions for radiological protection in specific modalities – radiography and fluoroscopy, interventional radiology, and computed tomography – are subsequently covered in depth. The report concludes with a summary and recommendations. The importance of rigorous justification of radiological procedures is emphasised for every procedure involving ionising radiation, and the use of imaging modalities that are non-ionising should always be considered. The basic aim of optimisation of radiological protection is to adjust imaging parameters and institute protective measures such that the required image is obtained with the lowest possible dose of radiation, and that net benefit is maximised to maintain sufficient quality for diagnostic interpretation. Special consideration should be given to the availability of dose reduction measures when purchasing new imaging equipment for paediatric use. One of the unique aspects of paediatric imaging is with regards to the wide range in patient size (and weight), therefore requiring special attention to optimisation and modification of equipment, technique, and imaging parameters. Examples of good radiographic and fluoroscopic technique include attention to patient positioning, field size and adequate collimation

31 CFR 206.3 - Billing policy and procedures.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Billing policy and procedures. 206.3 Section 206.3 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY RECEIPTS...

Comparison between a digital scanning system and a conventional screen film system in the full spine radiological procedure in pediatrics

International Nuclear Information System (INIS)

Espana, M. L.; Gomez, G.; Romero, A.; Minambres, A.; Albi, G.; Floriano, A.; Rodirguez, A.; Lopez Franco, P.

2004-01-01

To compare from both dosimetry and image quality standpoints, a digital scanning system with a conventional screen film system, in the full spine radiological procedure. The standard patient is considered to be 12 years old, and a sample of forty patients referred for full spine radiological procedure has been studied. Gonad shielding has been used in all the patients, and its efficiency has been evaluated. Dosimetric study includes Kerma-area product, and thorax and gonad entrance surface dose. Kerma area product has been measured using a transmission camera, and for entrance surface dose estimation both thermoluminescent dosemeter LiF: Mg, Cu, P and LiF: Mg, Ti have been utilized. Three radiologists have evaluated the image quality according to the degree of fulfilment of the image quality criteria. (Author) 22 refs

Routine use of radiologic investigations WHO recommendations

International Nuclear Information System (INIS)

Racoveanu, N.T.

1987-01-01

The concern for unjustified radiological investigations started in the early fifties when medical irradiation was recognized to be the major source of population exposure to man-made ionizing radiations. This continues to be of major concern to many national and international bodies when analyzing the data on x-ray investigations and attempting to develop measures to limit their use. The Commission of European Communities (CEC) has also been motivated by the same approach - the decrease of the population dose commitment - in the studies made on radiological mass screening within the Member States of the European Community presented at a Technical Workshop held on 4-5 December 1985 in Luxembourg. Although such an approach seems to be appealing to a very large number of people sensitive to the potential hazards represented by ionizing radiations for exposed individuals and their offspring, a number of other factors, with more direct implications for the health authorities, have been recognized in the last 10-15 years as major reasons for limiting the use of radiologic procedures. As such factors are fully recognized and endorsed by WHO policy, and expressed in WHO Technical Reports Nos 689 and 723, this presentation will take into consideration these factors and not the problem of patient and population protection, which is directly implied when the radiologic investigations are limited only to those clinically justified

Radiological optimization

International Nuclear Information System (INIS)

Zeevaert, T.

1998-01-01

Radiological optimization is one of the basic principles in each radiation-protection system and it is a basic requirement in the safety standards for radiation protection in the European Communities. The objectives of the research, performed in this field at the Belgian Nuclear Research Centre SCK-CEN, are: (1) to implement the ALARA principles in activities with radiological consequences; (2) to develop methodologies for optimization techniques in decision-aiding; (3) to optimize radiological assessment models by validation and intercomparison; (4) to improve methods to assess in real time the radiological hazards in the environment in case of an accident; (5) to develop methods and programmes to assist decision-makers during a nuclear emergency; (6) to support the policy of radioactive waste management authorities in the field of radiation protection; (7) to investigate existing software programmes in the domain of multi criteria analysis. The main achievements for 1997 are given

Introduction of low-osmolar contrast agents in radiology: medical, economic, legal, and public policy issues

International Nuclear Information System (INIS)

Jacobson, P.D.; Rosenquist, C.J.

1988-01-01

This case study of the public policy implications of introducing a new technology in radiology, namely, low-osmolar contrast media (LOCM), raises the issues of whether and how to place appropriate limits on new technologies. Although these contrast media represent small episodic costs, they may add up to an aggregate expenditure of nearly $1 billion per year if used for all contrast injections. As a result, this technology raises a number of important medical, economic, legal, and public policy questions. The cost-effectiveness analysis and an analysis of the medical evidence suggest that LOCM should be limited to high-risk patients. The authors discuss in this article how the legal system might respond to such limitations, and they consider various public policy options for adopting restrictions on use. They conclude that the medical profession should take the lead in developing protocols for appropriate assessment, reimbursement, and use of LOCM

[Regulating radiological protection and the role of health authorities].

Science.gov (United States)

Arias, César F

2006-01-01

This article summarizes the development of protection against ionizing radiation and explains current thinking in the field. It also looks at the decisive role that regulatory agencies for radiological protection must play and the important contributions that can be made by health authorities. The latter should take an active part in at least three aspects: the formal education of health personnel regarding radiological protection; the medical care of individuals who are accidentally overexposed, and the radiological protection of patients undergoing radiological procedures. To this end, health professionals must possess sufficient knowledge about radiological protection, promote the use of proper equipment, and apply the necessary quality assurance procedures. Through their effective intervention, national health authorities can greatly contribute to reducing unnecessary doses of radiation during medical procedures involving radiation sources and decrease the chances that radiological accidents will take place.

Radiological chronometry of uranium metal samples

International Nuclear Information System (INIS)

Meyers, L.A.; Stalcup, A.M.; Glover, S.E.; Spitz, H.B.; LaMont, S.P.

2014-01-01

Radiological chronometry is an important tool in nuclear forensics that uses several methods to determine the length of time that has elapsed since a material was last purified. One of the chronometers used in determining the age of metallic uranium involves measuring the fractional ingrowth of 230 Th from its parent 234 U with the assumption that the uranium metal contained no impurities, especially thorium, when it was purified. The affects of different etching procedures were evaluated for the removal of surface oxidation with three different types of uranium metal samples to determine whether the etching procedure affects the radiological age. The sample treated with a rigorous etching procedure had exhibited the most reliable radiological age while less rigorous etching yields a radiological age from 15 years to hundreds of years older than the known age. Any excess thorium on the surface of a uranium metal sample presents a bias in age determination and the sample will appear older than the true age. Although this research demonstrates the need for rigorous surface etching, a bias in the radiological age could have arisen if the uranium in the metal was heterogeneously distributed. (author)

Radiological assessment and optimization

International Nuclear Information System (INIS)

Zeevaert, T.; Sohier, A.

1998-01-01

The objectives of SCK-CEN's research in the field of radiological assessment and optimization are (1) to implement ALARA principles in activities with radiological consequences; (2) to develop methodologies for radiological optimization in decision-aiding; (3) to improve methods to assess in real time the radiological hazards in the environment in case of an accident; (4) to develop methods and programmes to assist decision-makers during a nuclear emergency; (5) to support the policy of radioactive waste management authorities in the field of radiation protection; (6) to investigate computer codes in the area of multi criteria analysis; (7) to organise courses on off-site emergency response to nuclear accidents. Main achievements in these areas for 1997 are summarised

Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic hospital: Results of a comprehensive survey.

Science.gov (United States)

Faggioni, Lorenzo; Paolicchi, Fabio; Bastiani, Luca; Guido, Davide; Caramella, Davide

2017-01-01

To evaluate the awareness of radiation protection issues and the knowledge of dose levels of imaging procedures among medical students, radiology residents, and radiography students at an academic hospital. A total of 159 young doctors and students (including 60 radiology residents, 56 medical students, and 43 radiography students) were issued a questionnaire consisting of 16 multiple choice questions divided into three separated sections (i.e., demographic data, awareness about radiation protection issues, and knowledge about radiation dose levels of common radiological examinations). Medical students claimed to have at least a good knowledge of radiation protection issues more frequently than radiology residents and radiography students (94.4% vs 55% and 35.7%, respectively; Pradiological procedures was significantly worse among medical students than radiology residents and radiography students (Pradiology residents as to knowledge of radiation protection issues (PRadiology residents, radiography students and medical students have a limited awareness about radiation protection, with a specific gap of knowledge concerning real radiation doses of daily radiological examinations. Both undergraduate and postgraduate teaching needs to be effectively implemented with radiation safety courses. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Arterial Injury Associated with Tension-Free Vaginal Tapes-SECUR Procedure Successfully Treated by Radiological Embolization

Directory of Open Access Journals (Sweden)

Yun Seok Jung

2010-12-01

Full Text Available Various postoperative complications have been reported after the use of tension-free vaginal tapes (TVT. The transobturator approach was introduced to minimize the potential complications. The next generation of recently introduced TVT-SECUR is intended to minimize the incidence of complications. Herein we report a case of internal pudendal artery injury sustained during this procedure that was successfully treated by radiological embolization. Angiography with vessel embolization, when available, should be considered when the arterial injury is suspected.

Radiological assessement of Crohn's disease

International Nuclear Information System (INIS)

Florio, F.; Palladino, M.; Stella, P.; Barbi, E.

1987-01-01

Fifty-eight consecutive cases of patients affected by Crohn's disease, with ileum (23/58), colon (10/58) and ileo-colic (25/58) involvement were studied. A good overall sensitivity was reached by the radiological procedures employed (barium meal, barium enema, enterclysis). Enterclysis is proposed as a second-step method for the study of ileum involvement, because it provides a quite precise assessement of disease stage and extent. Some criteria for a rational use of current radiological procedures in follow-up of both surgically and medically treated patients are proposed. Moreover it is suggested that better coordination of anatomo-radiological and clinical aspects could improve the therapeutic approach and prognostic judgement in such cases

Radioactive lightning rods: radiologic evaluation and regulatory policy related to its use in Cuba

International Nuclear Information System (INIS)

Lopez Forteza, Yamil; Quevedo Garcia, Jose R.; Diaz Guerra, Pedro I.; Cruz Dumenico, Gonzalez; Fuente Puch, Andres de la

2001-01-01

The radioactive lightning rod employment for the protection of facilities against atmospheric discharges reached its maximum splendor in the eighties. It was in fact at the end of this decade when the technical considerations related to the justification of this practice finally conclude that the production of such teams was abolished. For the regulatory authorities, however, it continues having validity the question related to the control of lightning rod still in use as well as the question related to the establishment of a coherent with the international practice national policy. The paper shows the results of the last 10 years of control of the radioactive lightning rod use in Cuba and the radiological evaluation carried out on the base of this experience. Lastly, it exposes the regulatory policy referred to the employment of the radioactive lightning rod in the country. (author)

Diagnostic and interventional radiology

Energy Technology Data Exchange (ETDEWEB)

Vogl, Thomas J. [Klinikum der Johann Wolfgang Goethe-Universitaet, Frankfurt am Main (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Reith, Wolfgang [Universitaetsklinikum des Saarlandes, Homburg/Saar (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie; Rummeny, Ernst J. (ed.) [Technische Univ. Muenchen Klinikum rechts der Isar, Muenchen (Germany). Inst. fuer Radiologie

2016-08-01

This exceptional book covers all aspects of diagnostic and interventional radiology within one volume, at a level appropriate for the specialist. From the basics through diagnosis to intervention: the reader will find a complete overview of all areas of radiology. The clear, uniform structure, with chapters organized according to organ system, facilitates the rapid retrieval of information. Features include: Presentation of the normal radiological anatomy Classification of the different imaging procedures according to their diagnostic relevance Imaging diagnosis with many reference images Precise description of the interventional options The inclusion of many instructive aids will be of particular value to novices in decision making: Important take home messages and summaries of key radiological findings smooth the path through the jungle of facts Numerous tables on differential diagnosis and typical findings in the most common diseases offer a rapid overview and orientation Diagnostic flow charts outline the sequence of diagnostic evaluation All standard procedures within the field of interventional radiology are presented in a clinically relevant and readily understandable way, with an abundance of illustrations. This is a textbook, atlas, and reference in one: with more than 2500 images for comparison with the reader's own findings. This comprehensive and totally up-to-date book provides a superb overview of everything that the radiology specialist of today needs to know.

Accreditation of professionals for radiological protection in medical and dental radiology at Minas Gerais, Brazil

International Nuclear Information System (INIS)

Silva, Teogenes A. da; Pereira, Elton G.; Alonso, Thessa C.; Guedes, Elton C.; Goncalves, Elaine C.; Nogueira, Maria Angela A.

2000-01-01

The role of the CDTN/CNEN as far as the radiological protection services in the medical and dental radiology has changed a lot due to the new Regulatory Directives. The CDTN/CNEN was recognized as the regional reference center for providing not only radiological survey services, but to coordinate an accreditation procedure for professional persons to be accepted by the State Regulatory Authorities to work at Minas Gerais. All the new activities were formalized in a Cooperation Agreement between the CDTN/CNEN and the Regulatory Authority. This paper describes the accreditation procedure for candidates, the adopted requirements, the intercomparison results among measuring instruments and the main achievements during the first year of the Agreement. (author)

Paediatric doses from diagnostic radiology in Victoria

International Nuclear Information System (INIS)

Boal, T.J.; Cardillo, I.; Einsiedel, P.F.

1998-01-01

This study examines doses to paediatric patients from diagnostic radiology. Measurements were made at 29 hospitals and private radiology practices in the state of Victoria. Entrance skin doses in air were measured for the exposure factors used by hospital radiology departments and private radiology practices for a standard size 1, 5, 10 and 15 year old child, for the following procedures: chest AP/PA, lat; abdomen AP; pelvis AP; lumbar spine AP, lat; and skull AP, lat. There was a large range of doses for each particular procedure and age group. Factors contributing to the range of doses were identified. Guidance levels for paediatric radiology based on the third quartile value of the skin entrance doses have been recommended and are compared with guidance levels. Copyright (1998) Australasian Physical and Engineering Sciences in Medicine

Evaluation of the conditions and practices of radiological protection technicians in radiology, according to Ordinance 453

International Nuclear Information System (INIS)

Costa, Rogerio Ferreira da

2013-01-01

Professionals in radiology suffer whole body exposure to low doses for long periods . The system of radiological protection should keep exposures below recommended thresholds, thus avoiding the stochastic effects that can be triggered with any dose level value, and there is not a threshold for induction of the same. Therefore it is important to use personal dosimeter for monitoring doses and protective equipment. The increase in procedures using ionizing radiation in recent years has been noted with concern, since many companies are not complying with the standards of protection. This is because some procedures may be performed without the need of surgery, which presents a greater risk to the patient. Furthermore, Brazilians are being exposed to radiation without necessity. The reasons range from radiological equipment miscalibrated to poorly trained staff. Thus we evaluate the conditions and practices of radiation protection technicians in radiology according to Ordinance 453 in Goiania, GO, Brazil. Through a descriptive survey with a quantitative approach, we used the technique of gathering information based on a questionnaire. From this survey, we identified the procedures used by radiation protection professionals and concluded that there are failures in the procedures for protecting patients and accompanying and in the training of the professionals. (author)

FDH radiological design review guidelines

International Nuclear Information System (INIS)

Millsap, W.J.

1998-01-01

These guidelines discuss in more detail the radiological design review process used by the Project Hanford Management Contractors as described in HNF-PRO-1622, Radiological Design Review Process. They are intended to supplement the procedure by providing background information on the design review process and providing a ready source of information to design reviewers. The guidelines are not intended to contain all the information in the procedure, but at points, in order to maintain continuity, they contain some of the same information

FDH radiological design review guidelines

Energy Technology Data Exchange (ETDEWEB)

Millsap, W.J.

1998-09-29

These guidelines discuss in more detail the radiological design review process used by the Project Hanford Management Contractors as described in HNF-PRO-1622, Radiological Design Review Process. They are intended to supplement the procedure by providing background information on the design review process and providing a ready source of information to design reviewers. The guidelines are not intended to contain all the information in the procedure, but at points, in order to maintain continuity, they contain some of the same information.

33 CFR 157.415 - Bridge resource management policy and procedures.

Science.gov (United States)

2010-07-01

... HOMELAND SECURITY (CONTINUED) POLLUTION RULES FOR THE PROTECTION OF THE MARINE ENVIRONMENT RELATING TO TANK... Petroleum Oils § 157.415 Bridge resource management policy and procedures. (a) Not later than February 1...

21 CFR 203.34 - Policies and procedures; administrative systems.

Science.gov (United States)

2010-04-01

... distribution security and audit system, including conducting random and for-cause audits of sales... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Policies and procedures; administrative systems...; administrative systems. Each manufacturer or authorized distributor of record that distributes drug samples shall...

Simple multicomponent batch distillation procedure with a variable reflux policy

Directory of Open Access Journals (Sweden)

A. N. García

2014-06-01

Full Text Available This paper describes a shortcut procedure for batch distillation simulation with a variable reflux policy. The procedure starts from a shortcut method developed by Sundaram and Evans in 1993 and uses an iterative cycle to calculate the reflux ratio at each moment. The functional relationship between the concentrations at the bottom and the dome is evaluated using the Fenske equation and is complemented with the equations proposed by Underwood and Gilliland. The results of this procedure are consistent with those obtained using a fast method widely validated in the relevant literature.

Radiological control technician: Training program management manual

International Nuclear Information System (INIS)

1992-10-01

This manual defines and describes the DOE Radiological Control Technician Core Training Program qualification and training process, material development requirements, standards and policies, and administration. The manual applies to Radiological Control Technician Training Programs at all DOE contractor sites

Optimization of Patient Doses in Interventional Radiology and Cardiology

International Nuclear Information System (INIS)

Nikodemova, D.; Boehm, K.

2011-01-01

Interventional radiology and cardiology belongs to the imaging modalities connected with significantly higher radiation exposure of patients and medical staff, compared to the exposure during other diagnostic procedures. The objective of this presentation is to promote typical technical parameters and parameters related to the radiation policy, used during the most frequent endovascular and cardiology procedures, as well as the monitoring of the exposure of patients. The presented study reports the results of collecting the data of monitoring doses received by 318 patients undergoing interventional examinations in 3 various departments of the Slovak National Institute of Cardiology and Vascular Diseases. There were 9 different endovascular and cardiology procedures reviewed. The reported patient's radiation exposures were established by using the KAP values, directly shown on the display of the X-ray equipment. From the measured KAP values the entrance surface doses were calculated. Equivalent doses have been measured on hands, legs and other parts of medical staff body, by using electronic dosimeters or thermoluminescent dosimeters. The presented results have covered a wide range of the measured fluoroscopy time values, different number of acquisitions used in various interventional procedures, various cumulated KAP values and also a wide range of the cumulated entrance surface doses. The occupational doses of the operators, followed during dose measurements on their left hands, covered the range from 0.1 μSv to 1513 μSv for one examination performed. The important contribution of the presented results to the radiation protection policy in the Slovak Republic is the mapping of the current situation of the radiation exposure of patients undergoing the chosen interventional examinations and the professional radiation exposure level of interventional operators, providing the most significant interventional procedures in the Slovak interventional hospitals. The

Occupational exposure in interventional radiology

International Nuclear Information System (INIS)

Oh, H.J.; Lee, K.Y.; Cha, S.H.; Kang, Y.K.; Kim, H.J.; Oh, H.J.

2003-01-01

This study was conducted to survey of radiation safety control and to measure occupational radiation exposure dose of staff in interventional radiology in Korea. Interventioanl radiology requires the operator and assisting personnel to remain close to the patient, and thus close to primary beams of radiation. Therefore exposure doses of these personnel are significant from a radiological protection point of view. We surveyed the status of radiation safety on interventional radiology of 72 hospitals. The result were that 119 radiation equipments are using in interventional radiology and 744 staffs are composed of 307 radiologists, 116 residents of radiology, 5 general physicians, 171 radiologic technologists and 145 nurses. 81.4% and 20.2 % of operating physicians are using neck collar protector and goggle respectively. The average radiation dose was measured 0.46±0.15 mSv/10 hours fluoroscopy inside examination room in radiation protection facilities. Occupational radiation exposure data on the staff were assessed in interventional radiology procedures from 8 interventional radiology equipments of 6 university hospitals. The dose measurements were made by placing a thermoluminesent dosimeter(TLD) on various body surface of operation and assistant staff during actual interventional radiology. The measured points were the corner of the eyes, neck(on the thyroid) , wrists, chest(outside and inside of the protector), and back. Average radiation equivalent dose of the corner of left eye and left wrist of operating physicians were 1.19 mSv(0.11∼4.13 mSv)/100 minutes fluoroscopy and 4.32 mSv(0.16∼11.0 mSv)/100 minutes fluoroscopy respectively. Average exposure dose may vary depending on the type of procedure, personal skills and the quality of equipment. These results will be contributed to prepare the guide line in interventional radiology in Korea

ODIN. Online Database Information Network: ODIN Policy & Procedure Manual.

Science.gov (United States)

Townley, Charles T.; And Others

Policies and procedures are outlined for the Online Database Information Network (ODIN), a cooperative of libraries in south-central Pennsylvania, which was organized to improve library services through technology. The first section covers organization and goals, members, and responsibilities of the administrative council and libraries. Patrons…

Characterization of a MOSkin detector for in vivo skin dose measurements during interventional radiology procedures

Energy Technology Data Exchange (ETDEWEB)

Safari, M. J.; Wong, J. H. D.; Ng, K. H., E-mail: ngkh@um.edu.my [Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia and University of Malaya Research Imaging Centre, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603 (Malaysia); Jong, W. L. [Clinical Oncology Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603 (Malaysia); Cutajar, D. L.; Rosenfeld, A. B. [Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW 2522 (Australia)

2015-05-15

Purpose: The MOSkin is a MOSFET detector designed especially for skin dose measurements. This detector has been characterized for various factors affecting its response for megavoltage photon beams and has been used for patient dose measurements during radiotherapy procedures. However, the characteristics of this detector in kilovoltage photon beams and low dose ranges have not been studied. The purpose of this study was to characterize the MOSkin detector to determine its suitability for in vivo entrance skin dose measurements during interventional radiology procedures. Methods: The calibration and reproducibility of the MOSkin detector and its dependency on different radiation beam qualities were carried out using RQR standard radiation qualities in free-in-air geometry. Studies of the other characterization parameters, such as the dose linearity and dependency on exposure angle, field size, frame rate, depth-dose, and source-to-surface distance (SSD), were carried out using a solid water phantom under a clinical x-ray unit. Results: The MOSkin detector showed good reproducibility (94%) and dose linearity (99%) for the dose range of 2 to 213 cGy. The sensitivity did not significantly change with the variation of SSD (±1%), field size (±1%), frame rate (±3%), or beam energy (±5%). The detector angular dependence was within ±5% over 360° and the dose recorded by the MOSkin detector in different depths of a solid water phantom was in good agreement with the Markus parallel plate ionization chamber to within ±3%. Conclusions: The MOSkin detector proved to be reliable when exposed to different field sizes, SSDs, depths in solid water, dose rates, frame rates, and radiation incident angles within a clinical x-ray beam. The MOSkin detector with water equivalent depth equal to 0.07 mm is a suitable detector for in vivo skin dosimetry during interventional radiology procedures.

Quality assurance in diagnostic radiology

International Nuclear Information System (INIS)

1982-01-01

The present guide endeavours to provide an outline of the type of quality assurance programme to be recommended for (1) routine implementation by those performing radiodiagnostic procedures (medical radiology technicians, medical physicists, and radiologists), (2) for application by the responsible national authorities, and (3) for use by international bodies such as the International Society of Radiology (ISR), the International Commission on Radiological Protection (ICRP), and the International Commission on Radiation Units and Measurements (ICRU)

42 CFR 482.26 - Condition of participation: Radiologic services.

Science.gov (United States)

2010-10-01

... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated as...

Postoperative radiology

International Nuclear Information System (INIS)

Burhenne, H.J.

1989-01-01

This paper reports on the importance of postoperative radiology. Most surgical procedures on the alimentary tract are successful, but postoperative complications remain a common occurrence. The radiologist must be familiar with a large variety of possible surgical complications, because it is this specialty that is most commonly called on to render a definitive diagnosis. The decision for reoperation, for instance, is usually based on results from radiologic imaging techniques. These now include ultrasonography, CT scanning, needle biopsy, and interventional techniques in addition to contrast studies and nuclear medicine investigation

Work history and radioprotection practices in relation to cancer incidence and mortality in US radiologic technologists performing nuclear medicine procedures.

Science.gov (United States)

Bernier, Marie Odile; Doody, Michele M; Van Dyke, Miriam E; Villoing, Daphné; Alexander, Bruce H; Linet, Martha S; Kitahara, Cari M

2018-05-02

Technologists working in nuclear medicine (NM) are exposed to higher radiation doses than most other occupationally exposed populations. The aim of this study was to estimate the risk of cancer in NM technologists in relation to work history, procedures performed and radioprotection practices. From the US Radiologic Technologists cohort study, 72 755 radiologic technologists who completed a 2003-2005 questionnaire were followed for cancer mortality through 31 December 2012 and for cancer incidence through completion of a questionnaire in 2012-2013. Multivariable-adjusted models were used to estimate HRs for total cancer incidence and mortality by history of ever performing NM procedures and frequency of performing specific diagnostic or therapeutic NM procedures and associated radiation protection measures by decade. During follow-up (mean=7.5 years), 960 incident cancers and 425 cancer deaths were reported among the 22 360 technologists who worked with NM procedures. We observed no increased risk of cancer incidence (HR 0.96, 95% CI 0.89 to 1.04) or death (HR 1.05, 95% CI 0.93 to 1.19) among workers who ever performed NM procedures. HRs for cancer incidence but not mortality were higher for technologists who began performing therapeutic procedures in 1960 and later compared with the 1950s. Frequency of performing diagnostic or therapeutic NM procedures and use of radioprotection measures were not consistently associated with cancer risk. No clear associations were observed for specific cancers, but results were based on small numbers. Cancer incidence and mortality were not associated with NM work history practices, including greater frequency of procedures performed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Radiation load of the extremities and eye lenses of the staff during selected interventional radiology procedures

International Nuclear Information System (INIS)

Nikodemova, Denisa; Trosanova, Dominika

2010-01-01

The Slovak Medical University in Bratislava is involved in the ORAMED (Optimization of Radiation Protection for Medical Staff) research project, aimed at developing a unified methodology for a more accurate assessment of professional exposure of interventional radiology staff, with focus on extremity and eye lens dosimetry in selected procedures. Three cardiac procedures and 5 angiography examinations were selected: all technical parameters were monitored and the dose equivalent levels were measured by TL dosimetry at 9 anatomic sites of the body. Preliminary results were obtained for the radiation burden of the eyes and extremities during digital subtraction angiography of the lower limbs, collected from 7 hospital departments in partner EU states. Correlations between the evaluated data and the influence of some parameters are shown

78 FR 69286 - Electric System Construction Policies and Procedures

Science.gov (United States)

2013-11-19

... DEPARTMENT OF AGRICULTURE Rural Utilities Service 7 CFR Part 1726 Electric System Construction Policies and Procedures CFR Correction In Title 7 of the Code of Federal Regulations, Parts 1600 to 1759, revised as of January 1, 2013, on page 246, in Sec. 1726.14, the second definition of Minor modification...

What constitutes a radiology radiation accident

International Nuclear Information System (INIS)

Wallace, A.; Edmonds, K.; Hayton, A.; Tingey, D.

2010-01-01

Full text: A review of the literature indicates a very small number of articles on radiology radiation accidents. This may be due to there being no agreed definition of the term 'accident' when applied to radiology incidents. As the intensity of X-ray beams and the functionality of various modalities increase there is a consequent development in procedures to which 'high dose' applications are required. We may therefore expect to see more incidents in future. How are we to manage them? Radiology radiation accidents are usually exemplified by deterministic skin burns which may take many weeks or months to become apparent and any procedure leading to a radiation induced fatality is difficult to prove. (author)

Estimation of absorbed dose and its biological effects in subjects undergoing neuro interventional radiological procedures

International Nuclear Information System (INIS)

Basheerudeen, Safa Abdul Syed; Subramanian, Vinodhini; Venkatachalam, Perumal; Joseph, Santosh; Selvam, Paneer; Jose, M.T.; Annalakshmi, O.

2016-01-01

Radiological imaging has many applications due to its non-invasiveness, rapid diagnosis of life threatening diseases, and shorter hospital stay which benefit patients of all age groups. However, these procedures are complicated and time consuming, which use repeated imaging views and radiation, thereby increasing patient dose, and collective effective dose to the background at low doses. The effects of high dose radiation are well established. However, the effects of low dose exposure remain to be determined. Therefore, investigating the effect on medically exposed individuals is an alternative source to understand the low dose effects of radiation. The ESD (Entrance Surface Dose) was recorded using Lithium borate based TL dosimeters to measure the doses received by the head, neck and shoulder of the study subjects (n = 70) who underwent procedures like cerebral angiography, coiling, stenting and embolization

Outpatient invasive radiologic procedures - Diagnostic and therapeutic

International Nuclear Information System (INIS)

Dublin, A.

1987-01-01

This book is a ''how-to'' book for radiologists who are planning to, or considering whether to establish outpatient practice in response to DRGs. It provides practical, expert advice on both the administrative and clinical sides of outpatient radiology. It focuses on the essentials of clinical practice in the outpatient setting - and how it differs from inpatient practice

Cardiovascular and interventional radiology

International Nuclear Information System (INIS)

White, R.I. Jr.

1985-01-01

A symposium of eight short but complete papers giving an overview of interventional radiology is presented. Organized by Dr. William Casarella, this symposium is certainly the most current review of the subject available. This year's cardiovascular section is again heavily weighted toward interventional radiology. Abrams and Doubilet's article on the underutilization of angioplasty is important because it describes the cost effectiveness of this method. Most health planners, right or wrong, have complained about overutilization of diagnostic radiology procedures. In general, the opposite is true for interventional procedures - they are underutilized. If the authors draw the attention of their hospital administrators to these approaches and also produce the data on long-term follow-up for our medical colleagues, interventional radiology may realize its full potential. Articles on cardiac magnetic resonance imaging are beginning to appear and this technique seems to have great potential. An important article, which is the first prospective study comparing lung scintigraphy and pulmonary angiography in the diagnosis of pulmonary embolism, supports the increased use of pulmonary angiography. Finally, an article on complications of percutaneous biliary drainage provokes some discussion of its value for routine preoperative use

Rational use of diagnostic radiology

International Nuclear Information System (INIS)

Racoveanu, N.T.; Volodin, V.

1992-01-01

Radiologists in USA and UK have since early 1970 questioned the efficacy of various radiological investigations and produced substantial evidence that more rational approaches are necessary. WHO initiated, in 1977, a programme which has issued four technical reports giving practical recommendations on how to rationalise the use of radiological examinations. Three main directions are considered: (1) Abandonment of routine radiological examinations, as procedures with no clinical or epidemiologic significance and which represent a waste of resources and patient dose. (2) Patient selection for various radiological investigations based on clinical criteria (high, intermediate, low yield). Selected patients have an increased prevalence of the given disease and the predictive value of radiological investigation is much higher. (3) Use of diagnostic algorithms with higher cost/efficiency and risk/benefit ratios, improving the outcome of radiological examinations. (author)

Textbook of radiology

International Nuclear Information System (INIS)

Putman, C.E.; Ravin, C.E.

1987-01-01

This book is presented in two volumes, standard textbook of imaging, conclusive and totally up-to-date. This provides information organized by major topics covering the state-of-the-art for all imaging procedures. The volume 1 presents radiologic physics and technology by discussing roentgenography, ultrasound, CT, nuclear medicine, MRI, and positron emission tomography. The volume 2 studies pulmonary radiology, imaging of the skeletal and central nervous systems, uroradiology, abdominal and cardiac imaging, and imaging of the pelvis

Physical and cognitive task analysis in interventional radiology

Energy Technology Data Exchange (ETDEWEB)

Johnson, S [School of Psychology, University of Liverpool, Liverpool (United Kingdom); Healey, A [Royal Liverpool University Hospital, Liverpool (United Kingdom); Evans, J [Royal Liverpool University Hospital, Liverpool (United Kingdom); Murphy, M [Royal Liverpool University Hospital, Liverpool (United Kingdom); Crawshaw, M [Department of Psychology, University of Hull, Hull (United Kingdom); Gould, D [Royal Liverpool University Hospital, Liverpool (United Kingdom)

2006-01-15

AIM: To identify, describe and detail the cognitive thought processes, decision-making, and physical actions involved in the preparation and successful performance of core interventional radiology procedures. MATERIALS AND METHODS: Five commonly performed core interventional radiology procedures were selected for cognitive task analysis. Several examples of each procedure being performed by consultant interventional radiologists were videoed. The videos of those procedures, and the steps required for successful outcome, were analysed by a psychologist and an interventional radiologist. Once a skeleton algorithm of the procedures was defined, further refinement was achieved using individual interview techniques with consultant interventional radiologists. Additionally a critique of each iteration of the established algorithm was sought from non-participating independent consultant interventional radiologists. RESULTS: Detailed task descriptions and decision protocols were developed for five interventional radiology procedures (arterial puncture, nephrostomy, venous access, biopsy-using both ultrasound and computed tomography, and percutaneous transhepatic cholangiogram). Identical tasks performed within these procedures were identified and standardized within the protocols. CONCLUSIONS: Complex procedures were broken down and their constituent processes identified. This might be suitable for use as a training protocol to provide a universally acceptable safe practice at the most fundamental level. It is envisaged that data collected in this way can be used as an educational resource for trainees and could provide the basis for a training curriculum in interventional radiology. It will direct trainees towards safe practice of the highest standard. It will also provide performance objectives of a simulator model.

Physical and cognitive task analysis in interventional radiology

International Nuclear Information System (INIS)

Johnson, S.; Healey, A.; Evans, J.; Murphy, M.; Crawshaw, M.; Gould, D.

2006-01-01

AIM: To identify, describe and detail the cognitive thought processes, decision-making, and physical actions involved in the preparation and successful performance of core interventional radiology procedures. MATERIALS AND METHODS: Five commonly performed core interventional radiology procedures were selected for cognitive task analysis. Several examples of each procedure being performed by consultant interventional radiologists were videoed. The videos of those procedures, and the steps required for successful outcome, were analysed by a psychologist and an interventional radiologist. Once a skeleton algorithm of the procedures was defined, further refinement was achieved using individual interview techniques with consultant interventional radiologists. Additionally a critique of each iteration of the established algorithm was sought from non-participating independent consultant interventional radiologists. RESULTS: Detailed task descriptions and decision protocols were developed for five interventional radiology procedures (arterial puncture, nephrostomy, venous access, biopsy-using both ultrasound and computed tomography, and percutaneous transhepatic cholangiogram). Identical tasks performed within these procedures were identified and standardized within the protocols. CONCLUSIONS: Complex procedures were broken down and their constituent processes identified. This might be suitable for use as a training protocol to provide a universally acceptable safe practice at the most fundamental level. It is envisaged that data collected in this way can be used as an educational resource for trainees and could provide the basis for a training curriculum in interventional radiology. It will direct trainees towards safe practice of the highest standard. It will also provide performance objectives of a simulator model

Role of Radiology in Forensic Dentistry

Directory of Open Access Journals (Sweden)

T Chandrasekhar

2011-01-01

Full Text Available Forensic radiology is a specialized area of medical imaging utilizing radiological techniques to assist physicians and pathologists in matter pertaining to the law. Postmortem dental radiographs are the most consistent part of the antemortem records that can be transmitted during the forensic examination procedures. Pathologists regularly use radiographic images during the course of autopsy to assist them in identification of foreign bodies or determination of death. Forensic radiology can be used in suspicious death or murder, in analysis of adverse medical events, solving legal matters, to detect child abuse, drug trafficking, body identification and disease identification. Using the possibilities of radiology, special characteristics of the internal structures of the dentomaxillofacial region can be revealed. We can also detect endodontic treatments, healing extraction sockets, implants or even tooth colored restoration. Therefore, we can give answers to problems dealing with identification procedures, mass disaster and dental age estimation.

The Oxford unicompartmental knee arthroplasty: a radiological perspective

Energy Technology Data Exchange (ETDEWEB)

Mukherjee, K. [Department of Orthopaedic Radiology, University Hospital of Wales, Cardiff (United Kingdom)], E-mail: kausik.mukherjee@cardiffandvale.wales.nhs.uk; Pandit, H. [North Hampshire Hospital, Basingstoke (United Kingdom); Nuffield Department of Orthopaedic Surgery, University of Oxford, Headington (United Kingdom); Dodd, C.A.F.; Ostlere, S. [Nuffield Orthopaedic Centre, Headington (United Kingdom); Murray, D.W. [Nuffield Department of Orthopaedic Surgery, University of Oxford, Headington (United Kingdom)

2008-10-15

Unicompartmental knee arthroplasty (UKA) is increasingly being performed in both specialist centres as well as district hospitals. The radiologists should be aware of the required preoperative imaging, the normal appearance, and complications of this procedure. Unfortunately, very little is available in the radiology literature. This review aims to provide a radiological perspective to an already widely used procedure.

Issues in radiology related to the new technologies

International Nuclear Information System (INIS)

Elkin, M.

1982-01-01

A number of interrelated issues facing radiology have been highlighted by our new technologies. The issues discussed in this presentation are: subspecialization of radiology; the use of economic analyses (CEA/CBA) to judge the cost effectiveness of radiologic procedures, the alleged overuse of radiologic examinations; and the need for the diagnostic radiologist to become more actively involved in patient management

Interventional radiology and undesirable effects

International Nuclear Information System (INIS)

Benderitter, M.

2009-01-01

As some procedures of interventional radiology are complex and long, doses received by patients can be high and cause undesired effects, notably on the skin or in underlying tissues (particularly in the brain as far as interventional neuroradiology is concerned and in lungs in the case of interventional cardiology). The author briefly discusses some deterministic effects in interventional radiology (influence of dose level, delay of appearance of effects, number of accidents). He briefly comments the diagnosis and treatment of severe radiological burns

Emergency radiological monitoring and analysis: Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

1995-01-01

The US Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. The FRERP authorizes the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC), which is established to coordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted State(s) and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division (M ampersand A) is responsible for coordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis, and quality assurance. To assure consistency, completeness, and the quality of the data produced, a methodology and procedures manual is being developed. This paper discusses the structure, assets, and operations of the FRMAC M ampersand A and the content and preparation of the manual

[Marketing mix in a radiology department: challenges for future radiologists in management].

Science.gov (United States)

Claikens, B

1998-08-01

Radiology has gained an enviable position among medial specialities. Developments in new technology expand its horizons and the volume of radiologic imaging techniques and procedures increase far more than the overall growth in health care services. In this position radiology has become a prime target for restrictions, cutbacks, controlled financing in an area of managed care and new national health care policy based on partially fixed budgets. Future health care takers have to choose the best available diagnostic and therapeutic techniques. Evidence based medicine, cost-utility analysis, diagnostic performance analysis, patient outcome analysis, technology assessment and guidelines for practice are means to guide us through our obligatory choice. Our major objective is to use the most performant available imaging technique or intervention to achieve the best possible outcome for our patient at lower possible costs. A strategic response from radiologists is required to meet the imperatives of this new management situation. They must do far more than interpret imaging procedures. They must work as efficient managers of imaging resources, organise their practices and define their marketing-strategies using the different, so-called, marketing-mix elements. The challenges will be great but the rewards are worth our best efforts. In this article we highlight the marketing responsibilities of future radiologists and their clinical practice in this new socio-economic environment and we present different useful marketing tools.

Society of Interventional Radiology

Science.gov (United States)

... Picture yourself in L.A. Register now SIR Essentials Purchase/register Search SIR's entire catalog for educational ... Quality Improvement Clinical practice MACRA Matters Health Policy, Economics, Coding Toolkits Society of Interventional Radiology 3975 Fair ...

Estimated collective effective dose to the population from radiological examinations in Slovenia

Science.gov (United States)

Zontar, Dejan; Zdesar, Urban; Kuhelj, Dimitrij; Pekarovic, Dean; Skrk, Damijan

2015-01-01

Background The aim of the study was to systematically evaluate population exposure from diagnostic and interventional radiological procedures in Slovenia. Methods The study was conducted in scope of the “Dose Datamed 2” project. A standard methodology based on 20 selected radiological procedures was adopted. Frequencies of the procedures were determined via questionnaires that were sent to all providers of radiological procedures while data about patient exposure per procedure were collected from existing databases. Collective effective dose to the population and effective dose per capita were estimated from the collected data (DLP for CT, MGD for mammography and DAP for other procedures) using dose conversion factors. Results The total collective effective dose to the population from radiological in 2011 was estimated to 1300 manSv and an effective dose per capita to 0.6 mSv of which approximately 2/3 are due to CT procedures. Conclusions The first systematic study of population exposure to ionising radiation from radiological procedures in Slovenia was performed. The results show that the exposure in Slovenia is under the European average. It confirmed large contributions of computed tomography and interventional procedures, identifying them as the areas that deserve special attention when it comes to justification and optimisation. PMID:25810709

Practices and regulations of radiological mass screening in the United Kingdom

International Nuclear Information System (INIS)

Abrams, M.E.

1987-01-01

The only radiological mass screening undertaken in the UK was the mass miniature radiography service for detection of tuberculosis by chest x-ray. Mass miniature radiographic (MMR) units were set up when tuberculosis was a common illness. However, by 1969 the detection rate of tuberculosis was so low that it was no longer cost-effective as a preventive health measure. In the last decade there has also been an increased awareness that people should only be exposed to radiation for medical purposes if it is judged to be clinically desirable. For some years, therefore, the Department's policy has been to discourage self-referral to these units and to advise people to consult their doctor should they be concerned about symptoms. Health authorities have been made aware of the need to continue to review the level of provision of MMR services and to integrate these facilities with hospital radiological departments as far as possible. To secure further information on the costs and benefits of radiological procedures, the Department is financially supporting research by the Royal College of Radiologists' Working Party on the Effective use of Diagnostic Radiology. Research is taking place in a number of areas and the work done on the use of preoperative chest x-ray in hospital is particularly germane

Influence of CT on the number of radiologic procedures and hospitalization

International Nuclear Information System (INIS)

Binkhuysen, F.H.B.; Puijlaert, C.B.A.J.

1987-01-01

The research concerns the influence of body CT on medical efficiency in radiology and hospitalization in The Netherlands. General hospitals with body CT are compared with hospitals without CT. In radiology the substitution effect is investigated with use of the number of radiological performances per clinical patient as a parameter. From 1977 to 1984 this parameter proves to decrease in hospitals with body CT (9%) in contrast to the rise in hospitals without CT (10%). Concerning the average hospital in patient stay, it appears that this parameter shows a faster decrease in hospitals with body CT compared with hospitals without CT (5%-8%)

[Controlling instruments in radiology].

Science.gov (United States)

Maurer, M

2013-10-01

Due to the rising costs and competitive pressures radiological clinics and practices are now facing, controlling instruments are gaining importance in the optimization of structures and processes of the various diagnostic examinations and interventional procedures. It will be shown how the use of selected controlling instruments can secure and improve the performance of radiological facilities. A definition of the concept of controlling will be provided. It will be shown which controlling instruments can be applied in radiological departments and practices. As an example, two of the controlling instruments, material cost analysis and benchmarking, will be illustrated.

Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic hospital: Results of a comprehensive survey

International Nuclear Information System (INIS)

Faggioni, Lorenzo; Paolicchi, Fabio; Bastiani, Luca; Guido, Davide; Caramella, Davide

2017-01-01

Highlights: • Medical students tend to overstate their knowledge of radiation protection (RP). • Overall RP knowledge of young doctors and students is suboptimal. • RP teaching to undergraduates and postgraduates needs to be substantially improved. - Abstract: Purpose: To evaluate the awareness of radiation protection issues and the knowledge of dose levels of imaging procedures among medical students, radiology residents, and radiography students at an academic hospital. Material and methods: A total of 159 young doctors and students (including 60 radiology residents, 56 medical students, and 43 radiography students) were issued a questionnaire consisting of 16 multiple choice questions divided into three separated sections (i.e., demographic data, awareness about radiation protection issues, and knowledge about radiation dose levels of common radiological examinations). Results: Medical students claimed to have at least a good knowledge of radiation protection issues more frequently than radiology residents and radiography students (94.4% vs 55% and 35.7%, respectively; P < 0.05), with no cases of perceived excellent knowledge among radiography students. However, the actual knowledge of essential radiation protection topics such as regulations, patient and tissue susceptibility to radiation damage, professional radiation risk and dose optimisation, as well as of radiation doses delivered by common radiological procedures was significantly worse among medical students than radiology residents and radiography students (P < 0.05). Those latter significantly outperformed radiology residents as to knowledge of radiation protection issues (P < 0.01). Overall, less than 50% of survey respondents correctly answered all questions of the survey. Conclusions: Radiology residents, radiography students and medical students have a limited awareness about radiation protection, with a specific gap of knowledge concerning real radiation doses of daily radiological

Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic hospital: Results of a comprehensive survey

Energy Technology Data Exchange (ETDEWEB)

Faggioni, Lorenzo, E-mail: lfaggioni@sirm.org [Department of Diagnostic and Interventional Radiology, University of Pisa, Via Roma 67, 56100, Pisa (Italy); Paolicchi, Fabio [Department of Diagnostic and Interventional Radiology, University of Pisa, Via Roma 67, 56100, Pisa (Italy); Bastiani, Luca [Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124, Pisa (Italy); Guido, Davide [Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini 2, 27100, Pavia (Italy); Caramella, Davide [Department of Diagnostic and Interventional Radiology, University of Pisa, Via Roma 67, 56100, Pisa (Italy)

2017-01-15

Highlights: • Medical students tend to overstate their knowledge of radiation protection (RP). • Overall RP knowledge of young doctors and students is suboptimal. • RP teaching to undergraduates and postgraduates needs to be substantially improved. - Abstract: Purpose: To evaluate the awareness of radiation protection issues and the knowledge of dose levels of imaging procedures among medical students, radiology residents, and radiography students at an academic hospital. Material and methods: A total of 159 young doctors and students (including 60 radiology residents, 56 medical students, and 43 radiography students) were issued a questionnaire consisting of 16 multiple choice questions divided into three separated sections (i.e., demographic data, awareness about radiation protection issues, and knowledge about radiation dose levels of common radiological examinations). Results: Medical students claimed to have at least a good knowledge of radiation protection issues more frequently than radiology residents and radiography students (94.4% vs 55% and 35.7%, respectively; P < 0.05), with no cases of perceived excellent knowledge among radiography students. However, the actual knowledge of essential radiation protection topics such as regulations, patient and tissue susceptibility to radiation damage, professional radiation risk and dose optimisation, as well as of radiation doses delivered by common radiological procedures was significantly worse among medical students than radiology residents and radiography students (P < 0.05). Those latter significantly outperformed radiology residents as to knowledge of radiation protection issues (P < 0.01). Overall, less than 50% of survey respondents correctly answered all questions of the survey. Conclusions: Radiology residents, radiography students and medical students have a limited awareness about radiation protection, with a specific gap of knowledge concerning real radiation doses of daily radiological

Radiologic protection in pediatric radiology: ICRP recommendations

International Nuclear Information System (INIS)

Sanchez, Ramon; Khong, Pek-Lan; Ringertz, Hans

2013-01-01

ICRP has provided an updated overview of radiation protection principles in pediatric radiology. The authors recommend that staff, radiologists, medical physicists and vendors involved in pediatric radiology read this document. For conventional radiography, the report gives advice on patient positioning, immobilization, shielding and appropriate exposure conditions. It describes extensively the use of pulsed fluoroscopy, the importance of limiting fluoroscopy time, and how shielding and geometry must be used to avoid unnecessary radiation to the patient and operator. Furthermore, the use of fluoroscopy in interventional procedures with emphasis on dose reduction to patients and staff is discussed in light of the increasing frequency, complexity and length ofthe procedures. CT is the main reason that medical imaging in several developed countries is the highest annual per capita effective radiation dose from man-made sources. The ICRP report gives extensive descriptions of how CT protocols can be optimized to minimize radiation exposure in pediatric patients. The importance of balancing image quality with acceptable noise in pediatric imaging and the controversies regarding the use of protective shielding in CT are also discussed.

Development and evaluation of Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in a Nuclear Medicine Service

Energy Technology Data Exchange (ETDEWEB)

Krempser, Alexandre R., E-mail: krempser@peb.ufrj.br [Universidade Federal do Rio de Janeiro (PEB/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Biomedica; Soares, Alexandre B. [Universidade Federal do Rio de Janeiro (IF/UFRJ), Rio de Janeiro, RJ (Brazil). Inst. de Fisica; Corbo, Rossana [Universidade Federal do Rio de Janeiro (FM/UFRJ), Rio de Janeiro, RJ (Brazil). Dept. de Radiologia

2011-07-01

The quality management in Nuclear Medicine Services is a requirement of national and international standards. The Brazilian regulatory agency in health surveillance, the Agencia Nacional de Vigilancia Sanitaria (ANVISA), in its Resolucao de Diretoria Colegiada (Collegiate Directory Resolution) no. 38, requires the elaboration of documents describing the technical and clinical routine activities. This study aimed to elaborate, implement and evaluate Standard Operating Procedures (SOPs) for quality control tests and radiological protection activities in the Nuclear Medicine Service of a university hospital. Eighteen SOPs were developed, involving tasks related to dose calibrator, gamma camera, Geiger-Muller detectors and radiological protection activities. The performance of its application was evaluated for a period of six months. It was observed a reduction in 75% of reported operational errors and 42% of the number of reported incidents with contamination by radioactive material. The SOPs were adequate and successful in its application. New procedures involving clinical activities will also be developed and evaluated. (author)

Handbooks in radiology: Nuclear medicine

International Nuclear Information System (INIS)

Datz, F.L.

1988-01-01

This series of handbooks covers the basic facts, major concepts and highlights in seven radiological subspecialties. ''Nuclear Medicine'' is a review of the principles, procedures and clinical applications that every radiology resident and practicing general radiologist should know about nuclear medicine. Presented in an outline format it covers all of the organ systems that are imaged by nuclear medicine

Region 8 radiological assistance program team response manual

International Nuclear Information System (INIS)

Webb, D.E.

1997-01-01

The purpose of this manual is to provide guidance so that a request for radiological assistance is responded to in an effective and consistent manner. These procedures are specific to the trained and qualified members of the Region 8 Radiological Assistance Program (RAP) team. Procedures provide steps for responding to the request, notification and activation of the team members, position descriptions, and checklists

Facing the Guilt and Commemorating the Victims: German Radiology and Radiation Oncology During National Socialism.

Science.gov (United States)

Eckert, Franziska; Weindling, Paul; Ley, Astrid; Lang, Hans-Joachim; Lang, Sascha; Moser, Gabriele

2018-04-01

Whereas the scientific community is aware of atrocities committed by medical doctors like Mengele, the specifics of radiology and radiation oncology during National Socialism remain largely unknown. Starting in 2010, the German Radiology Association and the German Association of Radiation Oncology coordinated a national project looking into original archival material. A national committee convened in 2013 to discuss the project's findings, which were also the subject of a symposium at the University of Tuebingen in 2016 on radiology under National Socialism. The project identified approximately 160 radiologists who were victimized because of their Jewish descent, among them Gustav Bucky (known for the Bucky factor in x-ray diagnostics). Radiologists throughout Germany took part in forced sterilizations. The "Schutzstaffel," commonly known as SS, had a special radiology unit that was established for tuberculosis screening. Radiation was also used for sterilization experiments in the Auschwitz concentration camp with subsequent surgical procedures to enable histological analysis of the irradiated tissue. Reflection on medicine during the Holocaust will be strengthened by specific facts related to the respective medical field. Radiologists were involved in atrocious medical experiments as well as in supporting Nazi policies in Germany. These facts provoke ethical considerations about marginalized patient groups and doctor-patient communication. They also raise questions about "evidence-based" medicine as sole justification for medical procedures. In summary, historical studies will be able to help in the professional identity formation of radiologists gaining awareness to ethical issues of today. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Rational use of diagnostic radiology

International Nuclear Information System (INIS)

Racoveanu, N.T.; Volodin, V.

1992-01-01

The escalating number of radiodiagnostic investigations has, as a consequence, an increase in medical irradiation of patients and of cost of radiological services. Radiologists in USA and UK have since early 1970 questioned the efficacy of various radiological investigations and produced substantial evidence that more rational approaches are necessary. WHO initiated, in 1977, a programme in this direction which has issued four technical reports which give practical recommendations on how to rationalize the use of radiological examinations. Three main directions are considered: (1) Abandonment of routine radiological examinations, as procedures with no clinical or epidemiologic significance and which represent a waste of resources and patient dose. (2) Patient selection for various radiological investigations based on clinical criteria (high, intermediate, low yield). Selected patients have an increased prevalence of the given disease and the predictive value of radiological investigation is much higher. (3) Use of diagnostic algorithms with higher cost/efficiency and risk/benefit ratios, improving the outcome of radiological examinations

Evaluation and assessment methodology, standards, and procedures manual of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Kerns, K.C.; Burson, Z.G.; Smith, J.M.; Blanchard, R.L.

2000-01-01

In the event of a major radiological emergency, the U.S. Federal Radiological Emergency Response Plan authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to co-ordinate the Federal off-site monitoring and assessment activities, and is comprised of representatives from several Federal agencies and Department of Energy contractors who provide assistance to the state(s) and Lead Federal Agency. The Evaluation and Assessment (E and A) Division of the FRMAC is responsible for receiving, storing, and interpreting environmental surveillance data to estimate the potential health consequences to the population in the vicinity of the accident site. The E and A Division has commissioned the preparation of a methodology and procedures manual which will result in a consistent approach by Division members in carrying out their duties. The first edition of this manual is nearing completion. In this paper, a brief review of the structure of the FRMAC is presented, with emphasis on the E and A Division. The contents of the E and A manual are briefly described, as are future plans for its expansion. (author)

Pediatric interventional radiology: vascular interventions

International Nuclear Information System (INIS)

Kandasamy, Devasenathipathy; Gamanagatti, Shivanand; Gupta, Arun Kumar

2016-01-01

Pediatric interventional radiology (PIR) comprises a range of minimally invasive diagnostic and therapeutic procedures that are performed using image guidance. PIR has emerged as an essential adjunct to various surgical and medical conditions. Over the years, technology has undergone dramatic and continuous evolution, making this speciality grow. In this review, the authors will discuss various vascular interventional procedures undertaken in pediatric patients. It is challenging for the interventional radiologist to accomplish a successful interventional procedure. There are many vascular interventional radiology procedures which are being performed and have changed the way the diseases are managed. Some of the procedures are life saving and have become the treatment of choice in those patients. The future is indeed bright for the practice and practitioners of pediatric vascular and non-vascular interventions. As more and more of the procedures that are currently being performed in adults get gradually adapted for use in the pediatric population, it may be possible to perform safe and successful interventions in many of the pediatric vascular lesions that are otherwise being referred for surgery. (author)

Radiological safety research for nuclear excavation projects - Interoceanic canal studies

Energy Technology Data Exchange (ETDEWEB)

Klement, Jr, A W [U.S. Atomic Energy Commission, Las Vegas, NV (United States)

1969-07-01

The general radiological problems encountered in nuclear cratering and nuclear excavation projects are discussed. Procedures for assessing radiological problems in such projects are outlined. Included in the discussions are source term, meteorology, fallout prediction and ecological factors. Continuing research requirements as well as pre- and post-excavation studies are important considerations. The procedures followed in the current interoceanic canal feasibility studies provide examples of radiological safety problems, current solutions and needed research. (author)

Radiological safety research for nuclear excavation projects - Interoceanic canal studies

International Nuclear Information System (INIS)

Klement, A.W. Jr.

1969-01-01

The general radiological problems encountered in nuclear cratering and nuclear excavation projects are discussed. Procedures for assessing radiological problems in such projects are outlined. Included in the discussions are source term, meteorology, fallout prediction and ecological factors. Continuing research requirements as well as pre- and post-excavation studies are important considerations. The procedures followed in the current interoceanic canal feasibility studies provide examples of radiological safety problems, current solutions and needed research. (author)

A project: 'Radiological protection in radiology', IAEA - Universidad Central de Venezuela

International Nuclear Information System (INIS)

Diaz, A.R.; Salazar, G.; Fermin, R.; Gonzalez, M.

2001-01-01

For several years a reference center of the UCV has been working on the project VEN/9/007 on dose reduction in diagnostic radiology sponsored by the IAEA. The dose and quality image was evaluated for different types of radiological study (conventional radiology, CT, mammography, interventional radiology) in different facilities at Caracas and others regions of the Venezuela. TL dosimeters were used to assess dose and reduction in dose. Based on the recommendations given by CEC documents on diagnostic quality criteria, a quality control program in radiological protection of patients and staff has been developed, for example: Pilot study by using TLD in personnel radiation monitoring. Comparative study between high and low kVp in chest. Evaluation and dose reduction in chest pediatric. Reduction of radiation dose in studies of billiards via Quality Image and reduction of the dose in studies of colon by enema. Radiation dose of staff in fluoroscopy procedures. Evaluation and dose reduction in dental radiography in public Institutions. A mammography accreditation program for Venezuela, applied to public hospitals. (author)

Advanced radiological protection course 1993: 15 November - 3 December

International Nuclear Information System (INIS)

1993-01-01

This pamphlet describes an advanced radiological protection course organised by the NRPB and aimed at experienced health physicists and others who have worked in radiological protection for some years. A knowledge of basic radiological protection is assumed. The course concentrates on developing awareness of the policies and philosophy upon which radiological protection is based. Emphasis is given to managerial and professional responsibilities in radiological protection and to involvement with problems of industrial and public relations. The 1994 course is 3 - 21st October. (Author)

Radiology residents' experience with intussusception reduction

International Nuclear Information System (INIS)

Bateni, Cyrus; Stein-Wexler, Rebecca; Wootton-Gorges, Sandra L.; Li, Chin-Shang

2011-01-01

Residents should be exposed to adequate procedural volume to act independently upon completion of training. Informal inquiry led us to question whether residents encounter enough intussusception reductions to become comfortable with the procedure. We sought to determine radiology residents' exposure to intussusception reductions, and whether their experiences vary by region or institution. U.S. radiology residency program directors were asked to encourage their residents to complete a 12-question online survey describing characteristics of their pediatric radiology department, experiences with intussusception reduction, and confidence in their own ability to perform the procedure. Six hundred sixty-four residents responded during the study period. Of those, 308 (46.4%) had not experienced an intussusception reduction, and 228 (34%) had experienced only one or two. Twenty-two percent of fourth-year residents had never experienced an intussusception reduction, and 21% had experienced only one. Among second- through fourth-year residents, only 99 (18.3%) felt confident that they could competently reduce an intussusception (P < 0.0001), and 336 (62.2%) thought they would benefit from a computer-assisted training model simulating intussusception reduction (P < 0.0001). Radiology residents have limited opportunity to learn intussusception reduction and therefore lack confidence. Most think they would benefit from additional training with a computer-simulation model. (orig.)

Generic procedures for medical response during a nuclear or radiological emergency. Emergency preparedness and response

International Nuclear Information System (INIS)

2005-04-01

The aim of this publication is to serve as a practical resource for planning the medical response to a nuclear or radiological emergency. It fulfils in part functions assigned to the IAEA under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), namely, to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and available results of research relating to such emergencies. Effective medical response is a necessary component of the overall response to nuclear or radiological (radiation) emergencies. In general, the medical response may represent a difficult challenge for the authorities due to the complexity of the situation, often requiring specialized expertise, and special organizational arrangements and materials. To be effective, adequate planning and preparedness are needed. This manual, if implemented, should help to contribute to coherent international response. The manual provides the practical tools and generic procedures for use by emergency medical personnel during an emergency situation. It also provides guidance to be used at the stage of preparedness for development of medical response capabilities. The manual also addresses mass casualty emergencies resulting from malicious acts involving radioactive material. This part was supported by the Nuclear Security Fund. The manual was developed based on a number of assumptions about national and local capabilities. Therefore, it must be reviewed and revised as part of the planning process to match the potential accidents, threats, local conditions and other unique characteristics of the facility where it may be used

Enhanced radiological work planning; TOPICAL

International Nuclear Information System (INIS)

DECKER, W.A.

1999-01-01

The purpose of this standard is to provide Project Hanford Management Contractors (PHMC) with guidance for ensuring radiological considerations are adequately addressed throughout the work planning process. Incorporating radiological controls in the planning process is a requirement of the Hanford Site Radiological Control Manual (HSRCM-I), Chapter 3, Part 1. This standard is applicable to all PHMC contractors and subcontractors. The essential elements of this standard will be incorporated into the appropriate site level work control standard upon implementation of the anticipated revision of the PHMC Administration and Procedure System

Radiochromic film for dosimetric measurements in radiation shielding composites synthesized for applied in radiology procedures of high dose

Energy Technology Data Exchange (ETDEWEB)

Fontainha, C. C. P. [Universidade Federal de Minas Gerais, Departamento de Engenharia Nuclear, Av. Pte. Antonio Carlos 6627, 31270-901 Belo Horizonte, Minas Gerais (Brazil); Baptista N, A. T.; Faria, L. O., E-mail: crissia@gmail.com [Centro de Desenvolvimento da Tecnologia Nuclear / CNEN, Av. Pte. Antonio Carlos 6627, 31270-901 Belo Horizonte, Minas Gerais (Brazil)

2015-10-15

Full text: Medical radiology offers great benefit to patients. However, although specifics procedures of high dose, as fluoroscopy, Interventional Radiology, Computed Tomography (CT) make up a small percent of the imaging procedures, they contribute to significantly increase dose to population. The patients may suffer tissue damage. The probability of deterministic effects incidence depends on the type of procedure performed, exposure time, and the amount of applied dose at the irradiated area. Calibrated radiochromic films can identify size and distribution of the radiated fields and measure intensities of doses. Radiochromic films are sensitive for doses ranging from 0.1 to 20 c Gy and they have the same response for X-rays effective energies ranging from 20 to 100 keV. New radiation attenuators materials have been widely investigated resulting in dose reduction entrance skin dose. In this work, Bi{sub 2}O{sub 3} and ZrO{sub 2}:8 % Y{sub 2}O{sub 3} composites were obtained by mixing them with P(VDF-Tr Fe) copolymers matrix from casting method and then characterized by Ftir. Dosimetric measurements were obtained with Xr-Q A2 Gafchromic radiochromic films. In this setup, one radiochromic film is directly exposed to the X-rays beam and another one measures the attenuated beam were exposed to an absorbed dose of 10 mGy of RQR5 beam quality (70 kV X-ray beam). Under the same conditions, irradiated Xr-Q A2 films were stored and scanned measurement in order to obtain a more reliable result. The attenuation factors, evaluated by Xr-Q A2 radiochromic films, indicate that both composites are good candidates for use as patient radiation shielding in high dose medical procedures. (Author)

A Checklist to Improve Patient Safety in Interventional Radiology

International Nuclear Information System (INIS)

Koetser, Inge C. J.; Vries, Eefje N. de; Delden, Otto M. van; Smorenburg, Susanne M.; Boermeester, Marja A.; Lienden, Krijn P. van

2013-01-01

To develop a specific RADiological Patient Safety System (RADPASS) checklist for interventional radiology and to assess the effect of this checklist on health care processes of radiological interventions. On the basis of available literature and expert opinion, a prototype checklist was developed. The checklist was adapted on the basis of observation of daily practice in a tertiary referral centre and evaluation by users. To assess the effect of RADPASS, in a series of radiological interventions, all deviations from optimal care were registered before and after implementation of the checklist. In addition, the checklist and its use were evaluated by interviewing all users. The RADPASS checklist has two parts: A (Planning and Preparation) and B (Procedure). The latter part comprises checks just before starting a procedure (B1) and checks concerning the postprocedural care immediately after completion of the procedure (B2). Two cohorts of, respectively, 94 and 101 radiological interventions were observed; the mean percentage of deviations of the optimal process per intervention decreased from 24 % before implementation to 5 % after implementation (p < 0.001). Postponements and cancellations of interventions decreased from 10 % before implementation to 0 % after implementation. Most users agreed that the checklist was user-friendly and increased patient safety awareness and efficiency. The first validated patient safety checklist for interventional radiology was developed. The use of the RADPASS checklist reduced deviations from the optimal process by three quarters and was associated with less procedure postponements.

Development of a national doctrine for the management of the post-accident phase of a radiological emergency situation

International Nuclear Information System (INIS)

Niel, J.Ch.; Godet, J.L.

2008-01-01

For several years, public Authorities have defined an organization for the management of emergency situations arising from an accident occurring at a nuclear installation. So far, the management of the risk arising from the post accident phase was, in itself, not explored with the same care. What so ever, no format policy on which the action of public Authority could be based is today available. The nuclear safety Authority (ASN), in relation with the other concerned departments, is now in charge, according to the above mentioned directive, to prepare and implement the necessary provisions to respond to a post accident situation. In dune 2005, ASN established the steering committee for the management of post nuclear or radiological emergency situations (CODIRPA). The definition of a national policy related to the management of the radiological risk during a post event situation having to integrate various organization aspects as: lifting of protection emergency provisions and rehabilitation of buildings, life in contaminated rural territories, agriculture and water, dose and radiological consequences, sanitary surveillance of victims and populations, indemnification, waste management of contaminated crops and soils, organization of public Authorities. During the 2. phase of CODIRPA work (2008-2009), the first elements of policy will be consolidated and new scenarios will be studied (one worsened scenario and one scenario with alpha emitting radionuclide). in parallel, a procedure for local actor's consultation should be elaborated. (authors)

Determining the suitability of materials for disposal at sea under the London Convention 1972: A radiological assessment procedure

International Nuclear Information System (INIS)

2003-10-01

on conducting specific assessments to determine whether candidate materials for disposal at sea contained de minimis levels of radioactivity. This report contains guidance on performing specific assessments of candidate materials to determine whether the materials are de minimis in the meaning of the London Convention 1972. It follows the guidelines adopted by the Twenty-first Consultative Meeting of the London Convention 1972 that incorporate a Stepwise Evaluation Procedure for screening candidate material to determine if it can be treated as 'non-radioactive' (i.e. de minimis) under the Convention. Material that cannot be readily defined as de minimis on the basis of Steps 1 to 5 of the Stepwise Evaluation Procedure require a specific assessment at Step 6. Such an assessment is the subject of this report. The assessment process described in this report is based on an inherently conservative procedure consistent with the precautionary approach, provided for under the London Convention 1972. Its purpose is to ensure the use of conservative models and cautious assumptions that result in the overestimation of the doses due to candidate materials that might be disposed of at sea in near coastal waters under de minimis provisions. Accordingly, the radiological consequences of disposal at sea of de minimis materials in other areas of the continental shelf and deeper waters will result in much lower radiation exposures than those considered here. It must be stressed that any candidate materials designated as de minimis must comply with all other provisions of the Convention. Section 2 provides a summary of the Stepwise Evaluation Procedure as detailed in the guidelines and background information necessary to understand the context of this guidance. Section 3 describes in detail a procedure to conduct the specific radiological assessment of the disposal of a candidate material. It contains a schematic diagram illustrating the specific assessment process and components of

Automated procedure for selection of optimal refueling policies for light water reactors

International Nuclear Information System (INIS)

Lin, B.I.; Zolotar, B.; Weisman, J.

1979-01-01

An automated procedure determining a minimum cost refueling policy has been developed for light water reactors. The procedure is an extension of the equilibrium core approach previously devised for pressurized water reactors (PWRs). Use of 1 1/2-group theory has improved the accuracy of the nuclear model and eliminated tedious fitting of albedos. A simple heuristic algorithm for locating a good starting policy has materially reduced PWR computing time. Inclusion of void effects and use of the Haling principle for axial flux calculations extended the nuclear model to boiling water reactors (BWRs). A good initial estimate of the refueling policy is obtained by recognizing that a nearly uniform distribution of reactivity provides low-power peaking. The initial estimate is improved upon by interchanging groups of four assemblies and is subsequently refined by interchanging individual assemblies. The method yields very favorable results, is simpler than previously proposed BWR fuel optimization schemes, and retains power cost as the objective function

Radiology and social media: are private practice radiology groups more social than academic radiology departments?

Science.gov (United States)

Glover, McKinley; Choy, Garry; Boland, Giles W; Saini, Sanjay; Prabhakar, Anand M

2015-05-01

This study assesses the prevalence of use of the most commonly used social media sites among private radiology groups (PRGs) and academic radiology departments (ARDs). The 50 largest PRGs and the 50 ARDs with the highest level of funding from the National Institutes of Health were assessed for presence of a radiology-specific social media account on Facebook, Twitter, Instagram, Pinterest, YouTube, and LinkedIn. Measures of organizational activity and end-user activity were collected, including the number of posts and followers, as appropriate; between-group comparisons were performed. PRGs adopted Facebook 12 months earlier (P = .02) and Twitter 18 months earlier (P = .02) than did ARDs. A total of 76% of PRGs maintained ≥1 account on the social media sites included in the study, compared with 28% of ARDs (P Instagram, 2%. The prevalence of radiology-specific social media accounts for ARDs was: Facebook, 18%; LinkedIn, 0%; Twitter, 24%; YouTube, 6%; Pinterest, 0%; and Instagram, 0%. There was no significant difference between ARDs and PRGs in measures of end-user or organizational activity on Facebook or Twitter. Use of social media in health care is emerging as mainstream, with PRGs being early adopters of Facebook and Twitter in comparison with ARDs. Competitive environments and institutional policies may be strong factors that influence how social media is used by radiologists at the group and department levels. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Procedures with deterministic risk in interventionist radiology; Procedimientos con riesgo deterministico en radiologia intervencionista

Energy Technology Data Exchange (ETDEWEB)

Tort Ausina, Isabel; Ruiz-Cruces, Rafael; Perez Martinez, Manuel; Carrera Magarino, Francisco; Diez de los Rios, Antonio [Universidad de Malaga (Spain). Facultad de Medicina. Grupo de Investigacion en Proteccion Radiologica]. E-mail: rrcmf@uma.es

2001-07-01

The determinist effects in interventionist radiology are been from the irradiation in skin. The objective of this work is the estimation of the deterministic risk of the organs exposed in IR procedures. There ware selected four procedures: coated stent in abdominal aorta; shunt carry-digs; embolization of varicocele; mesenteric arteriography with venous returns. They have present maximum values of dose-area product (PDA), and it has considered the doses in organs by means of computer programs (Eff-Dose, PCXMC and OSD). The PDA has been measured with flat ionization chamber (PTW Diamentor M2). Although still few cases exist, are a high value of dose in kidney and testicles, that suppose that recommendations must be applied to avoid high exhibitions, motivating the personnel to change the irradiation fields, to use the collimation and losses rates of dose of x-ray radioscopy. Dispersion between the values of dose of the different programs is observed, which causes that it considers which is indicated of them, although seems that the Eff-Dose could be recommended, based on the Report-262 of the NRPB.

Value of levels of complexity in the estimation of the risk in interventional radiology procedures; Valor de los indices de complejidad en la estimacion del riesgo en procedimientos de radiologia intervencionista

Energy Technology Data Exchange (ETDEWEB)

Ruiz Cruces, R.; Vano, E.; Hernandez Armas, J.; Carrera Magarino, F.; Rosales, F.; Galan, P.; Solar, M. M.; Perez Martinez, M.; Sanchez Casanueva, R.; Moreno Saiz, C.; Caudepon, F.; Diaz, F.; Gallego Solar, J. J.; Martin-Palanca, A.; Ruiz Munoz-Canela, J. J.; Moreno Rodriguez, F.; Gonzalez de Garay, M.; Canis, M.; Lopez Medina, A.; Moreno Sachez, T.; Pastor Vega, J. M.

2013-07-01

The interventional Radiology (IR) refers to guided procedures with X rays, to develop a diagnostic and/or therapeutic action both in vascular diseases as non-vascular. The progressive increase in the complexity and diversity of interventional procedures make it difficult to objectify the criteria about the dosage provided to patients who are these techniques. Control of radiation doses administered to patients to limit the risks associated with the use of x-rays is not more than one way of improving procedures. For this reason, already completed the ERRAPRI project, we have developed complexity rates to better assess the radiological risk associated with the procedures carried out in a sample of Spanish hospitals. (Author)

Radiology in the 21st century

International Nuclear Information System (INIS)

Carson, P.L.; Seltzer, S.E.; Gore, J.C.; Heiiman, R.S.; Abrams, H.L.; Davis, K.A.; Henkelman, M.R.

1987-01-01

On the leading edge in ''high-tech'' medicine, radiology is experiencing several revolutions simultaneously that promise an exciting future. New imaging methods and digital technologies not only offer novel ways to view tissues but also provide opportunities for quantitative evaluation of function and even permit determination of metabolic status. New approaches to technology assessment are being explored that alter the ways in which equipment and procedures are introduced into clinical medicine. With the plethora of radiology services available, the radiologist must serve as a consultant in the triage of patients in radiology and the dissemination of information from radiology. For similar reasons, training in diagnostic radiology may eventually accommodate to the concept of specialization along organ-system lines. Without question, radiology is destined for an exciting period as it moves into the 21st century

A Case Study of Policies and Procedures to Address Cyberbullying at a Technology-Based Middle School

Science.gov (United States)

Tate, Bettina Polite

2017-01-01

This qualitative case study explored the policies and procedures used to effectively address cyberbullying at a technology-based middle school. The purpose of the study was to gain an in-depth understanding of policies and procedures used to address cyberbullying at a technology-based middle school in the southern United States. The study sought…

Comparison of patient doses in interventional radiology procedures performed in two large hospitals in Greece

International Nuclear Information System (INIS)

Papageorgiou, E.; Tsapaki, V.; Tsalafoutas, I. A.; Maurikou, E.; Kottou, S.; Orfanos, A.; Karidas, G.; Fidanis, T.; Zafiriadou, E.; Neofotistou, V.

2007-01-01

Purpose of the study was to determine patient doses in the most common interventional radiology (IR) procedures performed in two large Greek hospitals. A total of 164 patients who underwent 4 types of IR procedures were studied. Fluoroscopy time, total exposure time, number of frames, number of runs, radiation field size, and cumulative dose-area product (DAP) were recorded. The median DAP values for carotid arteriography and lower limb arteriography were 66 and 123 Gy cm 2 for hospital 'A' and 21 and 49 Gy cm 2 for hospital 'B'. For the cerebral arteriographies performed in hospital 'A', the median DAP was 116 Gy cm 2 while for the hepatic embolizations performed in hospital 'B', it was 104 Gy cm 2 . The DAP values observed in hospital 'A' for carotid arteriography and lower limb arteriography were almost three times than those of hospital 'B'. From the data analysis, it is evident that dose optimization in hospital 'A' should be pursued through revision of the techniques used. (authors)

Preliminary study of using imaging plates to map skin dose of patients in interventional radiology procedures

International Nuclear Information System (INIS)

Ohuchi, H.; Satoh, T.; Eguchi, Y.; Mori, K.

2005-01-01

A method using europium-doped BaFBr imaging plates (IPs) has been studied for mapping entrance skin doses during interventional radiology (IR); the mapping is useful for detecting overlap between irradiation fields and determining the most exposed skin areas. IPs, which are two-dimensional radiation sensors made of photostimulated luminescence materials, have a linear dose response up to ∼100 Gy, can accurately measure doses from 1 μGy to 10 Gy and can be used repeatedly. Because the energy dependence of IPs is rather high, the IPs were characterised in this study and a sensitivity variation of ∼13% was observed for effective energies of 32.7 to 44.7 keV, which are used in IR procedures. Simulation of actual interventional cardiology procedures showed that the variation of sensitivity was within 5%, meaning that IPs are practical for measuring skin doses during IR. Moreover, the patient data can be stored online and easily called up when IR procedures must be repeated, helping to prevent radiation injuries. (authors)

Health surveillance of radiological work

International Nuclear Information System (INIS)

Pauw, H.; Vliet, J.V.D.; Zuidema, H.

1988-01-01

Shielding x-ray devices and issuing film badges to radiological workers in 1936 can be considered the start of radiological protection in the Philips enterprises in the Netherlands. Shielding and equipment were constantly improved based upon the dosimetry results of the filmbadges. The problem of radioactive waste led to the foundation of a central Philips committee for radiological protection in 1956, which in 1960 also issued an internal license system in order to regulate the proper precautions to be taken : workplace design and layout, technological provisions and working procedures. An evaluation of all radiological work in 1971 learnt that a stricter health surveillance program was needed to follow up the precautions issued by the license. On one hand a health surveillance program was established and on the other hand all types of radiological work were classified. In this way an obligatory and optimal health surveillance program was issued for each type of radiological work

A New Role for Local Police in Radiological Security

National Research Council Canada - National Science Library

Lee, Thomas

2007-01-01

.... Local police agencies have previously not had a formal role in radiological security. This thesis explores policy initiatives, based on community policing principles conducted at the local police level, which will enhance security at locations where radiological materials are kept.

Radiology of orthopedic procedures, problems and complications

International Nuclear Information System (INIS)

Gelman, M.I.; Saunders, W.B.

1984-01-01

This work is volume 24 in a series on clinical radiology. Eight sections cover fractures in general, thoracolumbar spine, upper extremities, hand and wrist, trauma to pelvis, hip and femur, knee and lower leg, and ankle and foot. These sections vary from 15 to 36 pages and contain adequate text, 18 to 54 x-ray films per section, and appropriate references (306 in sum). There are 275 radiographs, most of which are well printed, some with accompanying line sketches

Deterministic effects of interventional radiology procedures

International Nuclear Information System (INIS)

Shope, Thomas B.

1997-01-01

The purpose of this paper is to describe deterministic radiation injuries reported to the Food and Drug Administration (FDA) that resulted from therapeutic, interventional procedures performed under fluoroscopic guidance, and to investigate the procedure or equipment-related factors that may have contributed to the injury. Reports submitted to the FDA under both mandatory and voluntary reporting requirements which described radiation-induced skin injuries from fluoroscopy were investigated. Serious skin injuries, including moist desquamation and tissues necrosis, have occurred since 1992. These injuries have resulted from a variety of interventional procedures which have required extended periods of fluoroscopy compared to typical diagnostic procedures. Facilities conducting therapeutic interventional procedures need to be aware of the potential for patient radiation injury and take appropriate steps to limit the potential for injury. (author)

2 CFR 801.30 - What policies and procedures must I follow?

Science.gov (United States)

2010-01-01

...? 801.30 Section 801.30 Grants and Agreements Federal Agency Regulations for Grants and Agreements DEPARTMENT OF VETERANS AFFAIRS NONPROCUREMENT DEBARMENT AND SUSPENSION § 801.30 What policies and procedures... § 801.220 in this part (2 CFR 801.220). ...

Advantages of digital imaging for radiological diagnostic

International Nuclear Information System (INIS)

Trapero, M. A.; Gonzalez, S.; Albillos, J. C.; Martel, J.; Rebollo, M.

2006-01-01

The advantages and limitations of radiological digital images in comparison with analogic ones are analyzed. We discuss three main topics: acquisition, post-procedure manipulation, and visualization, archive and communication. Digital acquisition with computed radiology systems present a global sensitivity very close to conventional film for diagnostic purposes. However, flat panel digital systems seems to achieve some advantages in particular clinical situations. A critical issue is the radiation dose-reduction that can be accomplished without reducing image quality nor diagnostic exactitude. The post-procedure manipulation allows, particularly in multiplanar modalities like CT or MR, to extract all implicit diagnostic information in the images: Main procedures are multiplanar and three-dimensional reformations, dynamic acquisitions, functional studies and image fusion. The use of PACS for visualization, archive and communication of images, improves the effectiveness and the efficiency of the workflow, allows a more comfortable diagnosis for the radiologist and gives way to improvements in the communication of images, allowing tele consulting and the tele radiology. (Author) 6 refs

Radiological protection

International Nuclear Information System (INIS)

Azorin N, J.; Azorin V, J. C.

2010-01-01

This work is directed to all those people related with the exercise of the radiological protection and has the purpose of providing them a base of knowledge in this discipline so that they can make decisions documented on technical and scientist factors for the protection of the personnel occupationally exposed, the people in general and the environment during the work with ionizing radiations. Before de lack of a text on this matter, this work seeks to cover the specific necessities of our country, providing a solid presentation of the radiological protection, included the bases of the radiations physics, the detection and radiation dosimetry, the radiobiology, the normative and operational procedures associates, the radioactive wastes, the emergencies and the transport of the radioactive material through the medical and industrial applications of the radiations, making emphasis in the relative particular aspects to the radiological protection in Mexico. The book have 16 chapters and with the purpose of supplementing the given information, are included at the end four appendixes: 1) the radioactive waste management in Mexico, 2-3) the Mexican official standards related with the radiological protection, 4) a terms glossary used in radiological protection. We hope this book will be of utility for those people that work in the investigation and the applications of the ionizing radiations. (Author)

Malpractice claims in interventional radiology: frequency, characteristics and protective measures.

Science.gov (United States)

Magnavita, N; Fileni, A; Mirk, P; Magnavita, G; Ricci, S; Cotroneo, A R

2013-04-01

The use of interventional radiology procedures has considerably increased in recent years, as has the number of related medicolegal litigations. This study aimed to highlight the problems underlying malpractice claims in interventional radiology and to assess the importance of the informed consent process. The authors examined all insurance claims relating to presumed errors in interventional radiology filed by radiologists over a period of 14 years after isolating them from the insurance database of all radiologists registered with the Italian Society of Medical Radiology (SIRM) between 1 January1993 and 31 December 2006. In the period considered, 98 malpractice claims were filed against radiologists who had performed interventional radiology procedures. In 21 cases (21.4%), the event had caused the patient's death. In >80% of cases, the event occurred in a public facility. The risk of a malpractice claim for a radiologist practising interventional procedures is 47 per 1,000, which corresponds to one malpractice claim for each 231 years of activity. Interventional radiology, a discipline with a biological risk profile similar to that of surgery, exposes practitioners to a high risk of medicolegal litigation both because of problems intrinsic to the techniques used and because of the need to operate on severely ill patients with compromised clinical status. Litigation prevention largely depends on both reducing the rate of medical error and providing the patient with correct and coherent information. Adopting good radiological practices, scrupulous review of procedures and efficiency of the instruments used and audit of organisational and management processes are all factors that can help reduce the likelihood of error. Improving communication techniques while safeguarding the patient's right to autonomy also implies adopting clear and rigorous processes for obtaining the patient's informed consent to the medical procedure.

Radiology education: a glimpse into the future

Energy Technology Data Exchange (ETDEWEB)

Scarsbrook, A.F. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)]. E-mail: andyscarsbrook1@aol.com; Graham, R.N.J. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom); Perriss, R.W. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)

2006-08-15

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training.

Radiology education: a glimpse into the future

International Nuclear Information System (INIS)

Scarsbrook, A.F.; Graham, R.N.J.; Perriss, R.W.

2006-01-01

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training

Patient dose assessment in various Interventional radiology and cardiology procedures in Algeria (IAEA regional project results)

International Nuclear Information System (INIS)

Khelassi-Toutaoui, Nadia; Merad, Ahmed; Toutaoui, A.E.K.; Bairi, Souad

2008-01-01

Full text: Purpose: To evaluate patient doses in Interventional Radiology (IR) and Cardiology (IC) procedures in Algeria, within the framework of an International Atomic Energy Agency (IAEA) regional project on radiation protection of patients and medical exposure control (RAF 9033). Materials and Methods: Three public hospitals (CHU Bab el Oued, CHU Parnet and CHU Mustapha) and one specialised Cardiology Service (Clinique Maouche) were chosen for the study. For Maximum Skin Dose (MSD) evaluation, gafchromic films XR type R were used, placed on patient's back before the procedure. The Dose Area Product (DAP) and MSD were measured in 57 IR and IC procedures, either diagnostic or therapeutic. Results: The results revealed large variations in MSD (0.06-3.3 Gy) and DAP (5.5-332 mGycm 2 ). Mean MSD was 0.227 Gy in cerebral angiography, 0.202 Gy in coronary angiography, 1.162 Gy in Percutaneus Transluminal Coronary Angioplasty (PTCA) and 0.128 in abdominal angiography. The correlation of DAP and MSD was significant (r = 0.7). The correlation was DAP and fluoroscopy time was also significant (r = 0.8). Conclusion: The highest MSD values were found in PTCA which is a therapeutic procedure. Two PTCAs out of the 57 procedures measured in total had MSD over the threshold of 2 Gy for deterministic effects (MSD 1 = 3.0 Gy and MSD 2 3.3 Gy). The large variations in MSD reveal the need to continuously monitor patient doses in IR and IC procedures with special emphasis in PTCA procedure. (author)

Orthopedic radiology in the postoperative patient (practical orthopedic radiology)

International Nuclear Information System (INIS)

Weissman, B.N.; Gelman, M.I.

1987-01-01

This course examines various aspects of the radiologic examination of postoperative orthopedic patients. The operative indications, pertinent aspects of surgical technique, expected postoperative radiographic appearances, and radiographic findings indicating postoperative complications are discussed. The evaluation of total joint replacement surgery, spinal surgery, lower extremity procedures, and failed orthopedic devices and appliances are covered

Policies and procedures in the workplace: how health care organizations compare.

Science.gov (United States)

Loo, R

1993-01-01

Many organizations are implementing programs and services to manage the human and economic costs of stress. A mail survey was conducted of 500 randomly selected Canadian organizations having at least 500 employees. The survey tapped four major areas: organizational policies and procedures for managing stress; programs and services offered; perceived benefits and constraints for the organization; and projected future directions in this area. Analyses of returns from 210 organizations-43 health and 167 non-health-revealed various findings. For example, over half of health care organizations have policies and procedures as opposed to less than half of non-health care organizations. Also, health care organizations place greater emphasis on smoking cessation, weight control programs and on stress management training. Although some Canadian organizations are addressing stress, much more could and should be done, especially by organizations that do not yet recognize the impact of stress on employees and their work performance.

Safety of Conscious Sedation In Interventional Radiology

International Nuclear Information System (INIS)

Arepally, Aravind; Oechsle, Denise; Kirkwood, Sharon; Savader, Scott J.

2001-01-01

Purpose: To identify rates of adverse events associated with the use of conscious sedation in interventional radiology.Methods: In a 5-month period, prospective data were collected on patients undergoing conscious sedation for interventional radiology procedures (n = 594). Adverse events were categorized as respiratory, sedative, or major adverse events. Respiratory adverse events were those that required oral airway placement, ambu bag, or jaw thrust. Sedation adverse events were unresponsiveness, oxygen saturation less than 90%, use of flumazenil/naloxone, or agitation. Major adverse events were hypotension, intubation, CPR, or cardiac arrest. The frequency of adverse events for the five most common radiology procedures were determined.Results: The five most common procedures (total n = 541) were biliary tube placement/exchange (n = 182), tunneled catheter placement (n 135), diagnostic arteriography (n = 125), vascular interventions (n = 52), and other catheter insertions (n = 46). Rates for respiratory, sedation, and major adverse events were 4.7%, 4.2%, and 2.0%, respectively. The most frequent major adverse event was hypotension (2.0%). Biliary procedures had the highest rate of total adverse events (p < .05) and respiratory adverse events (p < .05).Conclusion: The frequency of adverse events is low with the use of conscious sedation during interventional procedures. The highest rates occurred during biliary interventions

Estimation of staff lens doses during interventional procedures. Comparing cardiology, neuroradiology and interventional radiology

International Nuclear Information System (INIS)

Vano, E.; Sanchez, R.M.; Fernandez, J.M.

2015-01-01

The purpose of this article is to estimate lens doses using over apron active personal dosemeters in interventional catheterisation laboratories (cardiology IC, neuroradiology IN and radiology IR) and to investigate correlations between occupational lens doses and patient doses. Active electronic personal dosemeters placed over the lead apron were used on a sample of 204 IC procedures, 274 IN and 220 IR (all performed at the same university hospital). Patient dose values (kerma area product) were also recorded to evaluate correlations with occupational doses. Operators used the ceiling-suspended screen in most cases. The median and third quartile values of equivalent dose Hp(10) per procedure measured over the apron for IC, IN and IR resulted, respectively, in 21/67, 19/44 and 24/54 μSv. Patient dose values (median/third quartile) were 75/128, 83/176 and 61/159 Gy cm 2 , respectively. The median ratios for dosemeters worn over the apron by operators ( protected by the ceiling-suspended screen) and patient doses were 0.36; 0.21 and 0.46 μSv Gy -1 cm -2 , respectively. With the conservative approach used (lens doses estimated from the over apron chest dosemeter) we came to the conclusion that more than 800 procedures y -1 and per operator were necessary to reach the new lens dose limit for the three interventional specialties. (authors)

Radiological Society of North America

Science.gov (United States)

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Emergency radiological monitoring and analysis United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

1994-01-01

The United States Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. Following a major radiological incident the FRERP authorizes the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to coordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted states and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for coordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis and quality assurance. This program includes: (1) Aerial Radiological Monitoring - Fixed Wing and Helicopter, (2) Field Monitoring and Sampling, (3) Radioanalysis - Mobile and Fixed Laboratories, (4) Radiation Detection Instrumentation - Calibration and Maintenance, (5) Environmental Dosimetry, and (6) An integrated program of Quality Assurance. To assure consistency, completeness and the quality of the data produced, a methodology and procedures handbook is being developed. This paper discusses the structure, assets and operations of FRMAC monitoring and analysis and the content and preparation of this handbook

The current status of interventional radiology in Canada: results of a survey by the Canadian Interventional Radiology Association

Energy Technology Data Exchange (ETDEWEB)

Millward, S.F.; Holley, M.L. [Univ. of Western Ontario, London Health Sciences Centre, Dept. of Radiology, London, Ontario (Canada)

2001-04-01

To evaluate the current status of interventional radiology in Canada. A questionnaire was sent to 28 Canadian interventional radiologists (defined as a physician who performs any type of interventional procedure, including biopsies, but excluding interventional neuroradiology) practising in both tertiary and community hospitals in the major centres in all provinces except Prince Edward Island. Twenty-two (79%) of 28 surveys were completed and returned, providing data about 86 interventional radiologists (IRs). IRs were performing almost all of the following procedures at their institutions: inferior vena cava filter placement, venous angioplasty, dialysis fistula angioplasty, diagnostic and therapeutic pulmonary and bronchial artery procedures, diagnostic and therapeutic procedures of the lower extremity and renal arteries, percutaneous abscess and biliary drainage procedures, percutaneous nephrostomy, and fibroid embolization. A second group of procedures, performed by both IRs and non-radiologists in most institutions, included: all types of central venous catheter placements, pleural drainage, and gastrostomy tube placement. Procedures not being performed by anyone in a number of institutions included: dialysis graft thrombolysis, varicocele embolization, transjugular intrahepatic portosystemic shunts, palliative stenting of the gastrointestinal tract, fallopian tube recannalization, and liver and prostate tumour treatments. The factors most often limiting the respondents' ability to provide a comprehensive interventional service were the interventional radiology inventory budget and the availability of interventional radiology rooms; 50% of respondents indicated the number of available nurses, technologists and IRs was also an important limiting factor. IRs in Canada still play a major role in many of the most commonly performed procedures. However, limited availability of resources and personnel in many institutions may be hampering the ability of IRs to

Comparison of incident air kerma (ki) of common digital and analog radiology procedures in Kohgiluyeh and Boyer-Ahmad province

Science.gov (United States)

Vafapour, Hassan; Salehi, Zaker

2018-03-01

Introduction: Although in many developed countries, Analog radiography (AR) is replaced with digital radiography (DR) but AR is still widely used in many countries included Iran. Therefore, dosimetrically assessment of delivered dose is very important to avoid unnecessary patient dose. Materials and Methods: In this study, all imaging centers in Kohgiluyeh and Boyer-Ahmad were selected. The initial information included the mean kVp and mAs used by the personnel to perform each radiological procedure were gathered through a questionnaire. Barracuda dosimeter was then used to measure Incident air kerma (ki). Data obtained from digital radiography (DR) and analogue radiography (AR) were then analyzed and compared to each other. Results: The mean incident air kerma (ki) for five radiological procedures (chest AP&Lat, Skull AP&Lat, Lumbar spine AP&Lat, Thoracic spine AP&Lat and Pelvis) in digital devices were 0.38&1.34, 2.1&1.94, 4.99&7.83, 4.18& 6.41 and 4.33 mGy and those for analogue devices were 0.7&1.28, 3.05&3.02, 7.25&9.9, 7.125&8.36 and 5.36 mGy, respectively. Discussion and Conclusion: The use of low kVp or high mAs is one of the reasons to increase the incident air kerma (ki) in analogue methods comparing to digital methods in all procedures except the chest (in Lateral view). Also the results, surprisingly, showed that in some of the analogue methods incident air kerma (ki) was less than digital methods which is most probably because of the auto-exposure conditions.

The radiological technologist

International Nuclear Information System (INIS)

Bundy, A.L.

1988-01-01

Radiologists rely upon the talents of the technologists with whom they work. Indeed, a good technologist will only enhance the radiologist's performance. Radiological technologists no longer solely take radiographs, but are involved in many more detailed areas of imaging, such as computered tomography, magnetic resonance imaging, nuclear radiology, ultrasound, angiography, and special procedures. They are also required to make decisions that affect the radiological examination. Besides the degree in radiological technology (RT), advanced degrees in nuclear medicine technology (NMT) and diagnostic medical sonography (RDMS) are attainable. The liability of the technologist is not the same as the radiologist involved, but the liability is potentially real and governed by a subdivision of jurisprudence known as agency law. Since plaintiffs and attorneys are constantly searching for new frontiers of medical liability, it is wise for the radiologist and technologist to be aware of the legalities governing their working relationship and to behave accordingly. The legal principles that apply to this working relationship are discussed in this chapter, followed by a presentation of some relevant and interesting cases that have been litigated

Radiologic considerations

International Nuclear Information System (INIS)

Judge, L.O.

1987-01-01

An increasing variety of imaging modalities as well as refinements of interventional techniques have led to a resurgence of radiologic interest and participation in urolithiasis management. Judicious selection of the diagnostic examination, close monitoring during the procedure, consultation with urologic colleagues, and a careful regard for radiation safety guidelines define the role of the radiologist in renal stone disease

Radiological protection in medicine: work of ICRP Committee 3

International Nuclear Information System (INIS)

Vañó, E.; Cosset, J.M.; Rehani, M.M.

2012-01-01

Committee 3 of the International Commission on Radiological Protection (ICRP) is concerned with protection in medicine, and develops recommendations and guidance on the protection of patients, staff, and the public against radiation exposure in medicine. This paper presents an overview of the work of Committee 3 over recent years, and the work in progress agreed at the last annual meeting in Bethesda, MD in October 2011. The reports published by ICRP dealing with radiological protection in medicine in the last 10 years cover topics on: education and training in radiological protection; preventing accidental exposures in radiation therapy; dose to patients from radiopharmaceuticals; radiation safety aspects of brachytherapy; release of patients after therapy with unsealed radionuclides; managing patient dose in digital radiology and computed tomography; avoidance of radiation injuries from medical interventional procedures; pregnancy and medical radiation; and diagnostic reference levels in medical imaging. Three new reports will be published in the coming months dealing with aspects of radiological protection in fluoroscopically guided procedures outside imaging departments; cardiology; and paediatric radiology. The work in progress agreed by Committee 3 is also described.

Radiological protection procedures for industrial applications of computed radiography

International Nuclear Information System (INIS)

Aquino, Josilto Oliveira de

2009-03-01

Due to its very particular characteristics, industrial radiography is responsible for roughly half of the relevant accidents in nuclear industry, in developed as well as in developing countries, according to the International Atomic Energy Agency (IAEA). Thus, safety and radiological protection in industrial gamma radiography have been receiving especial treatment by regulatory authorities of most Member States. The main objective of the present work was to evaluate, from the radioprotection point of view, the main advantages of computed radiography (CR) for filmless industrial radiography. In order to accomplish this, both techniques, i.e. conventional and filmless computed radiography were evaluated and compared through practical studies. After the studies performed at the present work it was concluded that computed radiography significantly reduces the inherent doses, reflecting in smaller restricted areas and costs, with consequent improvement in radiological protection and safety. (author)

Interventional radiography and mortality risks in U.S. radiologic technologists

Energy Technology Data Exchange (ETDEWEB)

Linet, Martha S.; Freedman, D.M.; Sigurdson, Alice J.; Doody, Michele M. [National Cancer Institute, Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, Bethesda, MD (United States); Hauptmann, Michael [National Cancer Institute, Biostatistics Branch, Division of Cancer Epidemiology and Genetics, Bethesda, MD (United States); Alexander, Bruce H. [University of Minnesota, Division of Environmental Health Sciences, Minneapolis, MN (United States); Miller, Jeremy [Information Management Services, Inc., Rockville, MD (United States)

2006-09-15

With the exponential increase in minimally invasive fluoroscopically guided interventional radiologic procedures, concern has increased about the health effects on staff and patients of radiation exposure from these procedures. There has been no systematic epidemiologic investigation to quantify serious disease risks or mortality. To quantify all-cause, circulatory system disease and cancer mortality risks in U.S. radiologic technologists who work with interventional radiographic procedures, we evaluated mortality risks in a nationwide cohort of 88,766 U.S. radiologic technologists (77% female) who completed a self-administered questionnaire during 1994-1998 and were followed through 31 December 2003. We obtained information on work experience, types of procedures (including fluoroscopically guided interventional procedures), and protective measures plus medical, family cancer history, lifestyle, and reproductive information. Cox proportional hazards regression models were used to compute relative risks (RRs) with 95% confidence intervals (CIs). Between completion of the questionnaire and the end of follow-up, there were 3,581 deaths, including 1,209 from malignancies and 979 from circulatory system diseases. Compared to radiologic technologists who never or rarely performed or assisted with fluoroscopically guided interventional procedures, all-cause mortality risks were not increased among those working on such procedures daily. Similarly, there was no increased risk of mortality resulting from all circulatory system diseases combined, all cancers combined, or female breast cancer among technologists who daily performed or assisted with fluoroscopically guided interventional procedures. Based on small numbers of deaths (n=151), there were non-significant excesses (40%-70%) in mortality from cerebrovascular disease among technologists ever working with these procedures. The absence of significantly elevated mortality risks in radiologic technologists reporting the

Plan for radiological security at a university health center

International Nuclear Information System (INIS)

Huiaman Mendoza, G.M.; Sanchez Riojas, M.M.; Felix JImenez, D.

1998-01-01

This work shows a radiological security plan applied to a Basic Radiological Service at a university health center. Factors taken into account were installation designs, equipment operation parameters, work procedures, image system and responsibilities

Data publication - policies and procedures from the PREPARDE project

Science.gov (United States)

Callaghan, Sarah; Murphy, Fiona; Tedds, Jonathan; Kunze, John; Lawrence, Rebecca; Mayernik, , Matthew S.; Whyte, Angus; Roberts, Timothy

2013-04-01

Data are widely acknowledged as a first class scientific output. Increases in researchers' abilities to create data need to be matched by corresponding infrastructures for them to manage and share their data. At the same time, the quality and persistence of the datasets need to be ensured, providing the dataset creators with the recognition they deserve for their efforts. Formal publication of data takes advantage of the processes and procedures already in place to publish academic articles about scientific results, enabling data to be reviewed and more broadly disseminated. Data are vastly more varied in format than papers, and so the policies required to manage and publish data must take into account the complexities associated with different data types, scientific fields, licensing rules etc. The Peer REview for Publication & Accreditation of Research Data in the Earth sciences (PREPARDE) project is JISC- and NERC-funded, and aims to investigate the policies and procedures required for the formal publication of research data. The project is investigating the whole workflow of data publication, from ingestion into a data repository, through to formal publication in a data journal. To limit the scope of the project, the focus is primarily on the policies required for the Royal Meteorological Society and Wiley's Geoscience Data Journal, though members of the project team include representatives from the life sciences (F1000Research), and will generalise the policies to other disciplines. PREPARDE addresses key issues arising in the data publication paradigm, such as: what criteria are needed for a repository to be considered objectively trustworthy; how does one peer-review a dataset; and how can datasets and journal publications be effectively cross-linked for the benefit of the wider research community and the completeness of the scientific record? To answer these questions, the project is hosting workshops addressing these issues, with interactions from key

Conventional radiology and genetic dose

International Nuclear Information System (INIS)

Gonzalez-Vila, V.; Fernandez, A.; Rivera, F.; Martinez, M.; Gomez, A.; Luis, J.

1992-01-01

A research project was established in 1984 to evaluate the expected genetic abnormalities due to radiation received by the population attending the Outpatient Radiological Service due to medical radiological practices. The study was conducted in 1985 (12 weeks chosen by random). The equivalent gonadal dose was the chosen parameter, representing the social cost of the radiology. Samples of 2945 men and 2929 women were considered in the study. The number of genetic abnormalities, in relation to the mean age of reproduction (a generation every 30 years), was 2.13 cases per million in the first generation and 15.97 cases per million at equilibrium. The authors interpretation is that both the method and the expected genetic detriment are suitable procedures for the characterisation of the Radiological Service as a radiation source. (author)

Thyroid Radiation Dose to Patients from Diagnostic Radiology Procedures over Eight Decades: 1930-2010.

Science.gov (United States)

Chang, Lienard A; Miller, Donald L; Lee, Choonsik; Melo, Dunstana R; Villoing, Daphnée; Drozdovitch, Vladimir; Thierry-Chef, Isabelle; Winters, Sarah J; Labrake, Michael; Myers, Charles F; Lim, Hyeyeun; Kitahara, Cari M; Linet, Martha S; Simon, Steven L

2017-12-01

This study summarizes and compares estimates of radiation absorbed dose to the thyroid gland for typical patients who underwent diagnostic radiology examinations in the years from 1930 to 2010. The authors estimated the thyroid dose for common examinations, including radiography, mammography, dental radiography, fluoroscopy, nuclear medicine, and computed tomography (CT). For the most part, a clear downward trend in thyroid dose over time for each procedure was observed. Historically, the highest thyroid doses came from the nuclear medicine thyroid scans in the 1960s (630 mGy), full-mouth series dental radiography (390 mGy) in the early years of the use of x rays in dentistry (1930s), and the barium swallow (esophagram) fluoroscopic exam also in the 1930s (140 mGy). Thyroid uptake nuclear medicine examinations and pancreatic scans also gave relatively high doses to the thyroid (64 mGy and 21 mGy, respectively, in the 1960s). In the 21st century, the highest thyroid doses still result from nuclear medicine thyroid scans (130 mGy), but high thyroid doses are also associated with chest/abdomen/pelvis CT scans (18 and 19 mGy for males and females, respectively). Thyroid doses from CT scans did not exhibit the same downward trend as observed for other examinations. The largest thyroid doses from conventional radiography came from cervical spine and skull examinations. Thyroid doses from mammography (which began in the 1960s) were generally a fraction of 1 mGy. The highest average doses to the thyroid from mammography were about 0.42 mGy, with modestly larger doses associated with imaging of breasts with large compressed thicknesses. Thyroid doses from dental radiographic procedures have decreased markedly throughout the decades, from an average of 390 mGy for a full-mouth series in the 1930s to an average of 0.31 mGy today. Upper GI series fluoroscopy examinations resulted in up to two orders of magnitude lower thyroid doses than the barium swallow. There are

Radiologic Equipment and Technicians according to the Distribution of the Population

International Nuclear Information System (INIS)

Yoon, Chul Ho; Choi, Jun Gu

2009-01-01

The purpose of this paper is to provide basic data in order to systematize the management of demand and supply of radiologic technicians, to pursue a fair regional distribution of educational institutions, and furthermore to keep reasonable medical treatment and fee. This research was carried out through the investigation of radiologic equipment and technicians according to the distribution of the population. We compared and analyzed the correlation between regional population, the number of clinics and hospitals, the number of medical imaging devices, and the number of radiologists and radiologic technicians in 5 cities without 'Gu' administrative units in 2008. 27,317 radiologic technicians have been produced since the administration of the national qualifying exam for radiologic technicians. About 18,000 radiologic technicians are currently working. There are 39 colleges or universities with Departments of Radiology and the admission quota is 2,120 students excluding one college. The ratio of radiologic equipment to radiologic technicians is 2.6 to 1. There is a dilemma in which some radiologic technicians fail to find appropriate jobs while some clinics or hospitals are in need of radiologic technicians. This dilemma is due to unreasonable regional discrepancies in pay system and welfare situation, and excessive profit-oriented recruiting system of clinics and hospitals. The increase of students of Radiologic Departments and approval of additional departments will end up with producing superfluous high academic degree holders, which is on the contrary to the government policy to produce more job opportunities. So the policy of increasing Radiologic Departments should be reconsidered.

Science and values in radiological protection: impact on radiological protection decision making

International Nuclear Information System (INIS)

Salomaa, Sisko; Pinak, Miroslav

2008-01-01

Full text: This work summarises the main ideas and achievements of the Science and Values in Radiological Protection Workshop that was held on 15-17 January 2008 in Helsinki, Finland. In the view of developing of new radiological applications and emerging scientific phenomena it has been recognized a need to develop a shared understanding of emerging challenges for radiological protection among scientific and regulatory communities, public and other concerned stake holders. In response to this the Committee of Radiation Protection and Public Health of the OECD Nuclear Energy Agency and Radiation and Nuclear Safety Authority of Finland tried to initiate a process of longer-term reflection on scientific and societal issues that might challenge radiological protection in the coming years. Among general issues like radiological policy issues, improvement of understanding between research and policy communities, sharing views on emerging scientific issues, there were addressed several scientific issues, like non-targeted effects, individual sensitivity; and circulatory diseases. The main focus of these discussions was to elaborate potential 'what if' scenarios and propose feasible solutions at various levels. These discussions addressed effects that are not direct and evident consequence of the initial lesions produced at the cellular and DNA level like bystander responses, genomic instability, gene induction, adaptive responses and low dose. Particular interest was paid to an extrapolation of risk estimates to low doses and role of Linear Non-Threshold theory in setting regulatory principles. Individual radio-sensitivity and identification of genes that are suspected of having an influence on it were also discussed in one of the Breakout Sessions. Another Breakout Session addressed circulatory diseases. There is emerging evidence in the A-bomb survivors and in other exposed groups that ionising radiation also causes other diseases than cancer, such as circulatory

Expanding the scope of practice for radiology managers: radiation safety duties.

Science.gov (United States)

Orders, Amy B; Wright, Donna

2003-01-01

In addition to financial responsibilities and patient care duties, many medical facilities also expect radiology department managers to wear "safety" hats and complete fundamental quality control/quality assurance, conduct routine safety surveillance in the department, and to meet regulatory demands in the workplace. All managers influence continuous quality improvement initiatives, from effective utilization of resource and staffing allocations, to efficacy of patient scheduling tactics. It is critically important to understand continuous quality improvement (CQI) and its relationship with the radiology manager, specifically quality assurance/quality control in routine work, as these are the fundamentals of institutional safety, including radiation safety. When an institution applies for a registration for radiation-producing devices or a license for the use of radioactive materials, the permit granting body has specific requirements, policies and procedures that must be satisfied in order to be granted a permit and to maintain it continuously. In the 32 U.S. Agreement states, which are states that have radiation safety programs equivalent to the Nuclear Regulatory Commission programs, individual facilities apply for permits through the local governing body of radiation protection. Other states are directly licensed by the Nuclear Regulatory Commission and associated regulatory entities. These regulatory agencies grant permits, set conditions for use in accordance with state and federal laws, monitor and enforce radiation safety activities, and audit facilities for compliance with their regulations. Every radiology department and associated areas of radiation use are subject to inspection and enforcement policies in order to ensure safety of equipment and personnel. In today's business practice, department managers or chief technologists may actively participate in the duties associated with institutional radiation safety, especially in smaller institutions, while

An advanced microcosting system for forecasting and managing radiology expenses

International Nuclear Information System (INIS)

Arenson, R.; Viale, R.; VanDerVoorde, F.

1985-01-01

The new prospective payment system encourages hospital cost containment and necessitates understanding actual cost for radiology procedures. The automated microcosting system described in this paper, utilizing data from the Radiology Information Management System, hospital expense reports, and payroll management reports, calculates an accurate unit cost for each procedure type. This data is very useful for cost control, enhancement of department efficiency, and planning

Assessment of LANL transportation policies and procedures

International Nuclear Information System (INIS)

Danna, J.G.; Jennrich, E.A.; Lund, D.M.; Davis, K.D.; Hoevemeyer, S.S.

1991-04-01

In order to determine whether activities related to the transportation of waste at Los Alamos National Laboratory (LANL) were being conducted in accordance with DOE policy, requirements stated in applicable DOE Orders were reviewed and compared with LANL policies and procedures described in the Administrative Requirements and the On-Site Transportation Manual. The following DOE Orders were determined to pertain to waste transportation and thus reviewed to identify requirements for which LANL is responsible for satisfying: Order 5820.2A Radioactive Waste Management; Order 1540.1 Materials Transportation and Traffic Management; and Order 5480.3 Safety Requirements for the Packaging and Transportation of Hazardous Materials, Hazardous Substances, and Hazardous Wastes. The LANL On-Site Transportation Manual and the Administrative Requirements contained in the LANL Environment, Safety, and Health Manual were reviewed to verify that each of the requirements identified through the review of the Orders and 10 CFR Part 71 were being satisfied. The following Administrative Requirements were considered in this task: Shipment of Radioactive Materials; Radioactive Liquid Waste; Low-Level Radioactive Solid Waste; Chemical, Hazardous, and Mixed Waste; Polychlorinated Biphenyls; and Transuranic (TRU) Solid Waste

Unenhanced computed tomography in acute renal colic reduces cost outside radiology department

DEFF Research Database (Denmark)

Lauritsen, J.; Andersen, J.R.; Nordling, J.

2008-01-01

BACKGROUND: Unenhanced multidetector computed tomography (UMDCT) is well established as the procedure of choice for radiologic evaluation of patients with renal colic. The procedure has both clinical and financial consequences for departments of surgery and radiology. However, the financial effect...... outside the radiology department is poorly elucidated. PURPOSE: To evaluate the financial consequences outside of the radiology department, a retrospective study comparing the ward occupation of patients examined with UMDCT to that of intravenous urography (IVU) was performed. MATERIAL AND METHODS......) saved the hospital USD 265,000 every 6 months compared to the use of IVU. CONCLUSION: Use of UMDCT compared to IVU in patients with renal colic leads to cost savings outside the radiology department Udgivelsesdato: 2008/12...

An overview of dental radiology: a primer on dental radiology

International Nuclear Information System (INIS)

Manny, E.F.; Carlson, K.C.; McClean, P.M.; Rachlin, J.A.; Segal, P.

1980-01-01

To provide medical and scientific background on certain selected technologies generally considered to be of particular significance, the National Center for Health Care Technology (NCHCT) has commissioned a series of overview papers. This is one of several projects entered into jointly by the Bureau of Radiological Health (BRH) and NCHCT relating to the use of radiation for health care. Dental radiation protection has been a long-time interest of BRH. Both past and on-going efforts to minimize population radiation exposure from electronic products have included specific action programs directed at minimizing unnecessary radiation exposure to the population from dental radiology. Current efforts in quality assurance and referral criteria are two aspects of NCHCT's own assessment of this technology which are described within the larger picture presented in this overview. The issues considered in this document go beyond the radiation exposure aspects of dental x-ray procedures. To be responsive to the informational needs of NCHCT, the assessment includes various other factors that influence the practice of dental radiology. It is hoped this analysis will serve as the basis for planning and conducting future programs to improve the practice of dental radiology

The potential of radiologic procedures in the diagnosis of inflammatory bowel disease

Directory of Open Access Journals (Sweden)

S. E. Dubrova

2016-01-01

Full Text Available At present, there is no "golden standard" of diagnosis of inflammatory bowel disease. Each and every individual case requires a thorough analysis of clinical symptoms in their association with endoscopic, histological, radiological and laboratory data. This review paper analyzes both conventional and novel methods of radiological investigations. Some of them have changed their significance from the "golden standard" to rare and limited application and from promising, then frequent and currently sporadic use of small bowel enema. Traditional ileocolonoscopy maintains its diagnostic potential, especially as a tool for follow up of patients with colonic and ileac disorders. The state-of-the-art non-invasive (ultrasound examination and limitedly non-invasive (computerized tomography and magnetic resonance imaging procedures are considered to be the most accurate methods for assessment of inflammatory bowel disorders in patient with already confirmed diagnosis and those with suspected cases of Crohn's disease and ulcerative colitis. The paper describes preparation of patient for each method, assessment technique, advantages and limitations for use, diagnostic criteria for intestinal wall thickness, accuracy of methods and discusses the perspectives of their use. The main sign of inflammatory bowel disease is thickening of intestinal wall. Usually its mean thickness in Crohn's disease (11 to 13 mm is higher than that in ulcerative colitis (7 to 8 mm. This may provide a diagnostic key during differential diagnosis of an isolated colon disease. The amount of the contrast cumulated by the intestinal wall directly correlates with inflammation activity. Intensive contract cumulation in the intestinal wall after intravenous contrast enhancement is a symptom of active inflammatory process. However, despite progression in the technologies, initial signs of inflammatory bowel diseases are quite superficial and remain hardly visible, being below the resolution

Quality control procedures of dental diagnostic radiology systems; Elaboracao de um procedimento para controle de qualidade em sistemas de radiodiagnostico odontologico

Energy Technology Data Exchange (ETDEWEB)

Andrade, Paula Serra Sasaki

2007-07-01

This work presents quality control reference procedures for dental diagnostic radiology systems, following the recommendations of the Publication 453 of the Brazilian Health Ministry (PF453), to be applied in dental clinics, in order to achieve an improvement in the radiological image qualities and the patient dose reduction. All tests were applied in an intraoral X rays system, following the methodology developed and the requirements of the PF 453. In order to verify the best quality of the image in relation to the smaller exposition time an object test was also developed in this work. The use of this object allowed the reduction of the exposition time of 0.5 seconds, the maximum value of the linear region of the characteristic curve, for 0.2 seconds. The tested X rays system showed a very good agreement with the applied procedures, detaching the reduction of the skin entrance dose using the film-holding devices. However, the size of the field increased and exceeded the maximum value of 6 cm recommended in the standard. The importance of the quality control in dental diagnostic radiology systems is essential due to the constant use of X radiation in dental clinics. The PF453 recommends the frequency of at least two years for the constancy tests. However, it is suggested that the professional, surgeon-dentist, should be responsible for the internal control of the image quality obtained from the X rays device. This can be done through monthly exposures of the object test developed in this work. (author)

Hazardous radiological waste-dental and environmental perspective

International Nuclear Information System (INIS)

Tripathi, Anurag

2014-01-01

Dental radiology is concerned with maxillo-facial radiological diagnostic procedure. It is meant for patient welfare and to generate diagnostically useful information, which can be utilized for patient welfare. If injudiciously used, it can become a source of harmful effluents and solid waste, which may pose risk to health and environment. Professionals of dental radiology should be aware about their responsibility to dispose such waste in the rightful manner to fulfil their medical pledge and ethics of doing no harm. (author)

Radiological protection and quality control for diagnostic radiology in China

International Nuclear Information System (INIS)

Baorong, Yue

2008-01-01

Full text: There are 43,000 diagnostic departments, nearly 70,000 X-ray diagnostic facilities, 7,000 CT, 250 million for the annual total numbers of X-ray examinations, 120,000 occupationally exposed workers in diagnostic radiology. 'Basic standards for protection against ionizing radiation and for the safety of radiation sources' is promulgated on October, 2002. This basic standard follows the BSS. 'Rule on the administration of radio-diagnosis and radiotherapy', as a order of the Ministry of Health No. 46, is promulgated by Minister of Health on January 24, 2006. It includes general provisions, requirements and practice, establishment and approval of radio-diagnosis and radiotherapy services, safeguards and quality assurance, and so on. There are a series of radiological protection standards and quality control standards in diagnostic radiology, including 'radiological protection standard for the examination in X-ray diagnosis', 'radiological health protection standards for X-ray examination of child-bearing age women and pregnant women', 'radiological protection standards for the children in X-ray diagnosis', 'standards for radiological protection in medical X-ray diagnosis', 'specification for radiological protection monitoring in medical X-ray diagnosis', 'guide for reasonable application of medical X-ray diagnosis', 'general aspects for quality assurance in medical X-ray image of diagnosis', 'specification of image quality control test for the medical X-ray diagnostic equipment', 'specification of image quality assurance test for X-ray equipment for computed tomography', 'specification for testing of quality control in computed radiography (CR)' and 'specification for testing of quality control in X-ray mammography'. With the X-ray diagnostic equipment, there are acceptant tests, status tests and routing tests in large hospitals. It is poor for routing test in middle and smaller hospitals. CT is used widely in diagnostic radiology, however most workers in CT

Additional radiation dose to population due to X-ray diagnostic procedures

International Nuclear Information System (INIS)

Chougule, A.

2006-01-01

Full text of publication follows: Discovery of X rays has revolutionised the medical diagnosis but the fact that the diagnostic radiological procedures contribute about 80 to 90 % of the radiation dose to population as compared to other man made radiation sources cannot be ignored especially when X ray diagnostic facilities are being made available to larger section of the society. The estimated frequency of radiological procedures in India is 12,000 procedures/ year/100,000 population, though it is quite less as compared to developed countries, its increasing day by day. As part of the project, a radiation protection survey of X ray installations and patient radiation dose measurement during various radiological procedures was undertaken. 193 X ray installations were surveyed and the radiation doses received by the patient during various radiological procedure was measured. For measurement of radiation doses, CaSO 4 : Dy thermoluminescence (T.L.) discs of size 13.3 mm diameter and 0.8 mm thickness were used. Pre annealed T.L. discs were fixed by adhesive tape on the patient skin at the center of entrance beam before the exposure. After exposure the T.L. discs were estimated f or entrance skin dose during that particular projection/ examination. 10,000 measurements at different centers during various radiological procedures were done. It was found that chest radiography accounts for 37 % of all radiological procedures and further it was observed that 70 % of the chest X rays were normal with out any pathology indicating scope for curtailing the unwarranted radiological procedures. The special investigations like barium swallow, barium meal and fallow through accounts for about 1.5 % of the total radiological procedures. The entrance skin dose [E.S.D.] during chest radiography was 0.3 + 0.1 mGy where as during K.U.B. and cervical spine radiography it was 6.2 + 1.1 mGy and 5.1 + 0.9 mGy respectively. The details of frequency of various radiological procedures and the

47 CFR 64.401 - Policies and procedures for provisioning and restoring certain telecommunications services in...

Science.gov (United States)

2010-10-01

... 47 Telecommunication 3 2010-10-01 2010-10-01 false Policies and procedures for provisioning and restoring certain telecommunications services in emergencies. 64.401 Section 64.401 Telecommunication... procedures for provisioning and restoring certain telecommunications services in emergencies. The...

Estimation of staff lens doses during interventional procedures. Comparing cardiology, neuroradiology and interventional radiology.

Science.gov (United States)

Vano, E; Sanchez, R M; Fernandez, J M

2015-07-01

The purpose of this article is to estimate lens doses using over apron active personal dosemeters in interventional catheterisation laboratories (cardiology IC, neuroradiology IN and radiology IR) and to investigate correlations between occupational lens doses and patient doses. Active electronic personal dosemeters placed over the lead apron were used on a sample of 204 IC procedures, 274 IN and 220 IR (all performed at the same university hospital). Patient dose values (kerma area product) were also recorded to evaluate correlations with occupational doses. Operators used the ceiling-suspended screen in most cases. The median and third quartile values of equivalent dose Hp(10) per procedure measured over the apron for IC, IN and IR resulted, respectively, in 21/67, 19/44 and 24/54 µSv. Patient dose values (median/third quartile) were 75/128, 83/176 and 61/159 Gy cm(2), respectively. The median ratios for dosemeters worn over the apron by operators (protected by the ceiling-suspended screen) and patient doses were 0.36; 0.21 and 0.46 µSv Gy(-1) cm(-2), respectively. With the conservative approach used (lens doses estimated from the over apron chest dosemeter) we came to the conclusion that more than 800 procedures y(-1) and per operator were necessary to reach the new lens dose limit for the three interventional specialties. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

A method to reduce patient's eye lens dose in neuro-interventional radiology procedures

International Nuclear Information System (INIS)

Safari, M.J.; Wong, J.H.D.; Kadir, K.A.A.; Sani, F.M.; Ng, K.H.

2016-01-01

Complex and prolonged neuro-interventional radiology procedures using the biplane angiography system increase the patient's risk of radiation-induced cataract. Physical collimation is the most effective way of reducing the radiation dose to the patient's eye lens, but in instances where collimation is not possible, an attenuator may be useful in protecting the eyes. In this study, an eye lens protector was designed and fabricated to reduce the radiation dose to the patients’ eye lens during neuro-interventional procedures. The eye protector was characterised before being tested on its effectiveness in a simulated aneurysm procedure on an anthropomorphic phantom. Effects on the automatic dose rate control (ADRC) and image quality are also evaluated. The eye protector reduced the radiation dose by up to 62.1% at the eye lens. The eye protector is faintly visible in the fluoroscopy images and increased the tube current by a maximum of 3.7%. It is completely invisible in the acquisition mode and does not interfere with the clinical procedure. The eye protector placed within the radiation field of view was able to reduce the radiation dose to the eye lens by direct radiation beam of the lateral x-ray tube with minimal effect on the ADRC system. - Highlights: • The eye protector can considerably reduce the patient's eye lens dose during neuro-interventional procedures. • This protector does not significantly perturb the fluoroscopy image and was completely invisible on the acquisition image due to image subtraction. • The eye protector does not significantly change the exposure parameters (kV and mAs).

Occupational exposure of diagnostic radiology staff in Israel during 1994-1996

International Nuclear Information System (INIS)

Biran, T.; Malchi, S.; Shamai, Y.

1997-01-01

Personnel who perform interventional radiological procedures which involve long fluoroscopy times and with a high workload, may receive radiation doses comparable to one of the dose limits suggested by the International Commission on Radiological protection. It is therefore important to monitor accurately the radiation dose to every staff member. who is involved in fluoroscopy procedures. (authors)

Basic policy of JMTR refurbishment and regulatory procedure

International Nuclear Information System (INIS)

Tobita, Kenji

2012-04-01

The JMTR refurbishment started from FY2007 had been completed on the end of the FY2010. The refurbishment works carried out on about 60 items nuclear reactor systems, (about 40 of facilities and about 20 constructions) with no trouble. This report review the basic policy of JMTR refurbishment, such as a selection of facilities/equipments for the refurbishment and the determination method of specifications for repairs. The deliberation and discussion by the safety review committee of Oarai Research and Development Center in the Japan Atomic Energy Agency and nuclear regulatory procedure are included in this report. (author)

Determining the Suitability of Materials for Disposal at Sea under the London Convention 1972 and London Protocol 1996: A Radiological Assessment Procedure. 2015 Edition

International Nuclear Information System (INIS)

2015-01-01

This publication provides guidance on performing specific assessments of candidate materials for dumping at sea, to determine whether the materials are de minimis in the meaning of the Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter 1972 (the London Convention 1972) and the related Protocol 1996 (the London Protocol 1996). It presents a detailed radiological procedure to assess doses to workers and members of the public and doses to marine flora and fauna related to the dumping of materials at sea. The procedures in this publication follow the requirements to protect the environment in the IAEA Safety Standards and in the recommendations by the International Commission of Radiological Protection. It is expected to be used by national regulatory authorities responsible for authorizing disposal at sea of candidate materials as well as by those companies and individuals applying to obtain permission to dispose these materials at sea

Scientific issues and emerging challenges for radiological protection

International Nuclear Information System (INIS)

2007-01-01

Scientific knowledge is constantly evolving as more advanced technologies become available and more in-depth research is carried out. Given the potential implications that new findings could have on policy decisions, in 1998 the NEA Committee on Radiation Protection and Public Health (CRPPH) performed a survey of state-of-the-art research in radiological protection science. This study suggested that, while the current system of radiological protection was well under-pinned by scientific understanding, growing knowledge in several areas could seriously impact policy and regulation. Ten years later, the CRPPH has again performed a survey of state-of-the-art research which reiterates and clarifies its earlier conclusions. This report summarises the results of this latest CRPPH assessment of radiological protection science. Specifically, it explains that knowledge of non-targeted and delayed effects, as well as of individual sensitivity, have been significantly refined over the past ten years. Although at this point there is still no scientific certainty in these areas, based on the most recent studies and results, the report strongly suggests that policy makers and regulatory authorities should consider possible impacts that could arise from research in the next few years. Further, the report identifies research areas that should be supported to more definitively answer scientific questions having the most direct impacts on policy choices. (author)

Radiological Worker II Training, Course 20301 (Live), Course 12909 (Test)

Energy Technology Data Exchange (ETDEWEB)

Harris, Jimmy D. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-01-13

Radiological worker training is the basic building block for any additional radiological training you may receive. Upon completing radiological worker training, you will have the basic knowledge needed to work safely, using proper radiological practices, in areas where radiological hazards exist. You will also have a better understanding of the hazards and responsibilities associated with radiological work to help prevent the carelessness that can occur when working continually with or around radioactive material. This course does not qualify you for any specific radiological work. You may be required to take additional training at individual facilities to address facility- and job-specific hazards and procedures.

Quality Control in Diagnostic Radiology in the Netherlands (invited paper)

International Nuclear Information System (INIS)

Zoetelief, J.

1998-01-01

Application of the general principles of radiation protection to medical diagnostic radiology implies that each procedure using X rays or radionuclides is to be justified and optimised. Optimisation in diagnostic radiology implies that the radiation burden to the patient should be as low as possible, but compatible with the image quality necessary to obtain an adequate diagnosis or to guide treatment. Quality control of equipment is a prerequisite for achieving optimisation in diagnostic radiology. This was especially recognised for mammography as employed for breast cancer screening. Existing legislation in the Netherlands includes only a few criteria for equipment used in diagnostic radiology. In addition, the criteria are not all operational and measurement methods are lacking. Therefore, upon the initiative of the Dutch Ministry of Health, Welfare and Sports, the relevant professional societies, in collaboration with the former TNO Centre for Radiological Protection and Dosimetry, formulated eleven guidelines for quality control of equipment used in diagnostic radiology, including test procedures, test frequencies and limiting values. The implementation of quality control of equipment was included in the 1984 European Directive (84/466/Euratom) laying down basic measures for the radiation protection of persons undergoing medical examination or treatment. In the most recent European Directive on medical exposure (97/43/Euratom) the importance of quality control is stressed. In addition, the latter EC directive proposes the use of diagnostic reference levels for limiting the risks for patients undergoing diagnostic radiology. In the Netherlands preliminary reference levels for various procedures employed in diagnostic radiology are suggested. Finally, methods applied in the Netherlands for assessment of image quality are discussed. (author)

The DOE policy for protection against radiological and toxicological sabotage

International Nuclear Information System (INIS)

Hassell, C. Jr.; Callahan, S.; Myers, D.

1995-01-01

In response to a Department of Energy Office of Security Evaluations study on radiological and toxicological sabotage, the Under Secretary of Energy has directed that all departmental elements initiate analyses to determine the extent of radiological and toxicological sabotage threats within the department. To accomplish this, a plan was adopted whereby radioactive and other hazardous materials at DOE sites would be assessed by an interdisciplinary team as to quantities, ranked according to their hazards, subjected to a vulnerability assessment, and appropriate upgrades selected and monitored. This paper is a discussion of those efforts

Radiologic image compression -- A review

International Nuclear Information System (INIS)

Wong, S.; Huang, H.K.; Zaremba, L.; Gooden, D.

1995-01-01

The objective of radiologic image compression is to reduce the data volume of and to achieve a lot bit rate in the digital representation of radiologic images without perceived loss of image quality. However, the demand for transmission bandwidth and storage space in the digital radiology environment, especially picture archiving and communication systems (PACS) and teleradiology, and the proliferating use of various imaging modalities, such as magnetic resonance imaging, computed tomography, ultrasonography, nuclear medicine, computed radiography, and digital subtraction angiography, continue to outstrip the capabilities of existing technologies. The availability of lossy coding techniques for clinical diagnoses further implicates many complex legal and regulatory issues. This paper reviews the recent progress of lossless and lossy radiologic image compression and presents the legal challenges of using lossy compression of medical records. To do so, the authors first describe the fundamental concepts of radiologic imaging and digitization. Then, the authors examine current compression technology in the field of medical imaging and discuss important regulatory policies and legal questions facing the use of compression in this field. The authors conclude with a summary of future challenges and research directions. 170 refs

Audit of radiology communication systems for critical, urgent, and unexpected significant findings

International Nuclear Information System (INIS)

Duncan, K.A.; Drinkwater, K.J.; Dugar, N.; Howlett, D.C.

2016-01-01

Aim: To determine the compliance of UK radiology departments and trusts/healthcare organisations with National Patient Safety Agency and Royal College of Radiologist's published guidance on the communication of critical, urgent, and unexpected significant radiological findings. Materials and methods: A questionnaire was sent to all UK radiology department audit leads asking for details of their current departmental policy regarding the issuing of alerts; use of automated electronic alert systems; methods of notification of clinicians of critical, urgent, and unexpected significant radiological findings; monitoring of results receipt; and examples of the more common types of serious pathologies for which alerts were issued. Results: One hundred and fifty-four of 229 departments (67%) responded. Eighty-eight percent indicated that they had a policy in place for the communication of critical, urgent, and unexpected significant radiological findings. Only 34% had an automated electronic alert system in place and only 17% had a facility for service-wide electronic tracking of radiology reports. In only 11 departments with an electronic acknowledgement system was someone regularly monitoring the read rate. Conclusion: There is wide variation in practice across the UK with regard to the communication and monitoring of reports with many departments/trusts not fully compliant with published UK guidance. Despite the widespread use of electronic systems, only a minority of departments/trusts have and use electronic tracking to ensure reports have been read and acted upon. - Highlights: • UK wide audit of communication of significant radiology results. • 88% of departments have a communication policy in place. • 34% of departments have an automated electronic alert system. • 17% of Trusts have facility for service wide electronic tracking of radiology reports.

Radiological risk guidelines for nonreactor nuclear facilities at the Pacific Northwest Laboratory

International Nuclear Information System (INIS)

Lucas, D.E.; Ikenberry, T.A.

1994-03-01

Radiological risk evaluation guidelines for the public and workers have been developed at the Pacific Northwest Laboratory (PNL) based upon the Nuclear Safety Policy of the US Department of Energy (DOE) established in Secretary of Energy Notice SEN-35-91 (DOE 1991). The DOE nuclear safety policy states that the general public be protected-such that no individual bears significant additional risk to health and safety from the operation of a DOE nuclear facility above the risks to which members of the general population are normally exposed. The radiological risk evaluation guidelines developed at PNL are unique in that they are (1) based upon quantitative risk goals and (2) provide a consistent level of risk management. These guidelines are used to evaluate the risk from radiological accidents that may occur during research and development activities at PNL. A safety analyst uses the frequency of the potential accident and the radiological dose to a given receptor to determine if the accident consequences meet the objectives of the Nuclear Safety Policy

Interventional Radiology of Male Varicocele: Current Status

International Nuclear Information System (INIS)

Iaccarino, Vittorio; Venetucci, Pietro

2012-01-01

Varicocele is a fairly common condition in male individuals. Although a minor disease, it may cause infertility and testicular pain. Consequently, it has high health and social impact. Here we review the current status of interventional radiology of male varicocele. We describe the radiological anatomy of gonadal veins and the clinical aspects of male varicocele, particularly the physical examination, which includes a new clinical and ultrasound Doppler maneuver. The surgical and radiological treatment options are also described with the focus on retrograde and antegrade sclerotherapy, together with our long experience with these procedures. Last, we compare the outcomes, recurrence and persistence rates, complications, procedure time and cost-effectiveness of each method. It clearly emerges from this analysis that there is a need for randomized multicentre trials designed to compare the various surgical and percutaneous techniques, all of which are aimed at occlusion of the anterior pampiniform plexus.

Interventional Radiology of Male Varicocele: Current Status

Energy Technology Data Exchange (ETDEWEB)

Iaccarino, Vittorio, E-mail: vittorio.iaccarino@unina.it; Venetucci, Pietro [University of Naples ' Federico II' , Diagnostic Imaging Department-Cardiovascular and Interventional Radiology, School of Medicine (Italy)

2012-12-15

Varicocele is a fairly common condition in male individuals. Although a minor disease, it may cause infertility and testicular pain. Consequently, it has high health and social impact. Here we review the current status of interventional radiology of male varicocele. We describe the radiological anatomy of gonadal veins and the clinical aspects of male varicocele, particularly the physical examination, which includes a new clinical and ultrasound Doppler maneuver. The surgical and radiological treatment options are also described with the focus on retrograde and antegrade sclerotherapy, together with our long experience with these procedures. Last, we compare the outcomes, recurrence and persistence rates, complications, procedure time and cost-effectiveness of each method. It clearly emerges from this analysis that there is a need for randomized multicentre trials designed to compare the various surgical and percutaneous techniques, all of which are aimed at occlusion of the anterior pampiniform plexus.

Ambulatory phlebectomy at radiologic outpatient clinic

International Nuclear Information System (INIS)

Yoon, Chang Jin; Kang, Sung Gwon; Choi, Sang Il; Lee, Whal; Chung, Jin Wook; Park, Jae Hyung

2007-01-01

To evaluate safety, efficacy, and patient's satisfaction of an ambulatory phlebectomy, performed at a radiology outpatient clinic. Between 2003 and 2006, an ambulatory phlebectomy was performed in 12 patients. Endovenous radiofrequency ablation was performed through a venotomy. The venotomy was ligated after RF ablation, and the ambulatory phlebectomy was performed. The patients visited the radiology outpatient clinic one day, one week, and 2 months after the procedure. The improvement in the clinical symptoms, cosmetic change in varicosity, and the procedure related complications were evaluated. The patient's satisfaction was evaluated using a 5-grade scale. RF ablation through a venotomy was performed successfully in all 12 patients. On average, 4.5 incisions were made, and 12.5 cm of varicosity had been removed. The mean procedure time was one hour and forty minutes. The complications of the ambulatory phlebectomy were bruising in one patient, and skin pigmentation in another. The complications associated with RF ablation were a hard palpable vein in 7 patients, numbness in 7 patients, and skin pigmentation along the vein in 2 patients. Follow-up duplex sonography was performed at 2 months after the procedure, showed complete occlusion in all 12 patients. The clinical symptoms had improved in 11 patients, and the varicosity disappeared cosmetically in 11 patients. An ambulatory phlebectomy, combined with RF ablation of the greater saphenous vein, can be performed safely and effectively at a radiology outpatient clinic

Ambulatory phlebectomy at radiologic outpatient clinic

Energy Technology Data Exchange (ETDEWEB)

Yoon, Chang Jin; Kang, Sung Gwon; Choi, Sang Il [Seoul National University Bundang Hospital, Seongnam (Korea, Republic of); Lee, Whal; Chung, Jin Wook; Park, Jae Hyung [Seoul National University, Medical College, Seoul (Korea, Republic of)

2007-03-15

To evaluate safety, efficacy, and patient's satisfaction of an ambulatory phlebectomy, performed at a radiology outpatient clinic. Between 2003 and 2006, an ambulatory phlebectomy was performed in 12 patients. Endovenous radiofrequency ablation was performed through a venotomy. The venotomy was ligated after RF ablation, and the ambulatory phlebectomy was performed. The patients visited the radiology outpatient clinic one day, one week, and 2 months after the procedure. The improvement in the clinical symptoms, cosmetic change in varicosity, and the procedure related complications were evaluated. The patient's satisfaction was evaluated using a 5-grade scale. RF ablation through a venotomy was performed successfully in all 12 patients. On average, 4.5 incisions were made, and 12.5 cm of varicosity had been removed. The mean procedure time was one hour and forty minutes. The complications of the ambulatory phlebectomy were bruising in one patient, and skin pigmentation in another. The complications associated with RF ablation were a hard palpable vein in 7 patients, numbness in 7 patients, and skin pigmentation along the vein in 2 patients. Follow-up duplex sonography was performed at 2 months after the procedure, showed complete occlusion in all 12 patients. The clinical symptoms had improved in 11 patients, and the varicosity disappeared cosmetically in 11 patients. An ambulatory phlebectomy, combined with RF ablation of the greater saphenous vein, can be performed safely and effectively at a radiology outpatient clinic.

Training for Radiation Protection in Interventional Radiology

International Nuclear Information System (INIS)

Bartal, G.; Sapoval, M.; Ben-Shlomo, A.

1999-01-01

Program in radiological equipment has incorporated more powerful x-ray sources into the standard Fluoroscopy and CT systems. Expanding use of interventional procedures carries extensive use of fluoroscopy and CT which are both associated with excessive radiation exposure to the patient and personnel. During cases of Intravenous CT Angiography and direct Intraarterial CT Angiography, one may substitute a substantial number of diagnostic angiography checks. Basic training in interventional radiology hardly includes some of the fundamentals of radiation protection. Radiation Protection in Interventional Radiology must be implemented in daily practice and become an integral part of procedure planning strategy in each and every case. Interventional radiological most master all modern imaging modalities in order to choose the most effective, but least hazardous one. In addition, one must be able to use various imaging techniques (Fluoroscopy, CTA, MM and US) as a stand-alone method, as well as combine two techniques or more. Training programs for fellows: K-based simulation of procedures and radiation protection. Special attention should be taken in the training institutions and a basic training in radiation protection is advised before the trainee is involved in the practical work. Amendment of techniques for balloon and stent deployment with minimal use of fluoroscopy. Attention to the differences between radiation protection in cardiovascular and nonvascular radiology with special measures that must be taken for each one of them (i.e., peripheral angiography vs. stenting, Endo luminal Aortic Stent Graft, or nonvascular procedures such as biliary or endo urological stenting or biliary intervention). A special emphasis should be put on the training techniques of Interventional Radiologists, both beginners and experienced. Patient dose monitoring by maintaining records of fluoroscopic time is better with non-reset timer, but is optional. Lee of automated systems that

The radiological accident in Yanango

International Nuclear Information System (INIS)

2000-01-01

The use of nuclear technologies has fostered new, more effective and efficient medical procedures and has substantially improved diagnostic and therapeutic capabilities. However, in order that the benefits of the use of ionizing radiation outweigh the potential hazards posed by this medium, it is important that radiation protection and safety standards be established to govern every aspect of the application of ionizing radiation. Adherence to these standards needs to be maintained through effective regulatory control, safe operational procedures and a safety culture that is shared by all. Occasionally, established safety procedures are violated and serious radiological consequences ensue. The radiological accident described in this report, which took place in Lilo, Georgia, was a result of such an infraction. Sealed radiation sources had been abandoned by a previous owner at a site without following established regulatory safety procedures, for example by transferring the sources to the new owner or treating them as spent material and conditioning them as waste. As a consequence, 11 individuals at the site were exposed for a long period of time to high doses of radiation which resulted inter alia in severe radiation induced skin injuries. Although at the time of the accident Georgia was not an IAEA Member State and was not a signatory of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, the IAEA still provided assistance to the Government of Georgia in assessing the radiological situation, while the World Health Organization (WHO) assisted in alleviating the medical consequences of the accident. The two organizations co-operated closely from the beginning, following the request for assistance by the Georgian Government. The IAEA conducted the radiological assessment and was responsible for preparing the report. The WHO and its collaborating centres within the Radiation Emergency Medical Preparedness and Assistance Network

The effectiveness of sexual harassment policies and procedures at higher education institutions in South Africa

Directory of Open Access Journals (Sweden)

Pierre Joubert

2011-02-01

Research purpose: The aim of this study was to investigate the awareness levels of academic staff members at higher education institutions in South Africa of sexual harassment policies and procedures in their institutions. Motivation for the study: A number of high profile court cases emphasised the need for effective policies to reduce the incidence of sexual harassment complaints. Research design, approach and method: A cross-sectional survey design was conducted amongst 161 academic staff members, representing 10 higher education institutions in South Africa. The measuring instrument that was used is the Sexual Harassment Questionnaire (SHQ that was developed specifically for this study. Main findings: The results showed that despite indications that sexual harassment policies do exist and that they are regarded as effective tools in addressing sexual harassment, the implementation of such policies is not effective and few academic staff members received training and/or guidance on the utilisation of the policy. Significant correlation coefficients were found between the elements of an effective policy and between population group and some of the elements. Practical/managerial implications: Employers across the board should regularly conduct an audit to determine the level of awareness of sexual harassment policies and procedures and plan interventions. Contribution: No other study in South Africa attempted to measure the awareness levels of academics and its impact on the management of sexual harassment.

76 FR 50813 - Major Capital Investment Projects; Guidance on News Starts/Small Starts Policies and Procedures

Science.gov (United States)

2011-08-16

... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Major Capital Investment Projects; Guidance on News Starts/Small Starts Policies and Procedures AGENCY: Federal Transit Administration (FTA... Administration (FTA) to publish policy guidance on the New and Small Starts capital project review and evaluation...

Study of the radiological procedures used in odontologic clinics of Boa Vista, Roraima, Brazil

International Nuclear Information System (INIS)

Costa, Jaberson Luiz Leitao

2002-04-01

The purpose of this study was to evaluate the radiological procedures used at the odontologic clinics of Boa Vista, Roraima-Brazil. The following parameters were recorded: field diameter, half value layer, total filtration, discrepancy between the preset and the applied kilovoltage and exposure time. Dose to the patient's skin from radiography of the upper molar tooth was also estimated. The results showed that 78% of the inspected units had field diameters larger than 6,0 cm, which is outside the limits recommended by the Brazilian Health Ministry. The results also showed that 14% of the equipment presented a discrepancy of more than 10% between preset and applied kilovoltage. On the other hand, the discrepancy between preset and applied exposure time is higher than 10% in 70% of the tested units. The total filtration of 77% units is lower than 1,5 mm of Al, a value recommended by the Brazilian Health Ministry for equipment that operates in the range of 50 kV to 70 kV. The survey also indicates that for 35% of the units the entrance dose in high than 3,5 mGy that is the reference value established by the Brazilian Health Ministry for dental radiography with film type. It was observed that the majority of the clinics use neither aprons nor collars for patients and that films are processed manually, without controlling temperature or processing time. Based on the results obtained it is strongly recommended that a quality control program be implemented in dental radiological clinics in Boa Vista, Roraima. (author)

Evaluation of radiological protection aspects in radiodiagnostic rooms in Mexico City

International Nuclear Information System (INIS)

Escobar A, L.; Vizuet G, J.; Ruiz, M.A.

1996-01-01

The preliminary results of an evaluation of radiological protection carried out in radiology services of different hospitals of Mexico are shown. The evaluated points were: relative aspects of the room, operation parameters of operation of the equipment, work procedures and training about radiological protection for the equipment operators. (authors). 2 refs., 1 fig

Radiation safety concerns during interventional radiology

International Nuclear Information System (INIS)

Victor Raj, D.; Livingstone, Roshan Samuel

2001-01-01

Interventional radiological procedures are on the increase by virtue of the fact that these procedures replace highly invasive surgical and other procedures. Radiation dose to patients and hospital workers are of significance since these procedures tend to impart large dose to them. Moreover, long term risk from radiation absorbed by patients is of concern since the life expectancy of major fraction of patients is long after undergoing the procedure. This study intends to measure radiation dose imparted to patients as well as personnel- radiologists, technologists, nurses, etc. and estimate the risk factor involved

Patient radiation doses and reference levels in pediatric interventional radiology

Energy Technology Data Exchange (ETDEWEB)

Habib Geryes, Bouchra; Lachaux, Julie; Boddaert, Nathalie; Brunelle, Francis [Hopital Universitaire Necker Enfants Malades, Department of Paediatric Radiology, Paris (France); Bak, Adeline; Ozanne, Augustin; Saliou, Guillaume [Hopital Bicetre, Hopitaux Universitaires Paris-Sud, Department of Neuroradiology, Le Kremlin Bicetre (France); Naggara, Olivier [Hopital Universitaire Necker Enfants Malades, Department of Paediatric Radiology, Paris (France); Centre Hospitalier Sainte-Anne, Universite Paris Descartes Sorbonne Paris Cite, Centre de Psychiatrie et Neurosciences, INSERM S894, DHU Neurovasculaire, Paris (France); Centre Hospitalier Sainte-Anne, Department of Neuroradiology, Universite Paris Descartes, Sorbonne Paris Cite, INSERM UMR894, Paris (France)

2017-09-15

To describe, in a multicentric paediatric population, reference levels (RLs) for three interventional radiological procedures. From January 2012 to March 2015, children scheduled for an interventional radiological procedure in two French tertiary centres were retrospectively included and divided into four groups according to age: children younger than 2 years (A1), aged 2-7 years (A5), 8-12 years (A10) and 13-18 years (A15). Three procedures were identified: cerebral digital subtraction angiography (DSA), brain arteriovenous malformation (bAVM) embolization, and head and neck superficial vascular malformation (SVM) percutaneous sclerotherapy. Demographic and dosimetric data, including dose area product (DAP), were collected. 550 procedures were included. For DSA (162 procedures), the proposed RL values in DAP were 4, 18, 12 and 32 Gy.cm{sup 2} in groups A1, A5, A10 and A15, respectively. For bAVM embolization (258 procedures), values were 33, 70, 105 and 88 Gy.cm{sup 2} in groups A1, A5, A10 and A15, respectively. For SVM sclerotherapy (130 procedures), values were 350, 790, 490 and 248 mGy.cm{sup 2} in groups A1, A5, A10 and A15, respectively. Consecutive data were available to permit a proposal of reference levels for three major paediatric interventional radiology procedures. (orig.)

Establishing diagnostic reference levels in digital radiology

International Nuclear Information System (INIS)

Bana, Remy Wilson

2016-04-01

Medical application of radiation has gained wider study since diagnostic radiology plays a very important role in modern medicine. The need of the service seems to increase since the invention of digital radiology as a new technology that promises greater accuracy while minimizing patient dose. However, it is not exempted in the harmonization of doses delivered to the patient undergoing same radiologic examination in different institutions either regional or nationwide. The objective of this project was to review the establishment of Diagnostic Reference Levels (DRLs) in digital radiology at National level with the aim to reduce patient dose while maintaining appropriate image quality. A general discussion on digital radiology has been presented focusing on the optimization of patient dose as well as dosimetric quantities used for the establishment of DRLs. Recommendations have been provided for Rwanda to initiate steps to establish National Diagnostic Reference Levels for common procedures in digital radiology. (au)

The Future of Radiology

Directory of Open Access Journals (Sweden)

Alexander R. Margulis

2011-07-01

Full Text Available It has been my good fortune to live and practice radiology during a long period of momentous change – to see the transformation of the discipline from a supportive service into a mainstream, essential branch of clinical medicine. I remember wearing red goggles to adapt my vision before performing fluoroscopy; observing the horrible, now thankfully obsolete, practice of ventriculography, which was considered advanced neuroradiology; and performing other, now rarely prescribed procedures, such as double-contrast barium enemas and intravenous pyelography. Witnessing the beginnings of interventional radiology, I suggested its name in an editorial. I also had the good fortune to see the introduction of computed tomography (CT and a technology first known as nuclear magnetic resonance imaging. Together with fellow members of a committee of the American College of Radiology and editors of prestigious radiological journals, I took part in changing the name of the latter modality to MRI, freeing it from threatening implications. Looking back on these experiences, one lesson stands out above all: Innovation and transformation never cease. Looking forward, it is clear that radiology, along with the rest of medicine, is now undergoing further momentous changes that will affect the future of all those already practicing as well as those yet to start their careers.

Test objects for evaluating the performance of radiological imaging systems. Leeds radiological test objects

International Nuclear Information System (INIS)

Cowen, A.R.; Clarke, O.F.; Haywood, J.M.; Parker, R.P.

1985-01-01

A range of test objects has been developed to assess the imaging performance of conventional and digital radiological imaging systems. These test objects have arisen as a result of involvement in both the laboratory evaluation of radiological imaging systems and the routine maintenance of such equipment in a large diagnostic radiology department. The philosophy behind the design and application of the test objects is briefly described. Particular attention is paid to the advantages of using the threshold-contrast detail-detectability technique to assess overall imaging performance. The great importance of ensuring optimum imaging performance prior to clinical acceptance is stressed. A strategy for implementing the test objects in a clinical department is present. The diagnostic information content of the clinical images which result measures the success of the quality control procedure adopted. (author)

Image Quality in Vascular Radiology

International Nuclear Information System (INIS)

Vanhavere, F.; Struelens, L.

2005-01-01

In vascular radiology, the radiologists use the radiological image to diagnose or treat a specific vascular structure. From literature, we know that related doses are high and that large dose variability exists between different hospitals. The application of the optimization principle is therefore necessary and is obliged by the new legislation. So far, very little fieldwork has been performed and no practical instructions are available to do the necessary work. It's indisputable that obtaining quantitative data is of great interest for optimization purposes. In order to gain insight into these doses and the possible measures for dose reduction, we performed a comparative study in 7 hospitals. Patient doses will be measured and calculated for specific procedures in vascular radiology and evaluated against their most influencing parameters. In view of optimization purposes, a protocol for dose audit will be set-up. From the results and conclusions in this study, experimentally based guidelines will be proposed, in order to improve clinical practice in vascular radiology

75 FR 70557 - Endocrine Disruptor Screening Program; Draft Policies and Procedures for Screening Safe Drinking...

Science.gov (United States)

2010-11-17

... comments by referencing a Code of Federal Regulations (CFR) part or section number. iii. Explain why you... the record in accordance with section 554 of the Administrative Procedure Act (APA). (15 U.S.C. 2615(a... referencing by parties unfamiliar with the referenced regulation. C. When do these policies and procedures...

Radiological risk guidelines for nonreactor nuclear facilities at the Pacific Northwest Laboratory

International Nuclear Information System (INIS)

Lucas, D.E.; Ikenberry, T.A.

1993-09-01

Radiological risk evaluation guidelines for the public and workers have been developed at the Pacific Northwest Laboratory (PNL) based upon the Nuclear Safety Policy of the US Department of Energy (DOE) established in Secretary of Energy Notice SEN-35-91. The DOE nuclear safety policy states that the general public shall be protected such that no individual bears significant additional risk to health and safety from the operation of a DOE nuclear facility above the risks to which members of the general population are normally exposed. The radiological risk evaluation guidelines developed at PNL are unique in that they are (1) based upon quantitative risk goals and (2) provide a consistent level of risk management. These guidelines are used to evaluate the risk from radiological accidents that may occur during research and development activities at PNL, and are not intended for evaluation of routine exposures. A safety analyst uses the,frequency of the potential accident and the radiological dose to a given receptor to determine if the accident consequences meet the objectives of the Nuclear Safety Policy. The radiological risk evaluation guidelines are an effective tool for assisting in the management of risk at DOE nonreactor nuclear facilities. These guidelines (1) meet the nuclear safety policy of DOE, (2) establish a tool for managing risk at a consistent level within the defined constraints, and (3) set risk at an appropriate level, as compared with other risks encountered by the public and worker. Table S.1 summarizes the guidelines developed in this report

Active pixel as dosimetric device for interventional radiology

International Nuclear Information System (INIS)

Servoli, L.; Baldaccini, F.; Biasini, M.; Checcucci, B.; Chiocchini, S.; Cicioni, R.; Conti, E.; Di Lorenzo, R.; Dipilato, A.C.; Esposito, A.; Fanó, L.; Paolucci, M.; Passeri, D.; Pentiricci, A.

2013-01-01

Interventional Radiology (IR) is a subspecialty of radiology comprehensive of all minimally invasive diagnostic and therapeutic procedures performed using radiological devices to obtain image guidance. The interventional procedures are potentially harmful for interventional radiologists and medical staff due to the X-ray diffusion by the patient's body. The characteristic energy range of the diffused photons spans few tens of keV. In this work we will present a proposal for a new X-ray sensing element in the energy range of interest for IR procedures. The sensing element will then be assembled in a dosimeter prototype, capable of real-time measurement, packaged in a small form-factor, with wireless communication and no external power supply to be used for individual operators dosimetry for IR procedures. For the sensor, which is the heart of the system, we considered three different Active Pixel Sensors (APS). They have shown a good capability as single X-ray photon detectors, up to several tens keV photon energy. Two dosimetric quantities have been considered, the number of detected photons and the measured energy deposition. Both observables have a linear dependence with the dose, as measured by commercial dosimeters. The uncertainties in the measurement are dominated by statistic and can be pushed at ∼5% for all the sensors under test

Dosimetry in Diagnostic Radiology for Paediatric Patients

International Nuclear Information System (INIS)

2013-01-01

Concern about the radiation dose to children from diagnostic radiology examinations has recently been popularly expressed, particularly as related to computed tomography (CT) procedures. This involves the observation that children can receive doses far in excess of those delivered to adults, in part due to the digital nature of the image receptors that may give no warning to the operator of the dose to the patient. Concern for CT examinations should be extended to the broad range of paediatric diagnostic radiological procedures responsible for radiation doses in children, especially as factors, such as increased radiosensitivity and the longer life expectancy of children, increase the associated radiation risk. In all cases, owing to the added paediatric radiological examination factor of patient size and its associated impact on equipment selection, clinical examination protocol and dosimetric audit, the determination of paediatric dose requires a distinct approach from adult dosimetry associated with diagnostic radiological examinations. In response to this, there is a need to inform health professionals about standardized methodologies used to determine paediatric dose for all major modalities such as general radiography, fluoroscopy and CT. Methodologies for standardizing the conduct of dose audits and their use for the derivation and application of diagnostic reference levels for patient populations, that vary in size, are also required. In addition, a review is needed of the current knowledge on risks specific to non-adults from radiation, and also an analysis of the management of factors contributing to dose from paediatric radiological examinations. In 2007, the IAEA published a code of practice, Dosimetry in Diagnostic Radiology: An International Code of Practice, as Technical Reports Series No. 457 (TRS 457). TRS 457 recommends procedures for dosimetric measurement and calibration for the attainment of standardized dosimetry, and addresses requirements

Is there a gender gap in Italian radiology? A cross-sectional study

International Nuclear Information System (INIS)

Magnavita, Nicola

2013-01-01

Highlights: • In Italy, female radiologists experience greater stress and less job satisfaction than their male counterparts. They complain of lack of procedural, distributive and informative justice at work. • Female radiologists have lower levels of mental health than males. • Despite the increasing number of women in Italian radiology there is still a gender gap. • Health care organizations need a policy against gender discrimination and violence at the workplace. - Abstract: Background: Although the number of women entering the medical profession has increased, this has not led to an even distribution in all branches of medicine. In countries where the health service is mainly private, there are still fewer female radiologists, especially at managerial level. The aim of this paper is to make a comparison of work-related stress, satisfaction and perceived organizational justice in male and female radiologists in Italy. Methods: Italian radiologists were asked to answer an anonymous questionnaire during two successive national radiology Congresses. Results: Women reported a psychophysical workload that was the same as that of their male colleagues, but claimed that they had less control over their work, made a greater effort to fulfill job requirements, were more over-committed in their work and received fewer rewards for the work performed than their male colleagues. On account of the lack of procedural, distributive and informative justice, women radiologists perceived the work environment as significantly less fair compared to their male colleagues. Moreover, they derived less satisfaction from their job. They suffered from anxiety, depression and minor psychiatric disorders to a greater extent than their male counterparts. Conclusion: Despite the significant number of women radiologists in Italy, the gender gap still exists and can be witnessed in horizontal and vertical segregation. Policies should be introduced to contrast gender bias

Is there a gender gap in Italian radiology? A cross-sectional study

Energy Technology Data Exchange (ETDEWEB)

Magnavita, Nicola, E-mail: nicolamagnavita@gmail.com

2013-09-15

Highlights: • In Italy, female radiologists experience greater stress and less job satisfaction than their male counterparts. They complain of lack of procedural, distributive and informative justice at work. • Female radiologists have lower levels of mental health than males. • Despite the increasing number of women in Italian radiology there is still a gender gap. • Health care organizations need a policy against gender discrimination and violence at the workplace. - Abstract: Background: Although the number of women entering the medical profession has increased, this has not led to an even distribution in all branches of medicine. In countries where the health service is mainly private, there are still fewer female radiologists, especially at managerial level. The aim of this paper is to make a comparison of work-related stress, satisfaction and perceived organizational justice in male and female radiologists in Italy. Methods: Italian radiologists were asked to answer an anonymous questionnaire during two successive national radiology Congresses. Results: Women reported a psychophysical workload that was the same as that of their male colleagues, but claimed that they had less control over their work, made a greater effort to fulfill job requirements, were more over-committed in their work and received fewer rewards for the work performed than their male colleagues. On account of the lack of procedural, distributive and informative justice, women radiologists perceived the work environment as significantly less fair compared to their male colleagues. Moreover, they derived less satisfaction from their job. They suffered from anxiety, depression and minor psychiatric disorders to a greater extent than their male counterparts. Conclusion: Despite the significant number of women radiologists in Italy, the gender gap still exists and can be witnessed in horizontal and vertical segregation. Policies should be introduced to contrast gender bias.

Establishment of a national capability to respond to nuclear or radiological emergency

International Nuclear Information System (INIS)

Dahunsi, S. A.

2013-04-01

Establishment of a national capability to respond to nuclear accidents and radiological emergency involves the planning, preparedness, readiness, assurance and response application of the necessary human and material resources to mitigate consequences of an emergency and protect workers, the public, the environment, and national security in the event of such accident. This obligation helps to prepare for the security of lives and properties during such accidents and it is binding and the responsibility of the operator to provide answers to fundamental questions about the nature of radiation, guidance on protecting against the harmful effects, detailed policies, procedures and training. The response to such emergency will involve highly specialized agencies and technical experts. For the Nigerian response capability to be well co-ordinated, the arrangements must be appropriately integrated with those for a conventional emergency. This project will discuss the hazard analysis based on the available inventory of radiation practices, facilities, installations, radiation sources and radioactive materials used in Nigeria. Based upon this analysis, a commensurate nuclear accident and radiological emergency planning and response capabilities has been proposed.(au)

RCT: Module 2.11, Radiological Work Coverage, Course 8777

Energy Technology Data Exchange (ETDEWEB)

Hillmer, Kurt T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-07-20

Radiological work is usually approved and controlled by radiation protection personnel by using administrative and procedural controls, such as radiological work permits (RWPs). In addition, some jobs will require working in, or will have the potential for creating, very high radiation, contamination, or airborne radioactivity areas. Radiological control technicians (RCTs) providing job coverage have an integral role in controlling radiological hazards. This course will prepare the student with the skills necessary for RCT qualification by passing quizzes, tests, and the RCT Comprehensive Phase 1, Unit 2 Examination (TEST 27566) and will provide in-the-field skills.

Inpatient Complexity in Radiology-a Practical Application of the Case Mix Index Metric.

Science.gov (United States)

Mabotuwana, Thusitha; Hall, Christopher S; Flacke, Sebastian; Thomas, Shiby; Wald, Christoph

2017-06-01

With ongoing healthcare payment reforms in the USA, radiology is moving from its current state of a revenue generating department to a new reality of a cost-center. Under bundled payment methods, radiology does not get reimbursed for each and every inpatient procedure, but rather, the hospital gets reimbursed for the entire hospital stay under an applicable diagnosis-related group code. The hospital case mix index (CMI) metric, as defined by the Centers for Medicare and Medicaid Services, has a significant impact on how much hospitals get reimbursed for an inpatient stay. Oftentimes, patients with the highest disease acuity are treated in tertiary care radiology departments. Therefore, the average hospital CMI based on the entire inpatient population may not be adequate to determine department-level resource utilization, such as the number of technologists and nurses, as case length and staffing intensity gets quite high for sicker patients. In this study, we determine CMI for the overall radiology department in a tertiary care setting based on inpatients undergoing radiology procedures. Between April and September 2015, CMI for radiology was 1.93. With an average of 2.81, interventional neuroradiology had the highest CMI out of the ten radiology sections. CMI was consistently higher across seven of the radiology sections than the average hospital CMI of 1.81. Our results suggest that inpatients undergoing radiology procedures were on average more complex in this hospital setting during the time period considered. This finding is relevant for accurate calculation of labor analytics and other predictive resource utilization tools.

Generic Procedures for Response to a Nuclear or Radiological Emergency at Research Reactors

International Nuclear Information System (INIS)

2011-01-01

Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. The IAEA publishes the Emergency Preparedness and Response Series to fulfil that function. This publication is part of that series. IAEA Safety Standards Series No. GS-R-2 Preparedness and Response for a Nuclear or Radiological Emergency, contains the following requirement: 'To ensure that arrangements are in place for a timely, managed, controlled, coordinated and effective response at the scene...'. The IAEA General Conference, in resolution GC(53)/RES/10, continues to encourage Member States '...to enhance, where necessary, their own preparedness and response capabilities for nuclear and radiological incidents and emergencies, by improving capabilities to prevent accidents, to respond to emergencies and to mitigate any harmful consequences...'. This publication is intended to assist Member States meet the requirements of GS-R-2 and enhance their preparedness by providing guidance on the response by facility personnel to emergencies at research reactor facilities.

Radiological protection of the patient in the diagnostic X-ray

International Nuclear Information System (INIS)

Araujo, A.M.C. de

1983-01-01

Measures and procedures are given in relation to the radiological protection of the patient in diagnostic radiology. Technical and physical factors of the patient protection are discussed, as radiation beam properties, size of the irradiation field, shieldings, control of the scattered radiation that reaches the imaging record system, films, ecrans and radiographic film processing. General recommendations about the radiation protection of the patient in diagnostic radiology are given. (M.A.) [pt

Trends in radiology in Finland between 1995 and 2000

International Nuclear Information System (INIS)

Hakanen, Arvi; Jaervinen, Hannu; Soimakallio, Seppo

2003-01-01

The aim of this study was to demonstrate the applicability of a joint nomenclature, i.e., the examination coding system used in Finland, for making a nationwide summary of the radiological examinations and interventional procedures. Another objective was to find trends in radiological practices in Finland between 1995 and 2000 by comparing the nationwide summaries made by Radiation and Nuclear Safety Authority (STUK). An inquiry for the numbers of radiological examinations performed in 2000 was sent to 473 medical radiation users, i.e., safety license holders obtained from the registry maintained by STUK. In 2000, the proportions of plain radiography, contrast-enhanced radiography, angiography, computed tomography and radiological interventional procedures were approximately 91.1, 1.4, 0.9, 5.0, and 1.5%, respectively (distribution of medical examinations). Between 1995 and 2000, the number of medical X-ray examinations showed a slight decrease from ca. 4.2 million to ca. 4.1 million. During the investigated five years period the frequency of contrast enhanced radiography diminished ca. 50% while the frequency of computed tomography increased ca. 20%. The reported number of ultrasonographic examinations showed a slight increase to approximately 0.5 million, whereas the reported number of MRI examinations increased approximately twofold to approximately 0.1 million. The observed trends in radiological practices are useful in attempts to optimize the resources of STUK in the field of radiological protection. (orig.)

New nuclear build and evolving radiological protection challenges

International Nuclear Information System (INIS)

Lazo, T.

2010-01-01

Many trends and indicators suggest that the use of nuclear power for generating electricity will increase, perhaps significantly, in the coming 10 to 20 years and beyond. Any such expansion will not take place in a static scientific or social context, but rather in the midst of ongoing changes in many relevant fields, radiological protection, radioactive waste management and nuclear safety to name a few. Regarding radiological protection, this evolution can be characterised in many different ways, but can conveniently be described as having scientific and socially driven aspects. These may well pose challenges to radiological protection (RP) policy, regulation and application in the future

Angiography and interventional radiology

International Nuclear Information System (INIS)

Bundy, A.L.

1988-01-01

The decrease in angiographic procedures as a result of less invasive imaging modalities has been counterbalanced by the rise in interventional radiological techniques. Because the interventional radiologist behaves somewhat like a surgeon, his legal responsibilities also approach those of his surgical colleagues. The basic concerns of negligent malpractice are amplified by the issues of informed consent and vicarious liability. Also, damages resulting from these procedures are costly because of the severity of the injuries. The angiographer must become versed in medicolegal issues of this rapidly evolving specialty

Interim radiological safety standards and evaluation procedures for subseabed high-level waste disposal

International Nuclear Information System (INIS)

Klett, R.D.

1997-06-01

The Seabed Disposal Project (SDP) was evaluating the technical feasibility of high-level nuclear waste disposal in deep ocean sediments. Working standards were needed for risk assessments, evaluation of alternative designs, sensitivity studies, and conceptual design guidelines. This report completes a three part program to develop radiological standards for the feasibility phase of the SDP. The characteristics of subseabed disposal and how they affect the selection of standards are discussed. General radiological protection standards are reviewed, along with some new methods, and a systematic approach to developing standards is presented. The selected interim radiological standards for the SDP and the reasons for their selection are given. These standards have no legal or regulatory status and will be replaced or modified by regulatory agencies if subseabed disposal is implemented. 56 refs., 29 figs., 15 tabs

Patient exposure evaluation in Romanian radiological departments

International Nuclear Information System (INIS)

Girjoaba, O.; Cucu, A.

2012-01-01

Purpose: A nation-wide evaluation of ionizing radiation exposure of the Romanian population due to the radiological examinations is performed in accordance with European Directive 97/43 EURATOM implemented in national regulations. Method: The study is applied to the collected data from radiological departments from Romanian hospitals during 2010. The radiological examinations were grouped in three categories: conventional diagnostic radiology, interventional radiology and computed tomography. The annual collective dose was determined from the reported data about the mean effective doses and the frequency for each type of radiological examination, in conformity with the national regulations. Regarding the frequency aspects, the results include the age and gender distributions. Major results: More then 6 million radiological examinations were performed in 2010, Romania having a population about of 20.3 million inhabitants. The collective effective dose for 2010 resulted from the study is 152 mSv per 1000 inhabitants. Conclusions: Medical practitioners must select the best medical imaging investigation for each clinical case taking into account the importance of keeping the patient dose as low as possible. Medical physicists should be strongly involved in the establishing of the dosimetry procedures. (author)

Evidence-based radiology: a new approach to evaluate the clinical practice of radiology; Evidenzbasierte Radiologie: Ein neuer Ansatz zur Bewertung von klinisch angewandter radiologischer Diagnostik und Therapie

Energy Technology Data Exchange (ETDEWEB)

Puig, S. [Univ.Klinik fuer Radiodiagnostik, Medizinische Univ. Wien (Austria); Forschungsprogramm fuer Evidenzbasierte Medizinische Diagnostik, Inst. fuer Public Health, Paracelsus Medizinische Privatuniversitaet, Salzburg (Austria); Felder-Puig, R. [Ludwig-Boltzmann-Inst. fuer Health Technology Assessment, Vienna (Austria)

2006-07-15

Over the last several years, the concept and methodology of evidence-based medicine (EBM) have received significant attention in the scientific community. However, compared to therapeutic medical disciplines, EBM-based radiological publications are still underrepresented. This article summarizes the principles of EBM and discusses the possibilities of their application in radiology. The presented topics include the critical appraisal of studies on the basis on EBM principles, the explanation of EBM-relevant statistical outcome parameters (e.g., ''likelihood ratio'' for diagnostic and ''number needed to treat'' for interventional procedures), as well as the problems facing evidence-based radiology. Evidence-based evaluation of radiological procedures does not only address aspects of cost-effectiveness, but is also particularly helpful in identifying patient-specific usefulness. Therefore it should become an integral part of radiologist training. (orig.)

Impact of Simulation-Based Training on Radiology Trainee Education in Ultrasound-Guided Breast Biopsies.

Science.gov (United States)

Roark, Ashley A; Ebuoma, Lilian O; Ortiz-Perez, Tamara; Sepulveda, Karla A; Severs, Frederick J; Wang, Tao; Benveniste, Ana Paula; Sedgwick, Emily L

2017-12-05

The aim of this study is to determine the impact of a simulation-based ultrasound-guided (USG) breast biopsy training session on radiology trainee procedural knowledge, comfort levels, and overall procedural confidence and anxiety. Twenty-one diagnostic radiology residents from a single academic institution were recruited to participate in an USG breast biopsy training session. The residents filled out a questionnaire before and after the training session. Ten multiple-choice questions tested general knowledge in diagnostic breast ultrasound and USG breast biopsy concepts. Subjective comfort levels with ultrasound machine and biopsy device functionality, patient positioning, proper biopsy technique, image documentation, needle safety and overall procedural confidence and anxiety levels were reported on a 5-point Likert scale before and after training. Participants demonstrated significant improvement in number of correctly answered general knowledge questions after training (P simulation-based USG breast biopsy training session may improve radiology trainee procedural knowledge, comfort levels, and overall procedural confidence. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological emergency: road map for radiation accident victim transport

International Nuclear Information System (INIS)

Costa, V.S.G.; Alcantara, Y.P.; Lima, C.M.A.; Silva, F. C. A. da

2017-01-01

During a radiological or nuclear emergency, a number of necessary actions are taken, both within the radiation protection of individuals and the environment, involving many institutions and highly specialized personnel. Among them it is possible to emphasize the air transportation of radiation accident victims.The procedures and measures for the safe transport of these radiation accident victims are generally the responsibility of the armed forces, specifically the Aeronautics, with the action denominated 'Aeromedical Military Evacuation of Radiation Accident Victims'. The experience with the Radiological Accident of Goiânia demonstrated the importance of adequate preparation and response during a radiological emergency and the need for procedures and measures with regard to the transport of radiation victims are clearly defined and clearly presented for the effectiveness of the actions. This work presents the necessary actions for the transport of radiation accident victim during a radiological emergency, through the road map technique, which has been widely used in scientific technical area to facilitate understanding and show the way to be followed to reach the proposed objectives

Evidence-based radiology: why and how?

International Nuclear Information System (INIS)

Sardanelli, Francesco; Di Leo, Giovanni; Hunink, Myriam G.; Gilbert, Fiona J.; Krestin, Gabriel P.

2010-01-01

To provide an overview of evidence-based medicine (EBM) in relation to radiology and to define a policy for adoption of this principle in the European radiological community. Starting from Sackett's definition of EBM we illustrate the top-down and bottom-up approaches to EBM as well as EBM's limitations. Delayed diffusion and peculiar features of evidence-based radiology (EBR) are defined with emphasis on the need to shift from the demonstration of the increasing ability to see more and better, to the demonstration of a significant change in treatment planning or, at best, of a significant gain in patient outcome. The ''as low as reasonably achievable'' (ALARA) principle is thought as a dimension of EBR while EBR is proposed as part of the core curriculum of radiology residency. Moreover, we describe the process of health technology assessment in radiology with reference to the six-level scale of hierarchy of studies on diagnostic tests, the main sources of bias in studies on diagnostic performance, and levels of evidence and degrees of recommendations according to the Centre for Evidence-Based Medicine (Oxford, UK) as well as the approach proposed by the GRADE working group. Problems and opportunities offered by evidence-based guidelines in radiology are considered. Finally, we suggest nine points to be actioned by the ESR in order to promote EBR. Radiology will benefit greatly from the improvement in practice that will result from adopting this more rigorous approach to all aspects of our work. (orig.)

The Emergency Radiological Monitoring and Analysis Division of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

2000-01-01

The U.S. Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. The FRERP authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC), which is established to co-ordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted States and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for co-ordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis, and quality assurance. This program includes: 1. Aerial Radiological Monitoring - Fixed-Wing and Helicopter; 2. Field Monitoring and Sampling; 3. Radioanalysis - Mobile and Fixed Laboratories; 4. Radiation Detection Instrumentation - Calibration and Maintenance; 5. Environmental Dosimetry; 6. Integrated program of Quality Assurance. To assure consistency, completeness, and the quality of the data produced, a methodology and procedures manual is being developed. This paper discusses the structure, assets, and operations of the FRMAC Monitoring and Analysis Division and the content and preparation of the manual. (author)

Radiological containment handbook

International Nuclear Information System (INIS)

1982-10-01

The purpose of this NUREG is to be used as a reference text. It is meant to be used by the working personnel as a guide for using temporary radiological containments. The installing group and health physics group may vary among organizations but responsibilities and duties will not change. It covers installation and inspection containments; working and operating guidelines; operating requirement; emergency procedures; and removal of containments

Contrast media properties in interventional radiology

International Nuclear Information System (INIS)

Laerum, F.; Enge, I.

1989-01-01

Potential hazards of the use of contrast media (CM) in interventional radiology are analyzed by looking into each procedure regarding interactions of CM with pharmaceutical additives, with technical equipment possibly affecting CM stability, and special local or systemic demands related to the procedure. Also the impact of these factors upon the physiological mechanisms are taken into account. (H.W.). 32 refs.; 4 figs.; 2 tabs

Policies, Procedures, and Practices Regarding Sport-Related Concussion in Community College Athletes.

Science.gov (United States)

Paddack, Michael; DeWolf, Ryan; Covassin, Tracey; Kontos, Anthony

2016-01-01

College sport organizations and associations endorse concussion-management protocols and policies. To date, little information is available on concussion policies and practices at community college institutions. To assess and describe current practices and policies regarding the assessment, management, and return-to-play criteria for sport-related concussion (SRC) among member institutions of the California Community College Athletic Association (CCCAA). Cross-sectional study. Web-based survey. A total of 55 head athletic trainers (ATs) at CCCAA institutions. Data about policies, procedures, and practices regarding SRC were collected over a 3-week period in March 2012 and analyzed using descriptive statistics, the Fisher exact test, and the Spearman test. Almost half (47%) of ATs stated they had a policy for SRC assessment, management, and return to play at their institution. They reported being in compliance with baseline testing guidelines (25%), management guidelines (34.5%), and return-to-play guidelines (30%). Nearly 31% of ATs described having an SRC policy in place for academic accommodations. Conference attendance was positively correlated with institutional use of academic accommodations after SRC (r = 0.44, P = .01). The number of meetings ATs attended and their use of baseline testing were also positively correlated (r = 0.38, P = .01). At the time of this study, nearly half of CCCAA institutions had concussion policies and 31% had academic-accommodation policies. However, only 18% of ATs at CCCAA institutions were in compliance with all of their concussion policies. Our findings demonstrate improvements in the management of SRCs by ATs at California community colleges compared with previous research but a need for better compliance with SRC policies.

Comparative analysis of dose levels to patients in radiological procedures guided by fluoroscopy

International Nuclear Information System (INIS)

Gomez, Pablo Luis; Fernandez, Manuel; Ramos, Julio A.; Delgado, Jose Miguel; Cons, Nestor

2013-01-01

This work presents the comparative data of the dose indicators for patient in radiological processes with respect to the values published in the ICRP document. It is analyzed the need for different strategies to communicate to different specialists mechanisms to optimize the radiation beginning with practice by training of second degree level in radiological protection and then, working with them the basics of equipment management to reduce doses without detriment to the welfare purpose

Gonad shielding in diagnostic radiology

International Nuclear Information System (INIS)

1975-06-01

The use of gonad shielding is an important radiation protection technique, intended to reduce unnecessary x-ray exposure of the gonads of patients from diagnostic x-ray procedures. This pamphlet will provide physicians and radiologic technologists with information which will aid their appropriate use of gonad shielding

Recommended radiological controls for tritium operations

International Nuclear Information System (INIS)

Mansfield, G.

1992-01-01

This informal report presents recommendations for an adequate radiological protection program for tritium operations. Topics include hazards analysis, facility design, personnel protection equipment, training, operational procedures, radiation monitoring, to include surface and airborne tritium contamination, and program management

Interventional neuroradiology techniques in interventional radiology

CERN Document Server

Murphy, Kieran; Robertson, Fergus; Watkinson, Anthony

2013-01-01

This book provides accessible technique-specific information on interventional radiology procedures, in a format suitable for reference in the IR treatment room or as a carry-around guide. Offers step-by-step points, key point summaries and illustrations.

Upgrade the intervention levels derived for water and foods, to be include in the PERE 607 procedure the external radiological emergency plan in the Laguna Verde nuclear power plant

International Nuclear Information System (INIS)

Llado Castillo, R.; Aguilar Pacheco, R.

1998-01-01

The work shows the results obtained in the upgrade the intervention levels derived for water and foods, to be include in the PERE 607 procedure the external radiological emergency plan in the Laguna Verde nuclear power plant

Extracorporeal shock wave lithotripsy: Involvement and impact on radiology at a kidney stone center

International Nuclear Information System (INIS)

Cochran, S.T.; Barbaric, Z.L.; Mindell, H.; Chaussy, C.D.; Fuchs, G.J.

1986-01-01

Of 1,222 extracorporeal shock wave lithotripsy (ECSW) procedures performed on 925 patients (600 males, 325 females), 85% were unilateral and 35% were bilateral treatments. Treated were 446 calyceal, 345 pelvic, 172 uretral, and 108 staghorn calculi. The impact of this new technology to the radiology department was studied. An average of 6.3 KUB studies and 1.2 renal US studies were performed per treatment session. Six percent of patients required post-ESWL excretory urography of CT; 10% required percutaneous nephrostomy. Patients with treated staghorn calculi required the most radiologic procedures (34% performed for partial staghorn calculi, 56% for complete staghorn calculi). By comparison, 3%, 8%, and 11% of radiologic procedures were performed for calyceal, pelvic, and ureteral stones, respectively. The impact of ESWL on the radiology department can be substantial. When staghorn calculi are treated by ESWL, a radiologist skilled in interventional techniques is essential

Radiology Resident Supply and Demand: A Regional Perspective.

Science.gov (United States)

Pfeifer, Cory M

2017-09-01

Radiology was subject to crippling deficits in the number of jobs available to graduates of training programs from 2012 through 2015. As the specialty transitions to the assimilation of osteopathic training programs and the welcoming of direct competition from new integrated interventional radiology programs, the assessment of growth in radiology training positions over the 10 years preceding this pivotal time will serve to characterize the genesis of the crisis while inspiring stakeholders to avoid similar negative fluctuations in the future. The number of per capita radiology trainees in each region was derived from data published by the National Resident Matching Program, as were annual match statistics over the years 2012 through 2016. Data regarding new interventional radiology and diagnostic radiology enrollees were also obtained from the National Resident Matching Program. The seven states with the most per capita radiology residents were in the Mid-Atlantic and Northeastern United States in both 2006 and 2016, and three of these seven also showed the greatest per capita growth over the course of the 10 years studied. New radiology programs were accredited during the peak of the job shortage. Integrated interventional radiology training created 24 de novo radiology residents in the 2017 match. Fill rates are weakly positively correlated with program size. Unregulated radiology program growth persisted during the decade leading up to 2016. The region with the fewest jobs available since 2012 is also home to the greatest number of per capita radiology residents. Numerous published opinions during the crisis did not result in enforced policy change. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological safety by design

International Nuclear Information System (INIS)

Gundaker, W.E.

1977-01-01

Under the Radiation Control for Health and Safety Act enacted by the U.S. Congress in 1968, the Food and Drug Administration's Bureau of Radiological Health may prescribe performance standards for products that emit radiation. A description is given of the development of these standards and outlines the administrative procedures by which they are enforced. (author)

Quantitative radiological characterization of waste. Integration of gamma spectrometry and passive/active neutron assay

Energy Technology Data Exchange (ETDEWEB)

Simone, Gianluca; Mauro, Egidio; Gagliardi, Filippo; Gorello, Edoardo [Nucleco S.p.A., Rome (Italy)

2016-06-15

The radiological characterization of drums through Non-Destructive Assay (NDA) techniques commonly relies on gamma spectrometry. This paper introduces the procedure developed in Nucleco for the NDA radiological characterization of drums when the presence of Special Nuclear Material (SNM) is expected/observed. The procedure is based on the integration of a gamma spectrometry in SGS mode (Segmented Gamma Scanner) and a passive/active neutron assay. The application of this procedure is discussed on a real case of drums. The extension of the integration procedure to other gamma spectrometry systems is also discussed.

Radiological diagnosis of the paranasal sinuses

International Nuclear Information System (INIS)

Cohnen, M.

2010-01-01

Although diseases of the paranasal sinuses have a relatively homogeneous clinical presentation, their causes can vary considerably. Radiological imaging only became relevant in paranasal sinus diagnostics following the introduction of cross-sectional imaging. In addition to technical details on imaging procedures and the individual criteria of the different modalities, anatomic details and congenital variations are presented. Particularly in acute inflammatory diseases as well as traumatic lesions, imaging is essential in preoperative planning and postoperative control. The article gives a detailed description of options in radiologic imaging of the paranasal sinuses. (orig.) [de

Westinghouse corporate development of a decision software program for Radiological Evaluation Decision Input (REDI)

International Nuclear Information System (INIS)

Bush, T.S.

1995-01-01

In December 1992, the Department of Energy (DOE) implemented the DOE Radiological Control Manual (RCM). Westinghouse Idaho Nuclear Company, Inc. (WINCO) submitted an implementation plan showing how compliance with the manual would be achieved. This implementation plan was approved by DOE in November 1992. Although WINCO had already been working under a similar Westinghouse RCM, the DOE RCM brought some new and challenging requirements. One such requirement was that of having procedure writers and job planners create the radiological input in work control procedures. Until this time, that information was being provided by radiological engineering or a radiation safety representative. As a result of this requirement, Westinghouse developed the Radiological Evaluation Decision Input (REDI) program

Westinghouse corporate development of a decision software program for Radiological Evaluation Decision Input (REDI)

Energy Technology Data Exchange (ETDEWEB)

Bush, T.S. [Westinghosue Idaho Nuclear Co., Inc., Idaho Falls, ID (United States)

1995-03-01

In December 1992, the Department of Energy (DOE) implemented the DOE Radiological Control Manual (RCM). Westinghouse Idaho Nuclear Company, Inc. (WINCO) submitted an implementation plan showing how compliance with the manual would be achieved. This implementation plan was approved by DOE in November 1992. Although WINCO had already been working under a similar Westinghouse RCM, the DOE RCM brought some new and challenging requirements. One such requirement was that of having procedure writers and job planners create the radiological input in work control procedures. Until this time, that information was being provided by radiological engineering or a radiation safety representative. As a result of this requirement, Westinghouse developed the Radiological Evaluation Decision Input (REDI) program.

Effective dose delivered by conventional radiology to Aosta Valley population between 2002 and 2009

Science.gov (United States)

Zenone, F; Aimonetto, S; Catuzzo, P; Peruzzo Cornetto, A; Marchisio, P; Natrella, M; Rosanò, A M; Meloni, T; Pasquino, M; Tofani, S

2012-01-01

Objective Medical diagnostic procedures can be considered the main man-made source of ionising radiation exposure for the population. Conventional radiography still represents the largest contribution to examination frequency. The present work evaluates procedure frequency and effective dose from the majority of conventional radiology examinations performed at the Radiological Department of Aosta Hospital from 2002 to 2009. Method Effective dose to the patient was evaluated by means of the software PCXMC. Data provided by the radiological information system allowed us to obtain collective effective and per caput dose. Results The biggest contributors to per caput effective dose from conventional radiology are vertebral column, abdomen, chest, pelvis and (limited to females) breast. Vertebral column, pelvis and breast procedures show a significant dose increment in the period of the study. The mean effective dose per inhabitant from conventional radiology increased from 0.131 mSv in 2002 to 0.156 mSv in 2009. Combining these figures with those from our study of effective dose from CT (0.55 mSv in 2002 to 1.03 mSv in 2009), the total mean effective dose per inhabitant increased from 0.68 mSv to 1.19 mSv. The contribution of CT increased from 81% to 87% of the total. In contrast, conventional radiology accounts for 85% of the total number of procedures, but only 13% of the effective dose. Conclusion The study has demonstrated that conventional radiography still represents the biggest contributor to examination frequency in Aosta Valley in 2009. However, the frequency of the main procedures did not change significantly between 2002 and 2009. PMID:21937611

Basic principles of radiological protection

International Nuclear Information System (INIS)

Pina, Jorge Luiz Soares de; Fajardo, Patricia Wieland.

1984-07-01

The fundamentals of radiological protection are presented. The interaction of radiation with matter and with living systems as well as radioprotection procedures and units are described. 6 refs., 7 figs., 9 tabs of radioactive wastes from nuclear medicine in Brazil are presented. 7 refs., 3 figs., 2 tabs

Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education

OpenAIRE

Talanow, Roland

2010-01-01

This article focuses on Radiology Olympics (www.RadiologyOlympics.com) - a collaboration with the international Radiology community for Radiology education, Radiolopolis (www.Radiolopolis.com). The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

Environmental aspects at radiological protection in ArcelorMittal Monlevade

International Nuclear Information System (INIS)

Silva Filho, Cleber Marques; Soares Filho, Mauricio; Franco, Jose Otavio Andrade; Leite, Roberto Paulo; Goncalves, Breno Cunha; Costa, Jose Gustavo de Souza

2010-01-01

ArcelorMittal Monlevade Environmental Management of Radiological Protection is based on radiological protection team training, start up of radioactivity materials detection equipment in several steps of industrial processes and internal procedures according to CNEN - Nuclear Energy National Commission guidelines. At this way ArcelorMittal Monlevade seeks to guarantee the safety of employees, community, customers, equipment and the environment and their business. (author)

Radiology

International Nuclear Information System (INIS)

Bigot, J.M.; Moreau, J.F.; Nahum, H.; Bellet, M.

1990-01-01

The 17th International Congress of Radiology was conducted in two separate scientific sessions, one for radiodiagnosis and one for radiation oncology. Topics covered are: Radiobiology -radioprotection; imaging and data processing; contrast media; MRI; nuclear medicine; radiology and disasters; radiology of tropical diseases; cardiovascular radiology; interventional radiology; imaging of trauma; imaging of chest, gastro-intestinal tract, breast and genito-urinary tract; imaging in gynecology;imaging in oncology; bone and joint radiology; head and neck-radiology; neuro-radiology. (H.W.). refs.; fig.; tabs

A cross-site vascular radiology on-call service: the Manchester experience

International Nuclear Information System (INIS)

Ashleigh, R.J.; Butterfield, J.S.; Asquith, J.; Chalmers, N.; Murphy, G.

2005-01-01

AIM: A cross-site vascular radiology on-call service was established 5 years ago to cover two vascular centres in Manchester. We aimed to review the service. MATERIALS AND METHODS: A prospective audit of out-of hours referrals and procedures over a three month period (March-May 2003) was undertaken. RESULTS: There were 52 incidents in 49 patients (mean 4 calls per week). Nine involved telephone advice only, the remainder (82%) required a procedure. Angiography was performed on 88% of patients and therapeutic radiological intervention on 50%. 71% of calls occurred at a weekend. 50% of the calls were from vascular surgery and 50% from other sources. The consultant vascular radiologist was present for 93% of procedures. CONCLUSIONS: The workload suggests that a vascular radiology on call service is justified in Manchester. There have been no major problems with its implementation and operation. This is a consultant led service, with very few cases being devolved to a specialist registrar (SpR)

Global view on the radiological protection of patients: PAHO position paper

International Nuclear Information System (INIS)

Borras, C.

2001-01-01

The Pan American Health Organization/World Health Organization (PAHO/WHO), founded in 1902, initiated a radiological health programme in the 1950s. Within this programme, there are currently three lines of work: (a) radiology services; (b) radiation safety; and (c) radiological emergencies. Radiology services deals with health services for diagnostic and interventional imaging, and for radiation therapy. Radiation safety studies the three types of exposures to both ionizing and non-ionizing radiation: occupational; medical; and public. Radiological emergencies involve radioactive waste management programmes and emergency plans. The radiological protection of patients is addressed in each of these areas: (a) when analysing the infrastructure of radiology services; and (b) when determining medical exposures; and (c) when investigating overexposures in interventional or therapeutic procedures or under-doses in radiation therapy. (author)

History and Organizations for Radiological Protection.

Science.gov (United States)

Kang, Keon Wook

2016-02-01

International Commission on Radiological Protection (ICRP), an independent international organization established in 1925, develops, maintains, and elaborates radiological protection standards, legislation, and guidelines. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) provides scientific evidence. World Health Organization (WHO) and International Atomic Energy Agency (IAEA) utilise the ICRP recommendations to implement radiation protection in practice. Finally, radiation protection agencies in each country adopt the policies, and adapt them to each situation. In Korea, Nuclear Safety and Security Commission is the governmental body for nuclear safety regulation and Korea Institute of Nuclear Safety is a public organization for technical support and R&D in nuclear safety and radiation protection.

12 CFR 550.140 - Must I adopt and follow written policies and procedures in exercising fiduciary powers?

Science.gov (United States)

2010-01-01

... procedures in exercising fiduciary powers? 550.140 Section 550.140 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY FIDUCIARY POWERS OF SAVINGS ASSOCIATIONS Exercising Fiduciary Powers § 550.140 Must I adopt and follow written policies and procedures in exercising fiduciary powers? You...

PathBot: A Radiology-Pathology Correlation Dashboard.

Science.gov (United States)

Kelahan, Linda C; Kalaria, Amit D; Filice, Ross W

2017-12-01

Pathology is considered the "gold standard" of diagnostic medicine. The importance of radiology-pathology correlation is seen in interdepartmental patient conferences such as "tumor boards" and by the tradition of radiology resident immersion in a radiologic-pathology course at the American Institute of Radiologic Pathology. In practice, consistent pathology follow-up can be difficult due to time constraints and cumbersome electronic medical records. We present a radiology-pathology correlation dashboard that presents radiologists with pathology reports matched to their dictations, for both diagnostic imaging and image-guided procedures. In creating our dashboard, we utilized the RadLex ontology and National Center for Biomedical Ontology (NCBO) Annotator to identify anatomic concepts in pathology reports that could subsequently be mapped to relevant radiology reports, providing an automated method to match related radiology and pathology reports. Radiology-pathology matches are presented to the radiologist on a web-based dashboard. We found that our algorithm was highly specific in detecting matches. Our sensitivity was slightly lower than expected and could be attributed to missing anatomy concepts in the RadLex ontology, as well as limitations in our parent term hierarchical mapping and synonym recognition algorithms. By automating radiology-pathology correlation and presenting matches in a user-friendly dashboard format, we hope to encourage pathology follow-up in clinical radiology practice for purposes of self-education and to augment peer review. We also hope to provide a tool to facilitate the production of quality teaching files, lectures, and publications. Diagnostic images have a richer educational value when they are backed up by the gold standard of pathology.

Discussion on the method of environmental radiological impact assessment for the highway construction project

International Nuclear Information System (INIS)

Qiu Guohua

2008-01-01

Based on the characteristics and environmental radiological impact of the highway construction project, the basic procedure of environmental radiological impact assessment for the highway construction project is put forward, including analysis and determination of contamination sources, selection of evaluation factors, determination of assessment range and dose limit, environmental investigation, environmental impact prediction and assessment. The working method of each procedure is analyzed. (authors)

Paediatric interventional radiology

International Nuclear Information System (INIS)

McLaren, Clare

2014-01-01

Paediatric interventional radiology (PIR) is a rapidly-growing subspecialty, which offers a wide range of procedures applicable to almost all areas of hospital paediatrics. There are many important differences between paediatric and adult practice in interventional radiology, including disease processes and treatment goals, anatomical considerations, periprocedural patient management, radiation exposure optimisation and legal aspects. The use of retrievable or absorbable interventional devices such as stents will probably become more widespread in PIR practice. Recent advances in the technology of imaging equipment have been accompanied by an increase in the complexity of the work done by the radiographer. These developments present challenges and opportunities related to training and maintenance of skills, staffing arrangements, and the potential for advanced practice. It is likely that specialisation in PIR will become a more common role for radiographers in the future

Radiological protection of patients

International Nuclear Information System (INIS)

Niroomand-Rad, A.

2003-01-01

The benefits of ionizing radiation in the diagnosis and treatment of cancer, as well as other conditions such as cardiac ablation, are well established. However determination, monitoring, and evaluation of patient doses is not as easy task. Furthermore, radiation doses for individual patients may vary greatly from one radiological procedure to another. Attention is needed to reduce unnecessary radiation exposure to patients from All types of radiation producing machines and equipment. The patient risk from radiation injury-stochastic and/or deterministic must be weighted against the benefits of a proper medical examination or treatment as well as the risk of depriving the patient from the necessary medical care. Arbitrary reduction of radiological patient doses without regard to final outcome is determined to proper medical care provided to the patient. Sacrificing image quality in order to reduce patient dose is potentially harmful to the patient as well. Furthermore, the role of radiation exposure incurred from screening procedures such as mammography, needs to be properly considered and differentiated from medically indicated procedures. A known radiation induced risk needs to be balanced against diagnostic efficacy of a screening procedure. In these cases, regulations on standards and guidelines for determination, monitoring, and evaluation of patient doses may be appropriate. In this paper, the technical data collected in the United States have been compared with the corresponding data in Canada. However, even here, it has been recognized that we can not assume that one dose limit fits all. It is advisable to consider individual patient specifics if it means the difference between detection and miss

Developing an automated database for monitoring ultrasound- and computed tomography-guided procedure complications and diagnostic yield.

Science.gov (United States)

Itri, Jason N; Jones, Lisa P; Kim, Woojin; Boonn, William W; Kolansky, Ana S; Hilton, Susan; Zafar, Hanna M

2014-04-01

Monitoring complications and diagnostic yield for image-guided procedures is an important component of maintaining high quality patient care promoted by professional societies in radiology and accreditation organizations such as the American College of Radiology (ACR) and Joint Commission. These outcome metrics can be used as part of a comprehensive quality assurance/quality improvement program to reduce variation in clinical practice, provide opportunities to engage in practice quality improvement, and contribute to developing national benchmarks and standards. The purpose of this article is to describe the development and successful implementation of an automated web-based software application to monitor procedural outcomes for US- and CT-guided procedures in an academic radiology department. The open source tools PHP: Hypertext Preprocessor (PHP) and MySQL were used to extract relevant procedural information from the Radiology Information System (RIS), auto-populate the procedure log database, and develop a user interface that generates real-time reports of complication rates and diagnostic yield by site and by operator. Utilizing structured radiology report templates resulted in significantly improved accuracy of information auto-populated from radiology reports, as well as greater compliance with manual data entry. An automated web-based procedure log database is an effective tool to reliably track complication rates and diagnostic yield for US- and CT-guided procedures performed in a radiology department.

Acute radiologic intervention in gastrointestinal bleeding

Energy Technology Data Exchange (ETDEWEB)

Lesak, F.

1986-01-01

A case of embolization of the gastroduodenal artery in a 38-year old man with chronic pancreatitis and uncontrollable bleeding is presented. The advantage of this interventional radiologic procedure is discussed and in selective cases it seems to be the choice of treatment.

The transjugular intrahepatic portosystemic stentshunt (TIPSS): A new nonoperative, transjugular percutaneous procedure. [Radiological studies

Energy Technology Data Exchange (ETDEWEB)

Richter, G M; Noeldge, G; Siegerstetter, V; Franke, M; Wenz, W; Palmaz, J C; Roessle, M

1989-08-01

In a 49-year-old male patient suffering from severe symptoms of end-stage portal hypertension and Child's stage C metabolic status, an intrahepatic stent-assisted portosystemic shunt was established for the first time exclusively by means of interventional radiology. Via transjugular access, a modified Brockenbrough needle was used to puncture the right branch of the portal vein via the right liver vein. As a target, a Dormia-basket was used that had previously been exposed in the right main portal branch. After successful puncture and balloon dilation of the artificial tract, two Palmaz stents were implanted to keep the tract permanently open. The portosystemic pressure gradient dropped from 38 to 18 mm Hg. The clinical status of the patient improved substantially during the following days. However, the patient died on day 11 after the procedure because of sudden onset of acute respiratory distress arising from acute nosocomial fungus and cytomegalovirus infection worsened by his primary immunoincompetence. Autopsy demonstrated a totally patent shunt without superficial thrombus. Microscopically, a thin endothelial layer on the inner shunt surface was found to be present. (orig.).

Safety aspects in radiology

International Nuclear Information System (INIS)

Silva, D.C. da.

1991-05-01

The development of a program for the evaluation of the physical installations and operational procedures in diagnostic radiology with respect to radiation-safety is described. In addition, a proposal for the quality analysis of X-ray equipment and film-processing is presented. The purpose is both to ensure quality and safety of the radiology service, as well as to aid in the initial and in-service training of the staff. Interviews with patients, staff practicing radiology at a wide range of levels and the controlling authorities were carried out in the State of Rio de Janeiro in order to investigate the existence and the effective use of personal radioprotection equipment as well as user's and staff's concern for radiation safety. Additionally physical measurements were carried out in University Hospitals in Rio de Janeiro to assess the quality of equipment in day-to-day use. It was found that in the locations which did not have routine maintenance the equipment was generally in a poor state which lead to a high incidence of repetition of examinations and the consequent financial loss. (author)

A radiological control implementation guide

International Nuclear Information System (INIS)

Hamley, S.A.

1993-01-01

A manual is being developed to explain to line managers how radiological controls are designed and implemented. The manual also fills a gap in the Health Physics literature between textbooks and on-the-floor procedures. It may be helpful to new Health Physicists with little practical experience and to those wishing to improve self-assessment, audit, and appraisal processes. Many audits, appraisals, and evaluations have indicated a need for cultural change, increased vigor and example, and more effective oversight by line management. Inadequate work controls are a frequent and recurring problem identified in occurrence reports and accident investigations. Closer study frequently indicates that many line managers are willing to change and want to achieve excellence, but no effective guidance exists that will enable them to understand and implement a modern radiological control program. The manual is now in draft form and includes information that will be of use to line managers dealing with improving radiological performance and the practical aspects of radiological controls implementation. The manual is expected to be completed by the fall of 1993 and to be used in conjunction with a performance-based self-assessment training program at the Oak Ridge National Laboratory

Diagnostic reference levels and complexity indices in interventional radiology: a national programme

Energy Technology Data Exchange (ETDEWEB)

Ruiz-Cruces, R.; Perez-Martinez, M.; Pastor-Vega, J.M.; Canete, S. [University of Malaga, School of Medicine, Malaga (Spain); Vano, E.; Fernandez-Soto, J.M.; Sanchez-Casanueva, R.; Gallego-Beuter, J.J. [Complutense University, San Carlos Hospital, Medical School, Madrid (Spain); Carrera-Magarino, F.; Moreno-Rodriguez, F.; Moreno-Sanchez, T. [Juan Ramon Jimenez University Hospital, Huelva (Spain); Soler-Cantos, M.M.; Canis-Lopez, M. [Reina Sofia University Hospital, Cordoba (Spain); Hernandez-Armas, J.; Diaz-Romero, F.J. [University Hospital of Canary Islands, Tenerife (Spain); Rosales-Espizua, F.; Lopez-Medina, A.; Gonzalez-de-Garay, M. [Basurto Hospital, Bilbao (Spain); Martin-Palanca, A. [Virgen de la Victoria University Hospital, Malaga (Spain); Gil-Agudo, A.; Zarca-Diaz, M.A.; Zapata-Jimenez, J.C. [General University Hospital, Ciudad Real (Spain); Parra-Osorio, V.; Munoz Ruiz-Canela, J.J.; Moreno-Saiz, C.; Galan-Montenegro, P. [Carlos Haya University Hospital, Malaga (Spain)

2016-12-15

To propose national diagnostic reference levels (DRLs) for interventional radiology and to evaluate the impact of the procedural complexity on patient doses. Eight interventional radiology units from Spanish hospitals were involved in this project. The participants agreed to undergo common quality control procedures for X-ray systems. Kerma area product (KAP) was collected from a sample of 1,649 procedures. A consensus document established the criteria to evaluate the complexity of seven types of procedures. DRLs were set as the 3rd quartile of KAP values. The KAP (3rd quartile) in Gy cm{sup 2} for the procedures included in the survey were: lower extremity arteriography (n = 784) 78; renal arteriography (n = 37) 107; transjugular hepatic biopsies (THB) (n = 30) 45; biliary drainage (BD) (n = 314) 30; uterine fibroid embolization (UFE) (n = 56) 214; colon endoprostheses (CE) (n = 31) 169; hepatic chemoembolization (HC) (n = 269) 303; femoropopliteal revascularization (FR) (n = 62) 119; and iliac stent (n = 66) 170. The complexity involved the increases in the following KAP factors from simple to complex procedures: THB x4; BD x13; UFE x3; CE x3; HC x5; FR x5 and IS x4. The evaluation of the procedure complexity in patient doses will allow the proper use of DRLs for the optimization of interventional radiology. (orig.)

Comparison of fluoroscopy-guided pull-type percutaneous radiological gastrostomy (pull-type-PRG) with conventional percutaneous radiological gastrostomy (push-type-PRG): clinical results in 253 patients

Energy Technology Data Exchange (ETDEWEB)

Yang, Yang; Schneider, J.; Dueber, C.; Pitton, M.B. [University Medical Center of the Johannes Gutenberg University Mainz, Department of Diagnostic and Interventional Radiology, Mainz (Germany)

2011-11-15

To analyze the clinical results and complications of fluoroscopy guided internal-external pull-type percutaneous radiological gastrostomy (pull-type-PRG) and conventional external-internal percutaneous radiological gastrostomy (push-type-PRG). A total of 253 patients underwent radiological gastrostomy between January 2002 and January 2010. Data were collected retrospectively from radiology reports, Chart review of clinical notes, procedure reports, discharge summaries and subsequent hospital visits. Statistical analysis was performed to compare the two methods for gastrostomy with respect to peri-interventional aspects and clinical results. 128 patients received the Pull-type-PRG whereas the other 125 patients were served with the Push-type-PRG. Indications for gastrostomy were similar in these two groups. The most frequent indications for the both methods were stenotic oesophageal tumors or head/neck tumors (54.7% in pull-type-PRG, 68% in push-type-PRG). Gastrostomy procedures were successful in 98.3% in pull-type-PRG compared to 92% in push-type-PRG. There was no procedure-related mortality. Compared to Push-type-PRG, the peri-interventional complication rate was significantly reduced in pull-type-PRG (14.8% versus 34.4%, P = 0.002). Compared to the external-internal push-type-PRG, the internal-external Pull-type-PRG showed a high primary success rate and a decreased incidence of peri-interventional complications. (orig.)

Comparison of fluoroscopy-guided pull-type percutaneous radiological gastrostomy (pull-type-PRG) with conventional percutaneous radiological gastrostomy (push-type-PRG): clinical results in 253 patients

International Nuclear Information System (INIS)

Yang, Yang; Schneider, J.; Dueber, C.; Pitton, M.B.

2011-01-01

To analyze the clinical results and complications of fluoroscopy guided internal-external pull-type percutaneous radiological gastrostomy (pull-type-PRG) and conventional external-internal percutaneous radiological gastrostomy (push-type-PRG). A total of 253 patients underwent radiological gastrostomy between January 2002 and January 2010. Data were collected retrospectively from radiology reports, Chart review of clinical notes, procedure reports, discharge summaries and subsequent hospital visits. Statistical analysis was performed to compare the two methods for gastrostomy with respect to peri-interventional aspects and clinical results. 128 patients received the Pull-type-PRG whereas the other 125 patients were served with the Push-type-PRG. Indications for gastrostomy were similar in these two groups. The most frequent indications for the both methods were stenotic oesophageal tumors or head/neck tumors (54.7% in pull-type-PRG, 68% in push-type-PRG). Gastrostomy procedures were successful in 98.3% in pull-type-PRG compared to 92% in push-type-PRG. There was no procedure-related mortality. Compared to Push-type-PRG, the peri-interventional complication rate was significantly reduced in pull-type-PRG (14.8% versus 34.4%, P = 0.002). Compared to the external-internal push-type-PRG, the internal-external Pull-type-PRG showed a high primary success rate and a decreased incidence of peri-interventional complications. (orig.)

Acute radiologic intervention in gastrointestinal bleeding

International Nuclear Information System (INIS)

Lesak, F.

1986-01-01

A case of embolization of the gastroduodenal artery in a 38-year old man with chronic pancreatitis and uncontrollable bleeding is presented. The advantage of this interventional radiologic procedure is discussed and in selective cases it seems to be the choice of treatment. (orig.) [de

How to operate a university institute as a radiological emergency service?

International Nuclear Information System (INIS)

Besancon, A.; Bochud, F.

2011-01-01

The Institute of Radiation Physics (IRA) is attached to the Department of Medical Radiology at the Vaud University Hospital Center (CHUV) in Lausanne. The Institute's main tasks are strongly linked to the medical activities of the Department: radiotherapy, radiodiagnostics, interventional radiology and nuclear medicine. The Institute also works in the fields of operational radiation protection, radiation metrology and radioecology. In the case of an accident involving radioactive materials, the emergency services are able to call on the assistance of radiation protection specialists. In order to avoid having to create and maintain a specific structure, both burdensome and rarely needed, Switzerland decided to unite all existing emergency services for such events. Thus, the IRA was invited to participate in this network. The challenge is therefore to integrate a university structure, used to academic collaborations and the scientific approach, to an interventional organization accustomed to strict policies, a military-style command structure and 'drilled' procedures. The IRA's solution entails mobilizing existing resources and the expertise developed through professional experience. The main asset of this solution is that it involves the participation of committed collaborators who remain in a familiar environment, and are able to use proven materials and mastered procedures, even if the atmosphere of an accident situation differs greatly from regular laboratory routines. However, this solution requires both a commitment to education and training in emergency situations, and a commitment in terms of discipline by each collaborator in order to be integrated into a response plan supervised by an operational command center. (authors)

The combined application of radiology, nuclear medicine and fine needle aspiration biopsy cytology (FNAB)

International Nuclear Information System (INIS)

Cardozo, P.L.; Ruis, I.A.M.

1980-01-01

The combination of diagnostic cytology and diagnostic radiology, including intervention radiology, is a logical one. Radiology can visualize lesions which cannot be found otherwise and under its guidance cytology can obtain a direct and usually diagnostic proof of the true nature of the process with minimal inconvenience and risk for the patient. A survey of the combination of cytology and radiological procedures in the diagnosis work-up is outlined. (Auth.)

Comprehensive Clinical Audits of Diagnostic Radiology Practices: A Tool for Quality Improvement. Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL)

International Nuclear Information System (INIS)

2011-01-01

Interest in quality assurance processes and quality improvement in diagnostic radiology is being driven by a number of factors. These include the high cost and complexity of radiological equipment, acknowledgement of the possibility of increasing doses to patients, and the importance of radiological diagnosis to patient management within the health care environment. To acknowledge these interests, clinical audits have been introduced and, in Europe, mandated under a European Directive (Council Directive 97/47/EURATOM). Comprehensive clinical audits focus on clinical management and infrastructure, patient related and technical procedures, and education and research. This publication includes a structured set of standards appropriate for diagnostic radiology, an audit guide to their clinical review, and data collection sheets for the rapid production of reports in audit situations. It will be a useful guide for diagnostic radiology facilities wishing to improve their service to patients through timely diagnosis with minimal radiation dose.

Comprehensive Clinical Audits of Diagnostic Radiology Practices: A Tool for Quality Improvement. Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL)

International Nuclear Information System (INIS)

2010-01-01

Interest in quality assurance processes and quality improvement in diagnostic radiology is being driven by a number of factors. These include the high cost and complexity of radiological equipment, acknowledgement of the possibility of increasing doses to patients, and the importance of radiological diagnosis to patient management within the health care environment. To acknowledge these interests, clinical audits have been introduced and, in Europe, mandated under a European Directive (Council Directive 97/47/EURATOM). Comprehensive clinical audits focus on clinical management and infrastructure, patient related and technical procedures, and education and research. This publication includes a structured set of standards appropriate for diagnostic radiology, an audit guide to their clinical review, and data collection sheets for the rapid production of reports in audit situations. It will be a useful guide for diagnostic radiology facilities wishing to improve their service to patients through timely diagnosis with minimal radiation dose.

Policy and Strategies for Environmental Remediation

International Nuclear Information System (INIS)

2015-01-01

In the environmental remediation of a given site, concerned and interested parties have diverse and often conflicting interests with regard to remediation goals, the time frames involved, reuse of the site, the efforts necessary and cost allocation. An environmental remediation policy is essential for establishing the core values on which remediation is to be based. It incorporates a set of principles to ensure the safe and efficient management of remediation situations. Policy is mainly established by the national government and may become codified in the national legislative system. An environmental remediation strategy sets out the means for satisfying the principles and requirements of the national policy. It is normally established by the relevant remediation implementer or by the government in the case of legacy sites. Thus, the national policy may be elaborated in several different strategies. To ensure the safe, technically optimal and cost effective management of remediation situations, countries are advised to formulate an appropriate policy and strategies. Situations involving remediation include remediation of legacy sites (sites where past activities were not stringently regulated or adequately supervised), remediation after emergencies (nuclear and radiological) and remediation after planned ongoing operation and decommissioning. The environmental policy involves the principles of justification, optimization of protection, protection of future generations and the environment, efficiency in the use of resources, and transparent interaction with stakeholders. A typical policy will also take into account the national legal framework and institutional structure and applicable international conventions while providing for the allocation of responsibilities and resources, in addition to safety and security objectives and public information and participation in the decision making process. The strategy reflects and elaborates the goals and requirements set

Evolution of the radiological protection policy. Applications in developing countries. IPEN a case of study

International Nuclear Information System (INIS)

Gordon, A.M.P.L.; Sordi, G.M.A. A.

2006-01-01

This paper aims to show the radiological protection development in Brazil from the beginning, when President Joao Cafe Filho signed an agreement with the U.S.A. In this agreement, Brazil joined the 'Atoms for Peace' program established on August 3., 1955. Yet in 1955, Brazil participated as a foundation member in the International Atomic Energy Agency (IAEA). As a result, the Iea - 'Instituto de Energia Atomica'- was created on August 31., 1956 and a research reactor type swimming pool was installed to produce radioisotopes and prepare experts in the field of nuclear activities. This reactor is maintained in operation at the Instituto de Pesquisas Energeticas e Nucleares (IPEN), former Iea. Having the Iea as a case of study, we analyze the radiological protection evolution during the fifty years of its life. We correlate this development with the Brazilian National Nuclear Energy Commission (CNEN) Regulations. CNEN was also created in 1956. The first safety standard in Brazil was delivered in 1973. Therefore, this paper will focus the radiological protection development at national level. Both institutions followed the international radiological protection recommendations, under the difficulties imposed by the historical conditions of a developing country. In order to have an outline of the radiological protection development, we inform that it was started as a section of the Radiological Division at the Iea. At that time, the Iea had four divisions. The radiological protection was performed by four people, being two physicists and two technicians that accomplished all the duties. On that occasion, approximately 30 people operated the Iea. The work staff at IPEN increased, arriving to 1600 people in 1998, including 150 persons in the radiological protection activities. Nowadays, 1200 people, including 100 persons in the health physics duties operate the IPEN. (authors)

Evolution of the radiological protection policy. Applications in developing countries. IPEN a case of study

Energy Technology Data Exchange (ETDEWEB)

Gordon, A.M.P.L.; Sordi, G.M.A. A. [Instituto de Pesquisas Energeticas e Nucleares - IPEN, Sao Paulo (Brazil)

2006-07-01

This paper aims to show the radiological protection development in Brazil from the beginning, when President Joao Cafe Filho signed an agreement with the U.S.A. In this agreement, Brazil joined the 'Atoms for Peace' program established on August 3., 1955. Yet in 1955, Brazil participated as a foundation member in the International Atomic Energy Agency (IAEA). As a result, the Iea - 'Instituto de Energia Atomica'- was created on August 31., 1956 and a research reactor type swimming pool was installed to produce radioisotopes and prepare experts in the field of nuclear activities. This reactor is maintained in operation at the Instituto de Pesquisas Energeticas e Nucleares (IPEN), former Iea. Having the Iea as a case of study, we analyze the radiological protection evolution during the fifty years of its life. We correlate this development with the Brazilian National Nuclear Energy Commission (CNEN) Regulations. CNEN was also created in 1956. The first safety standard in Brazil was delivered in 1973. Therefore, this paper will focus the radiological protection development at national level. Both institutions followed the international radiological protection recommendations, under the difficulties imposed by the historical conditions of a developing country. In order to have an outline of the radiological protection development, we inform that it was started as a section of the Radiological Division at the Iea. At that time, the Iea had four divisions. The radiological protection was performed by four people, being two physicists and two technicians that accomplished all the duties. On that occasion, approximately 30 people operated the Iea. The work staff at IPEN increased, arriving to 1600 people in 1998, including 150 persons in the radiological protection activities. Nowadays, 1200 people, including 100 persons in the health physics duties operate the IPEN. (authors)

Diagnostic radiology dosimetry: status and trends

International Nuclear Information System (INIS)

Rivera M, T.

2015-10-01

Full text: Medical radiation is by far the largest man-made source of public exposure to ionizing radiation. Since 1970 the expression of protection standards shifted from a dose- to a risk-based approach, with dose limits established to yield risks to radiation workers comparable with those for workers in other safe industries. Another hand, worldwide interest in patient dose measurement was stimulated by the publication of Patient Dose Reduction in Diagnostic Radiology by the UK National Radiological Protection Board (NRPB). In response to heightened awareness of the importance of patient dose contributed by radiology procedures, there has been a general trend to effect control of patient doses by applying the principles of optimization coupled with an increase in regulatory enforcement. In this sense, thermoluminescent dosimetry (TLD) has been actively proposed in the last 3 decades thanks to their successful applications in diagnostic radiology. At the same time, it is emerged as the best radiation dosimetry method. The present work presents advantages of thermoluminescent dosimetry for X-ray beams measurements and its optimization. (Author)

Diagnostic radiology dosimetry: status and trends

Energy Technology Data Exchange (ETDEWEB)

Rivera M, T., E-mail: trivera@ipn.mx [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, 11500 Mexico D. F. (Mexico)

2015-10-15

Full text: Medical radiation is by far the largest man-made source of public exposure to ionizing radiation. Since 1970 the expression of protection standards shifted from a dose- to a risk-based approach, with dose limits established to yield risks to radiation workers comparable with those for workers in other safe industries. Another hand, worldwide interest in patient dose measurement was stimulated by the publication of Patient Dose Reduction in Diagnostic Radiology by the UK National Radiological Protection Board (NRPB). In response to heightened awareness of the importance of patient dose contributed by radiology procedures, there has been a general trend to effect control of patient doses by applying the principles of optimization coupled with an increase in regulatory enforcement. In this sense, thermoluminescent dosimetry (TLD) has been actively proposed in the last 3 decades thanks to their successful applications in diagnostic radiology. At the same time, it is emerged as the best radiation dosimetry method. The present work presents advantages of thermoluminescent dosimetry for X-ray beams measurements and its optimization. (Author)

Radiologic accidents in industrial gamma radiography - Brazilian cases

International Nuclear Information System (INIS)

Silva, Francisco Cesar Augusto da

1997-01-01

Three severe radiological accidents in industrial gamma radiography happened in Brazil during the period of 1985 to 1988. Five operators and nineteen public people were involved. These accidents caused some injuries in parts of the body, mainly hands and fingers. The main causes were faults in source monitoring, inadequate routine procedures and unknowing of radiation warning symbol by public people. The present paper shows the Brazilian cases of radiological accidents and makes some analysis of them. (author)

Patient dosimetry in interventional radiology

International Nuclear Information System (INIS)

Silva, Mauro Wilson O. da; Canevaro, Lucia V.; Rodrigues, Barbara Beatriz D.

2009-01-01

Mapping skin doses in interventional radiology is useful to determine the probability of a possible injury, to detect areas of overlapping field and to obtain a permanent register of the most exposed skin areas. A method for the evaluation of patient doses in interventional radiology procedures is the slow film, Kodak EDR2 (Extended Dose Range). Kodak EDR 2 film was calibrated in the range of 50 kVp to 120 kVp beam qualities. Its dose-response curve was plotted up to the saturation point of 1000 mGy. Dose responses are a function of facility dependent factors including processing conditions the density sampling, and exposure monitoring equipment. The distribution and the form of all the irradiation fields have been registered in the Kodak EDR 2 films. The Dosimetric analysis was performed in a sample of 37 patients submitted the procedures coronariography and angioplasty. The film has a threshold of saturation around 1 Gy, the applied methodology is efficient to quantify the doses and to identify the distribution of the fields. (author)

Transcrestal Sinus Lift Procedure Approaching Atrophic Maxillary Ridge: A 60-Month Clinical and Radiological Follow-Up Evaluation

Directory of Open Access Journals (Sweden)

G. Lo Giudice

2015-01-01

Full Text Available Aim. The aim of this study was to assess the success and the survival rate of dental implants placed in augmented bone after sinus lifting procedures. Material and Methods. 31 patients were mainly enrolled for a residual upper jaw crest thickness of 3 mm. CBCT scans were performed before and after the augmentation technique and at the follow-up appointments, at 3, 6, 12, 24, and up to 60 months. The follow-up examination included cumulative survival rate of implants, peri-implant marginal bone loss, and the height of sinus floor augmentation. Results. This retrospective study on 31 patients and 45 implants later inserted in a less than 3 mm crest showed excellent survival rates (99.5%, one implant was lost before loading due to an acute infection after 24 days, and two implants did not osteointegrate and were removed after 3 months. The radiological evaluation showed an average bone loss of 0.25 mm (±0.78 mm at the first follow-up appointment (3 months up to 0.30 mm (±1.28 mm after 60-month follow-up. Conclusion. In this study it was reported how even in less than 3 mm thick crest a transcrestal technique can predictably be used with a long-term clinical and radiological outcome, giving patients excellent stability of the grafted material and healthy clinical results.

Radiological control implementation guide

International Nuclear Information System (INIS)

Hamley, S.A.

1993-01-01

A manual is being developed to explain to line managers how radiological controls are designed and implemented. The manual also fills a gap in the Health Physics literature between textbooks and on-the-floor procedures. It may be helpful to new Health Physicists with little practical experience and to those wishing to improve self-assessment, audit, and appraisal processes. Many audits, appraisals, and evaluations have indicated a need for cultural change, increased vigor and example, and more effective oversight by line management. Inadequate work controls are a frequent and recurring problem identified in occurrence reports and accident investigations. Closer study frequently indicates that many line managers are willing to change and want to achieve excellence, but no effective guidance exists that will enable them to understand and implement a modern radiological control program

A Lean Six Sigma journey in radiology.

Science.gov (United States)

Bucci, Ronald V; Musitano, Anne

2011-01-01

The department of radiology at Akron Children's Hospital embarked on a Lean Six Sigma mission as part of a hospital wide initiative to show increased customer satisfaction, reduce employee dissatisfaction and frustration, and decrease costs. Three processes that were addressed were reducing the MRI scheduling back-log, reconciling discrepancies in billing radiology procedures, and implementing a daily management system. Keys to success is that managers provide opportunities to openly communicate between department sections to break down barriers. Executive leaders must be engaged in Lean Six Sigma for the company to be successful.

Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey

International Nuclear Information System (INIS)

Haslam, Philip J.; Yap, Bernard; Mueller, Peter R.; Lee, Michael J.

2000-01-01

Purpose: To determine current European practice in interventional radiology regarding nursing care, anesthesia, and clinical care trends.Methods: A survey was sent to 977 European interventional radiologists to assess the use of sedoanalgesia, nursing care, monitoring equipment, pre- and postprocedural care, and clinical trends in interventional radiology. Patterns of sedoanalgesia were recorded for both vascular and visceral interventional procedures. Responders rated their preferred level of sedoanalgesia for each procedure as follows: (a) awake/alert, (b) drowsy/arousable, (c) asleep/arousable, (d) deep sedation, and (e) general anesthesia. Sedoanalgesic drugs and patient care trends were also recorded. A comparison was performed with data derived from a similar survey of interventional practice in the United States.Results: Two hundred and forty-three of 977 radiologists responded (25%). The total number of procedures analyzed was 210,194. The majority (56%) of diagnostic and therapeutic vascular procedures were performed at the awake/alert level of sedation, 32% were performed at the drowsy/arousable level, and 12% at deeper levels of sedation. The majority of visceral interventional procedures were performed at the drowsy/arousable level of sedation (41%), 29% were performed at deeper levels of sedation, and 30% at the awake/alert level. In general, more sedoanalgesia is used in the United States. Eighty-three percent of respondents reported the use of a full-time radiology nurse, 67% used routine blood pressure/pulse oximetry monitoring, and 46% reported the presence of a dedicated recovery area. Forty-nine percent reported daily patient rounds, 30% had inpatient hospital beds, and 51% had day case beds.Conclusion: This survey shows clear differences in the use of sedation for vascular and visceral interventional procedures. Many, often complex, procedures are performed at the awake/alert level of sedation in Europe, whereas deeper levels of sedation are

Document: the radiological survey of the environment

International Nuclear Information System (INIS)

Gerno, Linden; Leprieur, F.; Janssens, A.

2002-01-01

The document presents the radiological survey of the environment in France today with a comparison of the situation in Switzerland, Germany and Belgium. The evolution of the policy in this activity is also concerned. The laboratories and their monitoring equipment, the regulation and the social impacts are discussed. (A.L.B.)

Audit of radiology communication systems for critical, urgent, and unexpected significant findings.

Science.gov (United States)

Duncan, K A; Drinkwater, K J; Dugar, N; Howlett, D C

2016-03-01

To determine the compliance of UK radiology departments and trusts/healthcare organisations with National Patient Safety Agency and Royal College of Radiologist's published guidance on the communication of critical, urgent, and unexpected significant radiological findings. A questionnaire was sent to all UK radiology department audit leads asking for details of their current departmental policy regarding the issuing of alerts; use of automated electronic alert systems; methods of notification of clinicians of critical, urgent, and unexpected significant radiological findings; monitoring of results receipt; and examples of the more common types of serious pathologies for which alerts were issued. One hundred and fifty-four of 229 departments (67%) responded. Eighty-eight percent indicated that they had a policy in place for the communication of critical, urgent, and unexpected significant radiological findings. Only 34% had an automated electronic alert system in place and only 17% had a facility for service-wide electronic tracking of radiology reports. In only 11 departments with an electronic acknowledgement system was someone regularly monitoring the read rate. There is wide variation in practice across the UK with regard to the communication and monitoring of reports with many departments/trusts not fully compliant with published UK guidance. Despite the widespread use of electronic systems, only a minority of departments/trusts have and use electronic tracking to ensure reports have been read and acted upon. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Fetal dosimetry in diagnostic radiology

International Nuclear Information System (INIS)

Faulkner, K.

2002-01-01

Diagnostic radiology examinations are frequently performed in all countries because of the benefit that the patient derives from the resultant diagnosis. Given that so many examinations are performed it is inevitable that there will be occasions when the planned exposure of a woman who is known to be pregnant is contemplated. In these circumstances, there must be rigorous justification of the examination and the procedure itself must be optimised as well. Radiation risks from fetal irradiation are well established. These risks fall into three categories: 1) a cancer induction risk (mainly leukaemia); 2) hereditary effects (as the fetus is a potential parent); 3) a risk of serious mental retardation (if the fetus is exposed in the critical 8-15 weeks period when the forebrain is being developed). Risk factors for these effects have been reviewed by the International Commission on Radiological Protection. Special rules apply to the radiology of women who are or who may be pregnant. These rules have been developed to avoid he unintended irradiation of the fetus. These rules have been variously referred to as the 10-day rule and the 28-day rules, in which radiology of potentially pregnant women is restricted to the first 10 or 28 days following menstruation. It is apparent that the advice provided by national bodies varies, as different rules apply internationally, due presumably to a lack of an international consensus on the subject. The advice from the National Radiological Protection Board, the College of Radiographers and the Royal College of Radiologists applies in the United Kingdom. In summary, the advice is that women of child bearing age are asked before a diagnostic radiology examination in which the pelvis is in, or near, the primary beam are asked if they are, or may be, pregnant. If pregnancy can be excluded then the examination can proceed. If it is likely that the patient is pregnant, then the proposed examination must undergo rigorous justification. If

Virtual pilot course in radiological protection

International Nuclear Information System (INIS)

Gonzalez Romero, Angela Maria; Plazas, Maria Cristina

2008-01-01

Full text: The radiological protection performs vital importance in the fields medically, industrially and environmental. The X-rays and the radioactive materials used in medicine have allowed to realize important progresses and to develop new technologies skills for the diagnosis, the therapy and the prevention of diseases. Having in it counts tells the risks associated with the ionizing radiations, it is required legally that the personnel that intervenes in the different procedures has the necessary knowledge of radiological protection to assure that the use of radiations in the medical practice should carry out of ideal form, at the right moment and adopting all the necessary measures to guarantee the best protection, so much of the occupationally exposed personnel, since as, like of the patients and the public in general. The virtual environments for the construction of the knowledge like it is the virtual university, allows presenting an effective alternative in the learning of different areas and in this particular case of the radiological protection. With the aim lens to give response to these needs there is implemented this pilot virtual course year based on the current course of radiological protection that is dictated in the Mastery in Medical Physics of the National University of Colombia, sedate Bogota. The purpose of this virtual course is to use as academic and bibliographical support on radiological protection, as well as to answer to the needs of initial formation that the professionals have, to acquire a solid base in the mentioned matter. It has been conceived so that it provides theoretical formation, so much scientific as technology and that contemplates the recommendations and international and national procedure on radiological protection and some applications. Given the incorporation of the technologies of information and communication that in the academic area it has brought with it not only to give support to the curricular activities but

Library and Archival Security: Policies and Procedures To Protect Holdings from Theft and Damage.

Science.gov (United States)

Trinkaus-Randall, Gregor

1998-01-01

Firm policies and procedures that address the environment, patron/staff behavior, general attitude, and care and handling of materials need to be at the core of the library/archival security program. Discussion includes evaluating a repository's security needs, collections security, security in non-public areas, security in the reading room,…

Stakeholder participation in radiological decision making: processes and implications

International Nuclear Information System (INIS)

2004-01-01

Within the radiological protection community, stakeholder issues have moved steadily to the fore-front of policy discussions, and clearly form a key element in decisions regarding the development and implementation of radiological protection policy. It was in this light that the OECD Nuclear Energy Agency (NEA) undertook three case studies on stakeholder involvement processes and experiences. Experience and lessons were analysed and extracted that may have application to numerous situations in other national contexts. They are intended to aid decision makers and regulators who are involved in radiological protection, and may have particular value for post-accident contamination situations, the siting of new nuclear installations, the management of emissions from routine operations at nuclear facilities, and the decommissioning of existing nuclear installations. The three case studies presented in this report were specifically developed as input to the Third Villigen Workshop (Villigen, Switzerland, 21-23 October 2003) and address the following situations: - the Canadian review process for uranium production projects in Northern Saskatchewan; - the Rocky Flats controversy on radionuclide action levels; - the ETHOS project for post-accident rehabilitation in the area of Belarus contaminated by the Chernobyl disaster. (author)

Policy analysis of authorisation procedures for wind energy deployment in Spain

International Nuclear Information System (INIS)

Iglesias, Guillermo; Rio, Pablo del; Dopico, Jesus Angel

2011-01-01

The aim of this paper is to analyse the administrative procedures for the granting of authorisations for the siting of wind farms in Spain, currently the competency of regional authorities. The analysis reveals some commonalities and differences between the procedures across regions. Furthermore, some aspects regarding these procedures have raised the concern of different stakeholders, including the central government and wind energy investors. A conflict between the interests of the central and regional governments can be observed. Lack of coordination between the different administrative levels and the 'more is better mentality' of regional authorities have led to a significant growth of wind energy requests for the (national) feed-in tariff. In turn, investors have complained about the discretionarity and non-transparency of those procedures and the lack of homogeneity across regions. This is likely to result in delays, uncertainty for investors and higher transaction costs. Although there has been a trend to a model which involves the use of multicriteria bidding procedures with more explicit, objective and precise criteria regarding project selection, the aforementioned problems suggest the need to improve coordination between the different administrative levels. - Highlights: → A conflict between the interests of the central and regional governments in the granting of administrative procedures can be observed. → Lack of coordination between different administrative levels have led to a significant growth of wind energy requests for the (national) feed-in tariff. → The resulting increase in the total costs of wind energy promotion has been a major concern for national policy-makers. → In turn, investors have complained about the discretionarity and non-transparency of those procedures and the lack of homogeneity across regions. → Those problems suggest the need to improve coordination between the different administrative levels.

Radiation protection in the intervenmtional radiology

International Nuclear Information System (INIS)

Becker, Benjamin V.; Lissek, Friedrich; Waldeck, Stephan

2017-01-01

Interventional radiology and neuroradiology covers a variety of diagnostic and therapeutic methods. A minimal invasive percutaneous access under imaging guidance is common for all these methods. The legal regulations for quality assurance are reviewed, technical possibilities for dose reduction and the importance of modern radiation protection procedures are discussed.

75 FR 29996 - Review of MMS NEPA Policies, Practices, and Procedures for OCS Oil and Gas Exploration and...

Science.gov (United States)

2010-05-28

... Environmental Policy Act (NEPA) policies, practices, and procedures for the Minerals Management Service (MMS... applies NEPA in its management of Outer Continental Shelf oil and gas exploration and development and make recommendations for revisions. The scope of the review is intended to be holistic, i.e. from leasing decisions to...

The role of interventional radiology in obstetric and gynaecology practice

International Nuclear Information System (INIS)

Ganeshan, Arul; Nazir, Sarfraz Ahmed; Hon, Lye Quen; Upponi, Sara S.; Foley, Peter; Warakaulle, Dinuke R.; Uberoi, Raman

2010-01-01

Interventional radiology is continuing to reshape current practice in many specialties of clinical care. It is a relatively new and innovative branch of medicine in which physicians treat diseases non-operatively through small catheters guided to the target by fluoroscopic and other imaging modalities. The aim is to provide image-guided, minimally invasive alternatives to traditional surgical and medical procedures in suitable cohorts of patients. Procedures which previously required major surgery can now be performed by interventional radiologists, sometimes on an outpatient basis, with little patient discomfort. In this review, we highlight the importance of interventional radiology in treating a comprehensive range of obstetric and gynaecological pathologies.

Policy Implementation of Working Procedures of Information and Documentation Officer at Cimahi City

Directory of Open Access Journals (Sweden)

Karina Intan Permatasari

2015-12-01

Full Text Available Since one year after the enactment of Public Information Disclosure Rights Number 14 of 2008 in April 2010, all government in Indonesia shall establish Information and Documentation Officer (PPID and all supporting instruments. Cimahi itself had made Cimahi Mayor Regulation No. 4 of 2011 on the Working Procedures and Documentation Information Management Officer at Cimahi in response to the main policy. However, despite being implemented for 3 years, implementation of this policy is not in accordance with UU KIP sought to assess and analyse the factors that cause these obstacles by using the theory of Charles O. Jones who focuses on organizational aspects, aspects of the interpretation and application of aspects of using qualitative research methods.

Factors influencing media coverage of a radiological incident

International Nuclear Information System (INIS)

Bernhardt, R.K.; O'Neill, L.J.

1986-01-01

Most organizations have an existing policy for interactions with the media. This policy often requires that interactions be with or through a professional group of public information officers or the Office of Public Affairs. This policy tends to give individual members of an organization the belief that they are not responsible or in some instances, even allowed to interact with the media. To achieve good media relationships and/or coverage, individual interactions are necessary and required. The guidelines for media interactions provided in the Federal Emergency Management Agency (FEMA) sponsored Radiological Emergency Response course are relatively straightforward and simple to adopt

Evaluation of the conditions and practices of radiological protection technicians in radiology, according to Ordinance 453; Avaliacao das condicoes e das praticas de protecao radiologica dos tecnicos em radiologia, segundo a portaria 453

Energy Technology Data Exchange (ETDEWEB)

Costa, Rogerio Ferreira da

2013-10-01

Professionals in radiology suffer whole body exposure to low doses for long periods . The system of radiological protection should keep exposures below recommended thresholds, thus avoiding the stochastic effects that can be triggered with any dose level value, and there is not a threshold for induction of the same. Therefore it is important to use personal dosimeter for monitoring doses and protective equipment. The increase in procedures using ionizing radiation in recent years has been noted with concern, since many companies are not complying with the standards of protection. This is because some procedures may be performed without the need of surgery, which presents a greater risk to the patient. Furthermore, Brazilians are being exposed to radiation without necessity. The reasons range from radiological equipment miscalibrated to poorly trained staff. Thus we evaluate the conditions and practices of radiation protection technicians in radiology according to Ordinance 453 in Goiania, GO, Brazil. Through a descriptive survey with a quantitative approach, we used the technique of gathering information based on a questionnaire. From this survey, we identified the procedures used by radiation protection professionals and concluded that there are failures in the procedures for protecting patients and accompanying and in the training of the professionals. (author)

Federal Radiological Monitoring and Assessment Center (FRMAC), US response to major radiological accidents

International Nuclear Information System (INIS)

Mueller, P.G.

2000-01-01

During the 1960's and 70's the expanded use of nuclear materials to generate electricity, to provide medical benefits, and for research purposes continued to grow in the United States. While substantial effort went into constructing plants and facilities and providing for a number of redundant backup systems for safety purposes, little effort went into the development of emergency response plans for possible major radiological accidents. Unfortunately, adequate plans and procedures had not been developed to co-ordinate either state or federal emergency response assets and personnel should a major radiological accident occur. This situation became quite evident following the Three Mile Island Nuclear Reactor accident in 1979. An accident of that magnitude had not been adequately prepared for and Pennsylvania's limited emergency radiological resources and capabilities were quickly exhausted. Several federal agencies with statutory responsibilities for emergency response, including the U.S. Environmental Protection Agency (EPA), U.S. Department of Energy (DOE), Federal Emergency Management Agency (FEMA), Nuclear Regulatory Commission (NRC), and others provided extensive assistance and support during the accident. However, the assistance was not fully co-ordinated nor controlled. Following the Three Mile Island incident 13 federal agencies worked co-operatively to develop an agreement called the Federal Radiological Emergency Response Plan (FRERP). Signed in November 1985, this plan delineated the statutory responsibilities and authorities of each federal agency signatory to the FRERP. In the event of a major radiological accident, the FRERP would be activated to ensure that a co-ordinated federal emergency response would be available to respond to any major radiological accident scenario. The FRERP encompasses a wide variety of radiological accidents, not just those stemming from nuclear power plants. Activation of the FRERP could occur from major accidents involving

Report about the radiological accident in Goiania

International Nuclear Information System (INIS)

Schrimer, H.P.; Gomes, C.A.; Recio, J.C.A.

1997-01-01

This work reports the activities developed by the technical groups who worked during the radiological accident in Goiania, held on September 1997. Several aspects of the accident are described. The final solution for the disposal of the radioactive wastes generated during the accident is presented, according to the Brazilian waste management policy. (author)

Technical support and preparations for the response to radiological emergencies

International Nuclear Information System (INIS)

Cardenas H, J.; Ramos V, E.O.; Fernandez G, I.M.; Capote F, E.; Zerquera J, T.; Garcia L, O.; Lopez B, G.; Molina P, D.; Lamdrid B, A.I.; Benitez N, J.C.; Salgado M, M.; Lopez F, Y.; Jerez V, P.

2006-01-01

The work picks up the efforts directed to elevate the technical capacity of the answer in front of the radiological emergencies. Expressing them by means of the actions carried out as for teaching, research and development and intervention before accidental radiological events. The same one reflects the leading role of the participant institutions in those marks of the answer system to radiological emergencies that for its technical level it satisfies the national and international demands in the matter. In execution of the mentioned goals research projects guided to endow to the national system of methodologies and procedures for the administration of radiological emergencies have been executed that favor the improvement of its technical and organizational capacities. As well as the postulates of the National Plan of Measures for Case of Catastrophes in the corresponding to radiological accidents. (Author)

Determination of action zone in the nuclear / radiology handling process

International Nuclear Information System (INIS)

Ade Awalludin

2013-01-01

Assessment has been conducted on determination of action zone in nuclear or radiological emergency. The assessment is taken into account radiological risk level in nuclear or radiological emergency management process outside nuclear installation. Managing of nuclear emergency is same as that one of other emergency by adding the principles of radiation protection. This study aims to provide guidance in making of safety and security perimeter outside the nuclear installation for first responders during nuclear/radiological emergency based on dose rate, contamination level or distance from the scene. Separation of working zone is important for first responder safety that works in radiological environment in the event of nuclear or radiation emergency without violating their standard operating procedure. Value limit of safety and security perimeter has been made according to the conditions in Indonesia and considering the applicability in practical. (author)

Planning for a radiological emergency in health care institutions

International Nuclear Information System (INIS)

Jerez Vegueria, S.F.; Jerez Vegueria, P.F.

1998-01-01

The possible occurrence of accidents involving sources of ionizing radiation calls for response plans to mitigate the consequences of radiological accidents. An emergency planning framework is suggested for institutions which use medical applications of ionizing radiation. Bearing in mind that the prevention of accidents is of prime importance in dealing with radioactive materials and other sources of ionizing radiation, it is recommended that emergency instructions and procedures address certain aspects of the causes of these radiological events. Issues such as identification of radiological events in medical practices and their consequences, protective measures, planning for an emergency response and maintenance of emergency capacity are considered. (author)

Independent auto evaluation of an operative radiological protection program

International Nuclear Information System (INIS)

Medrano L, M.A.; Rodriguez C, C.C.; Linares R, D.; Zarate M, N.; Zempoalteca B, R.

2006-01-01

The program of operative radiological protection of a nuclear power plant consists of multiple procedures and associate tasks that have as purpose the radiological protection of the workers of the power station. It is for this reason that the constant evaluation of the one it programs it is an important tool in the identification of their weaknesses (and strengths), so they can be assisted appropriately. In this work the main elements of the program of independent auto evaluation of the program of operative radiological protection of the Laguna Verde Central that has been developed and implemented by the National Institute of Nuclear Research are described. (Author)

Radiological protection and public health: crossbreeding

International Nuclear Information System (INIS)

Smeesters, Patrick; Pinak, Miroslav

2008-01-01

Full text: This paper summarizes the scope of activities, ongoing experience and current results of the Expert Group on the Public Health Perspective in Radiological Protection (EGPH) of the Committee of Radiological Protection and Public Health, OECD Nuclear Energy Agency. While the prime and general task of the EGPH group is looking at how the public health and radiation protection can better take an advantage of their respective perspectives, the following four areas have been explored in detail: a) Exposure to radon; b) Justification of medical exposures; c) Public health judgement and decision making based on new scientific evidence; and d) Management of individual differences. In most of these areas, a targeted telephone survey on public policies in selected countries was used for collecting information from stake holders (public, consumers groups, public health and radiation protection regulators, governmental bodies, medical practitioners, patients, scientific communities, NGOs, etc.). The presented paper also highlights key issues of collected information and summarises existing approaches and policies. The case study on exposure to radon collects national information on approaches to the management of domestic radon risks, focusing on the integration of radiation protection and public health aspects (quality of dwellings, overall quality of indoor air, perception of radon levels, position of radon risk in the pool of other risks). In the case of justification of medical exposures, the Group studies the applications of the justification principle in opportunistic screenings (responsibilities, management of the situation, risk assessment). The precautionary principle and its impact on policy judgement in the light of significant scientific uncertainties can have a large influence on radiological-protection decision making. The case study on public health judgement and decision making based on new scientific evidence is exploring how these uncertainties and

The mandate and work of ICRP Committee 3 on radiological protection in medicine.

Science.gov (United States)

Miller, D L; Martin, C J; Rehani, M M

2018-01-01

The mandate of Committee 3 of the International Commission on Radiological Protection (ICRP) is concerned with the protection of persons and unborn children when ionising radiation is used in medical diagnosis, therapy, and biomedical research. Protection in veterinary medicine has been newly added to the mandate. Committee 3 develops recommendations and guidance in these areas. The most recent documents published by ICRP that relate to radiological protection in medicine are 'Radiological protection in cone beam computed tomography' (ICRP Publication 129) and 'Radiological protection in ion beam radiotherapy' (ICRP Publication 127). A report in cooperation with ICRP Committee 2 entitled 'Radiation dose to patients from radiopharmaceuticals: a compendium of current information related to frequently used substances' (ICRP Publication 128) has also been published. 'Diagnostic reference levels in medical imaging' (ICRP Publication 135), published in 2017, provides specific advice on the setting and use of diagnostic reference levels for diagnostic and interventional radiology, digital imaging, computed tomography, nuclear medicine, paediatrics, and multi-modality procedures. 'Occupational radiological protection in interventional procedures' was published in March 2018 as ICRP Publication 139. A document on radiological protection in therapy with radiopharmaceuticals is likely to be published in 2018. Work is in progress on several other topics, including appropriate use of effective dose in collaboration with the other ICRP committees, guidance for occupational radiological protection in brachytherapy, justification in medical imaging, and radiation doses to patients from radiopharmaceuticals (an update to ICRP Publication 128). Committee 3 is also considering the development of guidance on radiological protection in medicine related to individual radiosusceptibility, in collaboration with ICRP Committee 1.

Radiological protection in the interventional techniques: experience in the Pain Clinic of the CIMEQ

International Nuclear Information System (INIS)

Guerrero C, M. C.; Benitez N, P. P.; Gonzalez G, Y.; Martinez G, A.; Gonzalez R, N.; Sanchez Z, L. R.

2014-08-01

The Pain Clinic of the CIMEQ offers treatment to patients with different pathologies, using interventional techniques as the radiology like visual guide to reach the target structure and to apply the election technique. The personnel that carry out these procedures are inserted in the program of radiological surveillance of the institution, reason for which a radiological event could be detected where the main physician responsible of the service was implied. In this work the results of an investigation are presented realized with the objective of to know the causes of the event and to determine the necessary measures to avoid that this repeats again. The investigation was oriented to three fundamental aspects: medical exam of the affected worker; evaluation of the operational procedures from the radiological protection view point; and dosimetric measurements simulating the real conditions of work for which were used ionization chamber, radiometer and PMMA mannequin. As a result of the medical exam was detected that the main physician of the service did not use during the execution of all the procedures the extremities dosimetry and that he presented a radio induced erythema in the right hand, reason for which he was separated of the activity with ionizing radiations, until the conclusion of the investigation. With relationship to the evaluation of the operational procedures from the radiological protection view point, was verified that the medical physician not carried out any collimation of the beam and he was located in the positions where the dose rate reached the maximum values, frequently introducing the hands in the direct beam; that which implied an overexposure of the superior extremities and a not optimized exposure for whole body. This result was proven with the realized experimental measurements, which gave dose estimated values in extremities of the order of the deterministic effects. The investigation facilitated to introduce modifications in the

Training in Radiation Protection for Interventional Radiology

Energy Technology Data Exchange (ETDEWEB)

Vano, E.; Guibelalde, E.

2002-07-01

Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

Training in Radiation Protection for Interventional Radiology

International Nuclear Information System (INIS)

Vano, E.; Guibelalde, E.

2002-01-01

Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

Qualification guideline of the German X-ray association (DRG) und the German association for interventional radiology and minimal invasive therapy (DeGIR) for the performance of interventional-radiological minimal invasive procedures on arteries and veins; Qualifizierungsleitlinie der Deutschen Roentgengesellschaft (DRG) und der Deutschen Gesellschaft fuer Interventionelle Radiologie und minimalinvasive Therapie (DeGIR) zur Durchfuehrung interventionell-radiologischer minimalinvasiver Verfahren an Arterien und Venen

Energy Technology Data Exchange (ETDEWEB)

Buecker, A. [Universitaetsklinikum des Saarlandes, Homburg/Saar (Germany); Gross-Fengels, W. [Asklepiosklinik, Hamburg-Harburg (Germany); Haage, P. [Helios-Kliniken, Wuppertal (Germany); Huppert, P. [Klinikum Darmstadt (Germany); Landwehr, P. [Henriettenstiftung, Hannover (Germany); Loose, R. [Klinikum Nuernberg-Nord (Germany); Reimer, P. [Klinikum Karlsruhe (Germany); Tacke, J. [Klinikum Passau (Germany); Vorwerk, D. [Klinikum Ingolstadt (Germany); Fischer, J.

2012-06-15

The topics covered in the qualification guideline of the German X-ray association (DRG) und the German association for interventional radiology and minimal invasive therapy (DeGIR) for the performance of interventional-radiological minimal invasive procedures on arteries and veins are the following: Practical qualification: aorta iliac vessels and vessels in the upper and lower extremities, kidney and visceral arteries, head and neck arteries, dialysis shunts, veins and pulmonary arteries, aorta aneurysms and peripheral artery aneurysms. Knowledge acquisition concerning radiation protection: legal fundamentals, education and training, knowledge actualization and quality control, definition of the user and the procedure, competence preservation.

Digital radiology and ultrasound

International Nuclear Information System (INIS)

Todd-Pokropek, A.

1991-01-01

With the access to digital methods for handling and processing images in general, many medical imaging methods are becoming more effectively handled digitally. This applies in particular to basically digital techniques such as CT and MR but also now includes Nuclear Medicine (NM), Ultrasound (US) and a variety of radiological procedures such as Digital Subtraction Angiography (DSA) and Fluoroscopy (DF). The access to conventional projection images by stimulatable plates (CR) or by digitization of film makes all of radiology potentially accessible, and the management of such images by a network is the basic aim of Picture Archiving and Communication Systems (PACS). However, it is suggested that in order for such systems to be of greater value, that way in which such images are treated needs to change, that is, digital images can be used to derive additional clinical value by appropriate processing

The radiological diagnosis of bone tumors

International Nuclear Information System (INIS)

Freyschmidt, J.

1979-01-01

Since the definitive diagnosis of very many bone tumors is not only histological but also radiological it is important that the latter examination be of high quality. Prior to biopsy the differential diagnosis should be narrowed down as far as possible radiologically. The radiological procedures include conventional X-ray examination in two projections, tomography, angiography, and computerized tomography. Tomography can reveal the borders of the tumor and minute clacifications within the tumor. Angiography may show atypically vascularized areas and thus be helpful in choosing the best site for biopsy and in making a prognosis. It might reveal, for example, unusual vascularization or penetration of tumor into blood vessels. Computerized tomography allows precise delineation of the intraosseous and extraosseous borders of the tumor, and is particularly useful in this respect in regions in which angiography has its technical limitations, such as the pelvis and the spine. The radiological assessment of a tumor or tumor-like lesion should take account of the structural changes, the site of the lesion, and the age and sex of the patient. The report should include a statement about the malignancy of the lesion. (orig.) [de

DRG and OPS-301: effects on the performed procedure capture in radiology; DRG und OPS-301: Auswirkungen auf die Leistungserfassung in der Radiologie

Energy Technology Data Exchange (ETDEWEB)

Nissen-Meyer, S.; Wieser, B.; Huber, S.; Wirth, S.; Treitl, M.; Hartmannsgruber, A.; Witt, C.; Kaysser, A.M.; Kuettner, B.; Hoffmann, R.T.; Reiser, M. [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet Muenchen, Institut fuer Klinische Radiologie (Germany); Werner, M. [Siemens AG, Geschaeftsfeld Medizintechnik, Wien (Austria)

2005-08-01

Reimbursement for inpatient services rendered based on comparable daily care rates, case-based flat rates, and special fees as practiced until now has been replaced by the system of diagnosis-related groups. Up until 2004, operation and procedure system (OPS 301) codes could be processed completely automatically by appropriate adaptation of the radiology information system (RIS). Because of further differentiation of OPS codes in the 2005 version, it is no longer possible to unambiguously determine OPS codes automatically. Our goal was to fulfill these additional requirements with as little extra effort as possible. In 36 of 2138 procedures during an observation period of 12 days, i.e., 4/day, manual input on the part of the radiology technical assistant and quality assurance by the diagnosing physician were necessary. This is only needed in complicated procedures for which the minor added effort is negligible in comparison to the entire effort expended for the procedure. We were thus able to achieve the goal of near automation of ascertaining OPS codes. (orig.) [German] Die bisherige Erstattung stationaerer Krankenhausleistungen auf Basis tagesgleicher Pflegesaetze, Fallpauschalen und Sonderentgelte ist durch das Diagnosis-related-groups- (DRG-)System abgeloest worden. Operationen- und Prozeduren- (OPS-)Schluessel 301 konnten in der Radiologie bis 2004 mit entsprechender Anpassung des ''Radiologie-Informations-System'' (RIS) vollautomatisiert erfasst werden. Durch die immer feinere Differenzierung der OPS-Codes in der Version 2005 ist eine eindeutige Ermittlung der OPS-Codes jedoch nicht mehr vollautomatisch moeglich. Ziel ist es, diese zusaetzlichen Aufgaben mit so wenig Mehraufwand wie moeglich zu erbringen. Bei 36 von 2138 Verfahren waren in einem Beobachtungszeitraum von 12 Tagen, d. h. 4/Tag, manuelle Eingaben durch die MTRA sowie eine Qualitaetskontrolle durch den befundenden Arzt notwendig. Dies ist nur bei aufwaendigen Verfahren noetig

Pediatric interventional radiology clinic - how are we doing?

International Nuclear Information System (INIS)

Rubenstein, Jonathan; Zettel, Julie C.; Lee, Eric; Cote, Michelle; Aziza, Albert; Connolly, Bairbre L.

2016-01-01

Development of a pediatric interventional radiology clinic is a necessary component of providing a pediatric interventional radiology service. Patient satisfaction is important when providing efficient, high-quality care. To analyze the care provided by a pediatric interventional radiology clinic from the perspective of efficiency and parent satisfaction, so as to identify areas for improvement. The prospective study was both quantitative and qualitative. The quantitative component measured clinic efficiency (waiting times, duration of clinic visit, nurse/physician time allocation and assessments performed; n = 91). The qualitative component assessed parental satisfaction with their experience with the pediatric interventional radiology clinic, using a questionnaire (5-point Likert scale) and optional free text section for feedback (n = 80). Questions explored the family's perception of relevance of information provided, consent process and overall satisfaction with their pediatric interventional radiology clinic experience. Families waited a mean of 11 and 10 min to meet the physician and nurse, respectively. Nurses and physicians spent a mean of 28 and 21 min with the families, respectively. The average duration of the pediatric interventional radiology clinic consultation was 56 min. Of 80 survey participants, 83% were satisfied with their experience and 94% said they believed providing consent before the day of the procedure was helpful. Only 5% of respondents were not satisfied with the time-efficiency of the interventional radiology clinic. Results show the majority of patients/parents are very satisfied with the pediatric interventional radiology clinic visit. The efficiency of the pediatric interventional radiology clinic is satisfactory; however, adherence to stricter scheduling can be improved. (orig.)

Guidelines on radiology standards for primary dental care

International Nuclear Information System (INIS)

1994-01-01

A Joint Working Party (JWP) on patient dose reduction in diagnostic radiology was established between the Royal College of Radiologists (RCR) and the National Radiological Protection Board (NRPB) towards the end of 1988. JWP identified a large potential for patient dose reduction on a national scale, and a report of its findings was published in 1990. This guidance was only generally applicable to dental radiology and in 1992 a further joint venture between RCR and NRPB resulted in the formation of a Working Party (WP) to consider all aspects of dental radiology applicable to primary dental care. Dental radiology is one of the largest single groups of radiographic examination performed, although the effective dose per radiograph is small. This means that individual risks from dental radiology are low, but WP has identified a significant potential for reduction in the collective dose and for improvements in the diagnostic quality of radiographs. The WP recommendations cover all aspects of dental radiology: training and examination regimes for dentists and staff, patient selection and clinical justification for radiography, diagnostic interpretation, equipment and procedural aspects, and finally the question of quality assurance in dental radiology. The economic impact of the many recommendations by WP has been considered in some detail. The benefits and cost of each recommendation either have been assigned a monetary value or have been assessed more qualitatively. The conclusion is that there is a strong economic justification for implementation of the full package of recommendations. (Author)

Ethical values in radiological protection

International Nuclear Information System (INIS)

Oughton, D.H.

1996-01-01

Issues like consent, equity, control and responsibility are important for an ethical evaluation of radiation risks. This paper discusses the incorporation of ethical values in radiological protection policy and compares how ICRP recommendations promote their use in practice and intervention cases. The paper contends that in cases of intervention, where the overall aim is dose reduction, social and ethical factors are often alluded to when evaluating costs of an action. However, possible ethical or social benefits of intervention measures are seldom raised. On the other hand, when assessing a practice, wherein the net effect is an increase in radiation dose, one is more likely to find an appeal to ethical factors on the benefits side of the equation than with the costs. The paper concludes that all decisions concerning radiological protection should consider both positive and negative ethical aspects. (author)

Study of radiation exposure profiles in interventional radiology professionals; Estudo dos perfis de exposicao a radiacao em profissionais de radiologia intervencionista

Energy Technology Data Exchange (ETDEWEB)

Bacchim Neto, Fernando A.; Alves, Allan F.F.; Alvarez, Matheus; Rosa, Maria E.D.; Miranda, Jose R.A.; Freitas, Carlos C.M. de; Moura, Regina; Pina, Diana R. de, E-mail: fernando.bacchim@gmail.com [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil)

2014-07-01

Interventional Radiology is the radiology area that provides the highest dose values to the medical staff. Recent surveys show that personal dosimeters may underestimate the radiation dose values in interventional physicians, especially in the extremities and crystalline. The objective of this work was to study the exposure levels to radiation from medical staff in different interventional radiology procedures. Therefore, thermoluminescent dosimeters type LiF: Mg, Ti (TLD-100) were used positioned in the main interventional physician and an assistant in the following locations: some inches below the crystalline, thyroid, chest, gonads, hand and foot. By comparing the values obtained with the annual reference dose levels in workers, maximum numbers of annual procedures were found. Altogether, there were 23 procedures evaluated: 10 diagnostics, 9 angioplasties and 4 stents. The maximum number of annual procedures were estimated by discounting the percentages of attenuation of radiological protection. For procedures of the type diagnosis, angioplasty and stent for the main interventionist, the maximum number of annual procedures were 641, 445 and 113 respectively, while for the interventionists assistants were 930, 1202 and 215 respectively. As each interventionist body region is subject to different levels of exposure, detailed studies of exposure in each region provide better conclusions about what actions are necessary to ensure radiological protection professionals.

Factors Influencing Choice of Radiology and Relationship to Resident Job Satisfaction.

Science.gov (United States)

Matalon, Shanna A; Guenette, Jeffrey P; Smith, Stacy E; Uyeda, Jennifer W; Chua, Alicia S; Gaviola, Glenn C; Durfee, Sara M

2018-03-20

Identify when current radiology residents initially became interested in radiology, which factors influenced their decision to pursue a career in radiology, and which factors correlate with job satisfaction. An online survey was distributed to United States radiology residents between December 7, 2016 and March 31, 2017. Respondents identified the most appealing aspects of radiology during medical school, identified experiences most influential in choosing radiology, and scored job satisfaction on visual analog scales. Relative importance was compared with descriptive statistics. Satisfaction scores were compared across factors with analysis of variance and post-hoc Tukey tests. 488 radiology residents responded (age 30.8 ± 3.2 years; 358 male, 129 female, 1 unknown; 144 PGY2, 123 PGY3, 103 PGY4, 118 PGY5). The most influential aspects in choosing radiology were the intellectual (n=187, 38%), imaging (n=100, 20%), and procedural (n=96, 20%) components and potential lifestyle (n=69, 14%). Radiology clerkship reading room shadowing (n=143, 29%), radiologist mentor (n=98, 20%), non-radiology clerkship imaging exposure (n=77, 16%), and radiology clerkship interventions exposure (n=75, 15%) were most influential. Choosing radiology because of potential lifestyle correlated with less job satisfaction than choosing radiology for intellectual (p=0.0004) and imaging (p=0.0003) components. Recruitment of medical students into radiology may be most effective when radiology clerkships emphasize the intellectual and imaging components of radiology through reading room shadowing and exposure to interventions. Choosing radiology for lifestyle correlates with less job satisfaction, at least during residency. Copyright © 2018 Elsevier Inc. All rights reserved.

Pediatric radiology fellows' experience with intussusception reduction

International Nuclear Information System (INIS)

Stein-Wexler, Rebecca; Bateni, Cyrus; Wootton-Gorges, Sandra L.; Li, Chin-Shang

2011-01-01

Intussusception reduction allows young children to avoid surgery. However, graduating residents have had relatively little training in intussusception reduction and, for the most part, consider themselves ill-prepared to perform this procedure. The goal of this study was to assess the extent of training in intussusception reduction during one year of a pediatric radiology fellowship and to determine whether graduating fellows consider themselves adequately trained in this technique. Pediatric radiology fellows were surveyed during June 2010 and asked to characterize their fellowship, to indicate the number of intussusception reductions performed (both the total number and those performed with faculty oversight but without active faculty involvement), and to assess the adequacy of their training. There were 31 responses, representing almost 1/3 of current fellows. Pediatric radiology fellows perform on average 6.9 reductions, 3.8 of which are with faculty oversight but without active faculty involvement. Ninety percent consider themselves well-trained in the technique, whereas 10% are uncertain (none consider their training inadequate). Almost all pediatric radiology fellows consider their training in intussusception reduction to be adequate. (orig.)

A reference standard-based quality assurance program for radiology.

Science.gov (United States)

Liu, Patrick T; Johnson, C Daniel; Miranda, Rafael; Patel, Maitray D; Phillips, Carrie J

2010-01-01

The authors have developed a comprehensive radiology quality assurance (QA) program that evaluates radiology interpretations and procedures by comparing them with reference standards. Performance metrics are calculated and then compared with benchmarks or goals on the basis of published multicenter data and meta-analyses. Additional workload for physicians is kept to a minimum by having trained allied health staff members perform the comparisons of radiology reports with the reference standards. The performance metrics tracked by the QA program include the accuracy of CT colonography for detecting polyps, the false-negative rate for mammographic detection of breast cancer, the accuracy of CT angiography detection of coronary artery stenosis, the accuracy of meniscal tear detection on MRI, the accuracy of carotid artery stenosis detection on MR angiography, the accuracy of parathyroid adenoma detection by parathyroid scintigraphy, the success rate for obtaining cortical tissue on ultrasound-guided core biopsies of pelvic renal transplants, and the technical success rate for peripheral arterial angioplasty procedures. In contrast with peer-review programs, this reference standard-based QA program minimizes the possibilities of reviewer bias and erroneous second reviewer interpretations. The more objective assessment of performance afforded by the QA program will provide data that can easily be used for education and management conferences, research projects, and multicenter evaluations. Additionally, such performance data could be used by radiology departments to demonstrate their value over nonradiology competitors to referring clinicians, hospitals, patients, and third-party payers. Copyright 2010 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Pediatric interventional radiology: Indications, techniques, and management

International Nuclear Information System (INIS)

Towbin, R.B.; Ball, W.S. Jr.

1987-01-01

This course develops a practical approach to pediatric interventional radiology. Radiologic intervention in the pediatricage group is possible by attending to the care and special needs of the child. The authors also emphasize their approach to patient preparation, sedation and anesthesia, nursing care, monitoring of the patient during the procedure, and follow-up care. The course is divided into nonvascular and vascular sections. The discussion of nonvascular procedures focus on the chest and the GU and GI systems. Biopsy techniques and drainage of effusions and abscesses within the chest are discussed. A variety of GU procedures are presented including insertion of a nephrostomy tube and percutaneous tract dilation for placement of internal stents, percutaneous stone removal, and percutaneous surgery for pyeloplasty. The authors approach to percutaneous pyeloplasty is briefly discussed. Intervention within the GI system includes percutaenous aspiration, drainage, and biopsies. Emphasis is placed on the selection of embolic agents and catheter delivery systems, techniques, and current treatment concepts. The authors describe experience with embolization of vascular malformations, renovascular disease, uncontrollable hemorrhage, and selected neoplastic processes. Comments on the indications for and techniques of transluminal angioplasty and fibrinolytic therapy in children conclude the lecture

Interventional radiology in cardiov ascular division of radiology department S.N.U hospital{sub s}taff roles and departmental management

Energy Technology Data Exchange (ETDEWEB)

Nam, Ki Chul; Cheung, Hwan [Seoul National University Hospital, Seoul (Korea, Republic of)

1986-11-15

As the angiography in the field of radiological sciences is being increasingly diversified in its techniques, clinical applications of interventional radiology are rapidly increasing not only for its usefulness in simple diagnosis but for its capabilities of affording, by means of radiological surveillance, biological data such as those concerning tissues which are even substitutionary or supplementary to treatment of diseases. During the last 5 years from July 1980 to 1984 such applications in the cardiovascular division showed a trend of radical increase and thus emerging as a new domain of radiological medicine which has vast influence on diagnosis and treatment. The present treatise presents the results of research performed on the following: 1) Need for close coordination among physicians, radiologists, and nurses in the radiology department. 2) Need for prior explanation to the patient of the procedure to be followed to relieve his anxiety. 3) Checking of the angiographic equipment and selection of technical factors. 4) Proper management of manpower including medical radiologists and assistant radiologists. 5) Sterilization of auxiliary equipment required for surgical operation. 6) Selection of a catheter and control of clinical materials such as contrast agents. 7) Supplementary arrangements for speedy performance of clinical services.

Safety and effectiveness of moderate sedation for radiologic non-vascular intervention

International Nuclear Information System (INIS)

Kim, Tae-Hoon

2006-01-01

The purpose of this study was to prospectively characterize the safety and effectiveness of moderate sedation/analgesia for performing radiologic non-vascular abdominal intervention. During a 3-month period, a total of 63 adult patients with a mean age of 64 years (range:27-82) underwent moderate sedation for 72 radiologic non-vascular interventional procedures. A combination of fentanyl citrate and midazolam hydrochloride, based on the patient's body weight, was intravenously administered until the patient was drowsy and tranquil. The adverse events associated with this moderate sedation were assessed. The visual analog scale format was used to measure the subjective feelings of the patient's pre-pro- cedural anxiety and intraprocedural pain. The mean total dose per kilogram of body weight of fentanyl used in PTBD was 1.148 μg. The mean total dose per kilogram of body weight of midazolam was 0.035 mg in PTBD, PTGBD, AD, PCN, DJS, GS and FRA, 0.039 mg in TDC, and 0.043 mg in BS. A temporary reduction of systolic blood pressure to less than 80 mmHg was observed during 5 procedures (6.9%), whereas a temporary elevation of systolic blood pressure above 150 mmHg was observed during 10 procedures (13.8%). A reduction of arterial oxygen saturation to less than 90% was observed during 14 procedures (19.4%). None of the patients required pharmacologic reversal agents or cardiopulmonary resuscitation. The mean anxiety score recorded before all procedures was 5.2 (distressing). The mean pain score during the procedure, which was recorded after all procedures, was 2.9 (mild). Moderate sedation allows performance of safe and effective radiologic non-vascular intervention, and it is also easy for an interventional radiologist to use. The patients should be continuously monitored to check their vital signs and arterial oxygen saturation during the procedures

Safety and effectiveness of moderate sedation for radiologic non-vascular intervention

Energy Technology Data Exchange (ETDEWEB)

Kim, Tae-Hoon [Dankook University Hospital, Chungju (Korea, Republic of)

2006-06-15

The purpose of this study was to prospectively characterize the safety and effectiveness of moderate sedation/analgesia for performing radiologic non-vascular abdominal intervention. During a 3-month period, a total of 63 adult patients with a mean age of 64 years (range:27-82) underwent moderate sedation for 72 radiologic non-vascular interventional procedures. A combination of fentanyl citrate and midazolam hydrochloride, based on the patient's body weight, was intravenously administered until the patient was drowsy and tranquil. The adverse events associated with this moderate sedation were assessed. The visual analog scale format was used to measure the subjective feelings of the patient's pre-pro- cedural anxiety and intraprocedural pain. The mean total dose per kilogram of body weight of fentanyl used in PTBD was 1.148 {mu}g. The mean total dose per kilogram of body weight of midazolam was 0.035 mg in PTBD, PTGBD, AD, PCN, DJS, GS and FRA, 0.039 mg in TDC, and 0.043 mg in BS. A temporary reduction of systolic blood pressure to less than 80 mmHg was observed during 5 procedures (6.9%), whereas a temporary elevation of systolic blood pressure above 150 mmHg was observed during 10 procedures (13.8%). A reduction of arterial oxygen saturation to less than 90% was observed during 14 procedures (19.4%). None of the patients required pharmacologic reversal agents or cardiopulmonary resuscitation. The mean anxiety score recorded before all procedures was 5.2 (distressing). The mean pain score during the procedure, which was recorded after all procedures, was 2.9 (mild). Moderate sedation allows performance of safe and effective radiologic non-vascular intervention, and it is also easy for an interventional radiologist to use. The patients should be continuously monitored to check their vital signs and arterial oxygen saturation during the procedures.

Ethnic and Gender Diversity in Radiology Fellowships.

Science.gov (United States)

West, Derek L; Nguyen, HaiThuy

2017-06-01

The purpose of the study is to assess ethnic and gender diversity in US radiology fellowship programs from 2006 to 2013. Data for this study was obtained from Journal of the American Medical Association supplements publications from 2005 to 2006 to 2012-2013 (Gonzalez-Moreno, Innov Manag Policy Pract. 15(2):149, 2013; Nivet, Acad Med. 86(12):1487-9, 2011; Reede, Health Aff. 22(4):91-3, 2003; Chapman et al., Radiology 270(1):232-40, 2014; Getto, 2005; Rivo and Satcher, JAMA 270(9):1074-8, 1993; Schwartz et al., Otolaryngol Head Neck Surg. 149(1):71-6, 2013; Simon, Clin Orthop Relat Res. 360:253-9, 1999) and the US census 2010. For each year, Fisher's exact test was used to compare the percentage of women and under-represented minorities in each Accreditation Council for Graduate Medical Education (ACGME)-certified radiology fellowship to the percentage of women and under-represented minorities in (1) all ACGME-certified radiology fellowships combined, (2) radiology residents, (3) ACGME-certified fellows in all of medicine combined, (4) ACGME-certified residents in all of medicine combined, and (5) graduating medical students. Chi-Squared test was used to compare the percentage of women and under-represented minorities and the 2010 US census. p gender and ethnic disparities. Outreach efforts, pipeline programs, and mentoring may be helpful in addressing this issue.

Using the departmental Radiology information system to replace specialist registrars logbooks

International Nuclear Information System (INIS)

Rauf, Omair; Whitehouse, Richard W.

2000-01-01

AIM: To produce and assess a robust and user friendly specialist registrar logbook using a Radiology departmental management system. MATERIALS AND METHODS: Our Radiology management system was modified to include logbook specific data fields. This allowed up to three registrars to be directly involved in any procedure, and two more to be observers to the reporting with only one screen entry, made on the terminals available throughout the department. Logbooks were produced by a PC based analysis program which also compared registrars' experience with updated averages. A comparison of computer generated logbooks with paper logbooks and a user satisfaction survey was undertaken after 1 year of running the system. RESULTS: Computer generated logbooks showed consistent numbers of complex procedures in comparison with other logbook types, with more comprehensive details of each procedure. A survey of the registrars showed an overwhelming preference for the computer generated logbook. CONCLUSION: Modification of a Radiology management system is a robust method of logbook provision, preferred by the registrars over paper or other electronic logbooks and providing the RCR tutor with consistent data on registrar training experience. Rauf, O., Whitehouse, R.W. (2000)

Analgesics and sedatives in vascular interventionist radiologic

International Nuclear Information System (INIS)

Gregorio, M.A. de; Opta, J.M.; Pulido, J.M.; Encarnacion, C.E.; Arino, I., Fernandez, J.A.; Alfonso, E.R.

1993-01-01

Interventionist radiology routinely requires the use of different drugs (analgesics and sedatives) in the course of a procedure. Aside from their therapeutic action, these drugs can produce secondary or undesirable effects, making necessary an in-depth knowledge of them to assure their safe and efficient management. The aim of this work is to provide the vascular interventionist radiologist with additional information on the management of those drugs that contribute to minimizing patient discomfort and pain in interventionist procedures. Author

Diagnostic radiology on multiple injured patients: interdisciplinary management

International Nuclear Information System (INIS)

Linsenmaier, U.; Pfeifer, K.J.; Kanz, K.G.; Mutschler, W.

2001-01-01

The presence of a radiologist within the admitting area of an emergency department and his capability as a member of the trauma team have a major impact on the role of diagnostic radiology in trauma care. The knowledge of clinical decision criteria, algorithms, and standards of patient care are essential for the acceptance within a trauma team. We present an interdisciplinary management concept of diagnostic radiology for trauma patients, which comprises basic diagnosis, organ diagnosis, radiological ABC, and algorithms of early clinical care. It is the result of a prospective study comprising over 2000 documented multiple injured patients. The radiologist on a trauma team should support trauma surgery and anesthesia in diagnostic and clinical work-up. The radiological ABC provides a structured approach for diagnostic imaging in all steps of the early clinical care of the multiple injured patient. Radiological ABC requires a reevaluation in cases of equivocal findings or difficulties in the clinical course. Direct communication of radiological findings with the trauma team enables quick clinical decisions. In addition, the radiologist can priority-oriented influence the therapy by using interventional procedures. The clinical radiologist is an active member of the interdisciplinary trauma team, not only providing diagnostic imaging but also participating in clinical decisions. (orig.) [de

A Review of Cash Management Policies, Procedures and Practices of Mississippi's Institutions of Higher Learning.

Science.gov (United States)

Mississippi State Legislature, Jackson. Performance Evaluation and Expenditure Review Committee.

This report to the Mississippi Legislature presents the findings of a review of the cash management policies, procedures, and practices of the State Board of Trustees of Institutions of Higher Learning (IHL). The methodology involved review of: applicable Mississippi statutes; standards promulgated by the National Association of College and…

Evaluation criteria for emergency response plans in radiological transportation

International Nuclear Information System (INIS)

Lindell, M.K.; Perry, R.W.

1980-01-01

This paper identifies a set of general criteria which can be used as guides for evaluating emergency response plans prepared in connection with the transportation of radiological materials. The development of criteria takes the form of examining the meaning and role of emergency plans in general, reviewing the process as it is used in connection with natural disasters and other nonnuclear disasters, and explicitly considering unique aspects of the radiological transportation setting. Eight areas of critical importance for such response plans are isolated: notification procedures; accident assessment; public information; protection of the public at risk; other protective responses; radiological exposure control; responsibility for planning and operations; and emergency response training and exercises. (Auth.)

Radiology today

International Nuclear Information System (INIS)

Donner, M.W.; Heuck, F.H.W.

1981-01-01

The book encompasses the proceedings of a postgraduate course held in Salzburg in June 1980. 230 radiologists from 17 countries discussed here the important and practical advances of diagnostic radiology, nuclear medicine and ultrasound as they contribute to gastrointestinal, urologic, skeletal, cardiovascular, pediatric, and neuroradiology. The book contains 55 single contributions of different authors to the following main themes: Cardiovascular, Radiology, pulmonary radiology, gastrointestinal radiology, urinary tract radiology, skeletal radiology, mammography, lymphography, ultrasound, ENT radiology, and neuroradiology. (orig./MG)

A mobile interventional radiology unit: innovation and social responsibility

Directory of Open Access Journals (Sweden)

Nestor Hugo Kisilevzky

2010-03-01

Full Text Available Objective: To present the preliminary results of a feasibility study performed to determine the value of a mobile interventional radiology unit used to promote a uterine embolization program for low-income patients. Methods: Forty patients with symptomatic fibroids were treated with uterine embolization. Procedures were performed in four public hospitals in the metropolitan area of Sao Paulo. This study was approved by the institutional research ethics committee and all patients signed an informed consent form. A mobile interventional radiology unit, named ANGIOMOVEL, was conceived and implemented utilizing a small truck to transport one mobile C arm, one radiological table, protection aprons and a small trolley containing specific supplies for the procedures. The ANGIOMOVEL team consisted of two interventional radiologists, one nurse, one driver and one assistant. The unit visited one hospital per week during a three-month period. Patient inclusion was contingent upon several factors, such as evaluation by a trained gynecologist, completion of a pelvic MRI, routine serological laboratory tests and completion of a quality of life questionnaire (QOL. Outcomes, MRI and QOL were evaluated. Data obtained after 12 weeks were collected and analyzed. Results: Technical success was achieved in 100% of cases, with a mean procedure time of 43 minutes and a mean fluoroscopic time of 24 minutes. The mean hospital stay was 1.07 day and the mean time for recovery and return to normal activities was 10 days. After 12 weeks, 36 (90% of patients noticed improvement of their symptoms and 4 (10% did not notice any improvement. Thirty-eight patients (95% were satisfied or very satisfied and 39 (97.5% said they would recommend the procedure. Pre- and post-procedure magnetic resonance imaging analysis showed that complete fibroid ischemia was achieved in 92.5% of cases with a mean uterine volume reduction of 38% and a mean fibroid volume reduction of 52%. Health

Radiation Protection in Paediatric Radiology

International Nuclear Information System (INIS)

2012-01-01

Over the past decade and a half, special issues have arisen regarding the protection of children undergoing radiological examinations. These issues have come to the consciousness of a gradually widening group of concerned professionals and the public, largely because of the natural instinct to protect children from unnecessary harm. Some tissues in children are more sensitive to radiation and children have a long life expectancy, during which significant pathology can emerge. The instinct to protect children has received further impetus from the level of professional and public concern articulated in the wake of media responses to certain publications in the professional literature. Many institutions have highlighted the need to pay particular attention to the special problems of protecting paediatric patients. The International Commission on Radiological Protection has noted it and the IAEA's General Safety Requirements publication, Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards (BSS), requires it. This need has been endorsed implicitly in the advisory material on paediatric computed tomography scanning issued by bodies such as the US Food and Drug Administration and the National Cancer Institute in the United States of America, as well as by many initiatives taken by other national and regional radiological societies and professional bodies. A major part of patient exposure, in general, and paediatric exposure, in particular, now arises from practices that barely existed two decades ago. For practitioners and regulators, it is evident that this innovation has been driven both by the imaging industry and by an ever increasing array of new applications generated and validated in the clinical environment. Regulation, industrial standardization, safety procedures and advice on best practice lag (inevitably) behind industrial and clinical innovations. This Safety Report is designed to consolidate and provide timely advice on

Radiologic evaluation of the myelomeningocele patient

International Nuclear Information System (INIS)

Byrd, S.E.; Radkowski, M.A.; McLone, D.G.; Storrs, B.B.

1988-01-01

The only radiologic procedure that is useful in the newborn with a fresh myelomeningocele is US or CT of the head to evaluate ventricular size. The imaging procedures become extremely important in the evaluation of the postoperative patient with myelomeningocele. US and/or CT is used to evaluate for hydrocephalus. MR is used to evaluate the spinal axis to determine the position of the cervicomedullary kink, hydromyelia, arachnoid cyst, inclusion epidermoids, and tethering of the spinal cord. US and myelography with CT are needed in subtle cases of tethering, diastematomyelia, arachnoid cyst, and severe scoliosis

Analgosedation and monitoring in interventional radiology

International Nuclear Information System (INIS)

Girolami, Guido; Steinbrich, Roman; Jacob, Augustinus Ludwig

2010-01-01

This article deals with the change of treatment in interventional radiology during the last decade adding a wider margin of safety through automated monitoring and better patient comfort through a combination of sedation and analgetics. In this regard it is very important to ensure adherence to standard procedures that are as simple as possible, to provide adequate training of staff members and to keep a succinct procedure protocol to ensure a high quality of care. Guidelines and checklists for the safe performance of this 'comfort-therapy' are given. (orig.)

Concierge and Second-Opinion Radiology: Review of Current Practices.

Science.gov (United States)

Shaikh, Shehbaz; Bafana, Rounak; Halabi, Safwan S

2016-01-01

Radiology's core assets include the production, interpretation, and distribution of quality imaging studies. Second-opinion services and concierge practices in radiology aim to augment traditional services by providing patient-centered and physician-centered care, respectively. Patient centeredness enhances patients' understanding and comfort with their radiology tests and procedures and allows them to make better decisions about their health care. As the fee-for-service paradigm shifts to value-based care models, radiology practices have begun to diversify imaging service delivery and communication to coincide with the American College of Radiology Imaging 3.0 campaign. Physician-centered consultation allows for communication of evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. There are disparate practice models and payment schema for the various second-opinion and concierge practices. This review article explores the current state and payment models of second-opinion and concierge practices in radiology. This review also includes a discussion on the benefits, roadblocks, and ethical issues that surround these novel types of practices. Copyright © 2015 Mosby, Inc. All rights reserved.

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

International Nuclear Information System (INIS)

Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz

2015-01-01

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games.

Science.gov (United States)

Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz

2015-10-01

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9% were magnetic resonance imaging (MRI) scans, 22% were diagnostic ultrasound (US) examinations, 33.1% were radiographs, 4.3% were computed tomography (CT) scans and 2.7% were imaging-guided interventional procedures. 88% of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events.

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

Energy Technology Data Exchange (ETDEWEB)

Bethapudi, Sarath [County Durham Darlington Foundation NHS Trust, Durham (United Kingdom); Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Ritchie, David [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Greater Glasgow and Clyde Hospitals NHS Trust, Western Infirmary, Glasgow (United Kingdom); Bongale, Santosh [Glasgow 2014 Commonwealth Games, Immediate Care Department, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Royal Alexandra Hospital, Paisley (United Kingdom); Gordon, Jonny [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Glasgow (United Kingdom); MacLean, John [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); National Stadium Sports Medicine Centre, Glasgow (United Kingdom); Mendl, Liz [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom)

2015-10-15

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

Radiological Protection Science and Application

International Nuclear Information System (INIS)

Janssens, Augustin; ); Mossman, Ken; Morgan, Bill

2016-01-01

Since the discovery of radiation at the end of the 19. century, the health effects of exposure to radiation have been studied more than almost any other factor with potential effects on human health. The NEA has long been involved in discussions on the effects of radiation exposure, releasing two reports in 1994 and 2007 on radiological protection science. This report is the third in this state-of-the-art series, examining recent advances in the understanding of radiation risks and effects, particularly at low doses. It focuses on radiobiology and epidemiology, and also addresses the social science aspects of stakeholder involvement in radiological protection decision making. The report summarises the status of, and issues arising from, the application of the International System of Radiological Protection to different types of prevailing circumstances. Reports published by the NEA Committee on Radiation Protection and Public Health (CRPPH) in 1998 and 2007 provided an overview of the scientific knowledge available at that time, as well as the expected results from further research. They also discussed the policy implications that these results could have for the radiological protection system. The 2007 report highlighted challenges posed by developments in relation to medical exposure and by intentions to include the environment (i.e. non-human species), within the scope of the radiological protection system. It also addressed the need to be able to respond to a radiological terrorist attack. This report picks up on where the 1998 and 2007 reports left off, and addresses the state of the art in radiological prevention science and application today. It is divided into five chapters. Firstly, following broadly the structural topics from the 1998 and 2007 reports, the more purely scientific aspects of radiological protection are presented. These include cancer risk of low dose and dose rates, non-cancer effects and individual sensitivity. In view of the increasing

41 CFR 301-75.3 - What governing policies and procedures must we establish related to pre-employment interview travel?

Science.gov (United States)

2010-07-01

... and procedures must we establish related to pre-employment interview travel? 301-75.3 Section 301-75.3... ALLOWANCES AGENCY RESPONSIBILITIES 75-PRE-EMPLOYMENT INTERVIEW TRAVEL General Rules § 301-75.3 What governing policies and procedures must we establish related to pre-employment interview travel? You must establish...

Work practices and occupational radiation dose among radiologic technologists in Korea

International Nuclear Information System (INIS)

Cha, Eun Shil; Lee, Won Jin; Ha, Mina; Hwang, Seung Sik; Lee, Kyoung Mu; Jeong, Mee Seon

2013-01-01

Radiologic technologists are one of the occupational groups exposed to the highest dose of radiation worldwide. In Korea, radiologic technologists occupy the largest group (about 33%) among medical radiation workers and they are exposed to the highest dose of occupational dose of radiation as well (1). Although work experience with diagnostic radiation procedure of U.S. radiologic technologists was reported roughly (2), few studies have been conducted for description of overall work practices and the change by calendar year and evaluation of related factors on occupational radiation dose. The aims of the study are to describe work practices and to assess risk factors for occupational radiation dose among radiologic technologists in Korea. This study showed the work practices and occupational radiation dose among representative sample of radiologic technologists in Korea. The annual effective dose among radiologic technologists in Korea remains higher compared with those of worldwide average and varied according to demographic factors, year began working, and duration of working

Moving beyond quality control in diagnostic radiology and the role of the clinically qualified medical physicist.

Science.gov (United States)

Delis, H; Christaki, K; Healy, B; Loreti, G; Poli, G L; Toroi, P; Meghzifene, A

2017-09-01

Quality control (QC), according to ISO definitions, represents the most basic level of quality. It is considered to be the snapshot of the performance or the characteristics of a product or service, in order to verify that it complies with the requirements. Although it is usually believed that "the role of medical physicists in Diagnostic Radiology is QC", this, not only limits the contribution of medical physicists, but is also no longer adequate to meet the needs of Diagnostic Radiology in terms of Quality. In order to assure quality practices more organized activities and efforts are required in the modern era of diagnostic radiology. The complete system of QC is just one element of a comprehensive quality assurance (QA) program that aims at ensuring that the requirements of quality of a product or service will consistently be fulfilled. A comprehensive Quality system, starts even before the procurement of any equipment, as the need analysis and the development of specifications are important components under the QA framework. Further expanding this framework of QA, a comprehensive Quality Management System can provide additional benefits to a Diagnostic Radiology service. Harmonized policies and procedures and elements such as mission statement or job descriptions can provide clarity and consistency in the services provided, enhancing the outcome and representing a solid platform for quality improvement. The International Atomic Energy Agency (IAEA) promotes this comprehensive quality approach in diagnostic imaging and especially supports the field of comprehensive clinical audits as a tool for quality improvement. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Systems automated reporting of patient dose in digital radiology

International Nuclear Information System (INIS)

Collado Chamorro, P.; Sanz Freire, C. J.; Martinez Mirallas, O.; Tejada San Juan, S.; Lopez de Gammarra, M. S.

2013-01-01

It has developed a procedure automated reporting of doses to patients in Radiology. This procedure allows to save the time required of the data used to calculate the dose to patients by yields. Also saves the time spent in the transcription of these data for the realization of the necessary calculations. This system has been developed using open source software. The characteristics of the systems of digital radiography for the automation of procedures, in particular the registration of dose should benefit from patient. This procedure is validated and currently in use at our institution. (Author)

Development of software to provide practical guidance in the managing of a radiological emergency

International Nuclear Information System (INIS)

Ferreira Filho, Alfredo L.; Lima, Fernando R.A.; Loureiro, Eduardo C.M.

2008-01-01

One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately determine and take actions to protect members of public and emergency workers. This work brings up to date a computer software program in Delphi, with the tools, generic procedures and the data necessary to support the Incident Commander, the Radiological Assessor and other members of a generic response organization in case of radiological accident. The aim is also to provide practical guidance for the first responders who will respond during the first few hours to a radiological emergency and for the national officials who would support this early response. Software is now based on the Manual for First Responders to a Radiological Emergency (EPR-First Responders), published in 2006 as part of the IAEA Emergency Preparedness and Response Series, as well as in the IAEA technical document, Generic Procedures for Assessment and Response during a Radiological Emergency, the IAEA-TECDOC-1162, taking account of the lessons learned from using this last document in the area of early response and first responders' actions. The proposed procedures provide action criteria that are clear, concise and predetermined, based on the present knowledge and the accumulated experiences, allowing the immediate decision-making. The objective is to provide, through a portable computer, practical guidance, in the form of action guides, instructions, and supporting data for emergency response that, if implemented, will provide a basic assessment and the response capability needed to protect public and workers in case of different types of radiological emergencies. In addition to appropriate protective action recommendations, it will also provide, when it is necessary, general guidance on the recovery of radioactive sources and initial cleanup operations. The philosophy is to keep the process simple and fast, yet effective. Software is available in Spanish, English and Portuguese

Competency-based (CanMEDS) residency training programme in radiology: systematic design procedure, curriculum and success factors

International Nuclear Information System (INIS)

Jippes, Erik; Engelen, Jo M.L. van; Brand, Paul L.P.; Oudkerk, Matthijs

2010-01-01

Based on the CanMEDS framework and the European Training Charter for Clinical Radiology a new radiology curriculum was designed in the Netherlands. Both the development process and the resulting new curriculum are presented in this paper. The new curriculum was developed according to four systematic design principles: discursiveness, hierarchical decomposition, systematic variation and satisficing (satisficing is different from satisfying; in this context, satisficing means searching for an acceptable solution instead of searching for an optimal solution). The new curriculum is organ based with integration of radiological diagnostic techniques, comprises a uniform national common trunk followed by a 2-year subspecialisation, is competency outcome based with appropriate assessment tools and techniques, and is based on regional collaboration among radiology departments. The application of the systematic design principles proved successful in producing a new curriculum approved by all authorities. The principles led to a structured, yet flexible, development process in which creative solutions could be generated and adopters (programme directors, supervisors and residents) were highly involved. Further research is needed to empirically test the components of the new curriculum. (orig.)

Solutions in radiology services management: a literature review.

Science.gov (United States)

Pereira, Aline Garcia; Vergara, Lizandra Garcia Lupi; Merino, Eugenio Andrés Díaz; Wagner, Adriano

2015-01-01

The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services. Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares. In the databases, 565 papers - 120 out of them, pdf free - were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others. Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies.

Radiological safety of nuclear power plants in India

International Nuclear Information System (INIS)

Sathish, A.V.

2015-01-01

Safety in nuclear power plants (NPPs) is often less understood and more talked about, thus the author wanted to share the facts to clear the myths. Safety is accorded overriding priority in all the activities. All nuclear facilities are sited, designed, constructed, commissioned and operated in accordance with strict quality and safety standards. Principles of defence in depth, redundancy and diversity are followed in the design of all nuclear facilities and their systems/components. PPs in India are not only safe but are also well regulated, have proper radiological protection of workers and the public, regular surveillance, approved standard operating and maintenance procedures, a well-defined waste management methodology, periodically rehearsed emergency preparedness and disaster management plans. The regulatory framework in the country is robust, with the independent Atomic Energy Regulatory Board (AERB) having powers to frame the policies, laying down safety standards, monitoring and enforcing all the safety provisions. As a result, India's safety record has been excellent in over 400 reactor years of operation of power reactors

Precision Radiology Residency Training: Special Distinction Tracks for Noninterpretative Professional Development.

Science.gov (United States)

Snyder, Elizabeth; Solnes, Lilja; Horton, Karen M; Johnson, Pamela T

2018-06-01

The role of a radiologist has expanded beyond the tripartite mission of patient care, education, and research to include cross-specialty consultation for patient management, innovative solutions to improve health-care quality and safety, device design, and policy advocacy. As such, radiology residency programs should incorporate formalized training to prepare residents for these various professional roles. Since the 2015-2016 academic year, five training tracks focused on noninterpretative skills have been integrated into our residency training program: Clinician Educator, Quality Improvement, Entrepreneurship/Innovation, Health Policy Advocacy, and High-Value Care. Each track is longitudinal, with a set of requirements throughout the residents' training necessary to achieve certification at graduation. To date nine residents have participated in the programs, including two who received distinction in two separate tracks. Residents in each of the tracks have implemented successful initiatives related to the focus area. As such, these tracks enrich training by ensuring that residents make meaningful contributions to the department and institution during their training and disseminate successful initiatives through presentation at national meetings and publications. The duration of a radiology residency and resources available in an academic center provide opportunities for residency program directors to advance residents' skills in important noninterpretative components of radiology practice. Regardless of whether residents pursue academic medicine or private practice, these skills are necessary for graduates to become valuable members of a radiology practice and serve as national leaders in the field of radiology. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Radiological Tenckhoff catheter insertion for peritoneal dialysis: A cost-effective approach.

Science.gov (United States)

Lee, James; Mott, Nigel; Mahmood, Usman; Clouston, John; Summers, Kara; Nicholas, Pauline; Gois, Pedro Henrique França; Ranganathan, Dwarakanathan

2018-04-01

Radiological insertion of Tenckhoff catheters can be an alternative option for peritoneal dialysis access creation, as compared to surgical catheter insertion. This study will review the outcomes and complications of radiological Tenckhoff catheter insertion in a metropolitan renal service and compare costs between surgical and radiological insertion. Data were collected prospectively for all patients who had a Tenckhoff catheter insertion for peritoneal dialysis (PD) under radiological guidance at our hospital from May 2014 to November 2016. The type of catheter used and complications, including peri-catheter leak, exit site infection and peritonitis were reviewed. Follow-up data were also collected at points 3, 6 and 12 months from catheter insertion. Costing data were obtained from Queensland Health Electronic Reporting System (QHERS) data, average staff salaries and consumable contract price lists. In the 30-month evaluation period, 70 catheters were inserted. Two patients had an unsuccessful procedure due to the presence of abdominal adhesions. Seven patients had an episode of peri-catheter leak, and four patients had an exit site infection following catheter insertion. Peritonitis was observed in nine patients during the study period. The majority of patients (90%) remained on peritoneal dialysis at 3-month follow-up. The average costs of surgical and radiological insertion were noted to be AUD$7788.34 and AUD$1597.35, respectively. Radiological Tenckhoff catheter insertion for peritoneal dialysis appears to be an attractive and cost-effective option given less waiting periods for the procedure, the relatively low cost of insertion and comparable rates of complications. © 2017 The Royal Australian and New Zealand College of Radiologists.

Controlling radiation exposure during interventional procedures in childhood cancer patients

International Nuclear Information System (INIS)

Racadio, John M.

2009-01-01

Many pediatric cancer patients undergo multiple diagnostic and therapeutic radiologic procedures over the course of their illnesses and are therefore at high risk for radiation exposure. There are a variety of measures that radiologists can employ to reduce this risk. These include limiting the use of radiation whenever possible, using specific strategies to reduce radiation exposure during interventional procedures, using quality assurance programs to ensure compliance, and maintaining continuing staff radiation safety educational programs. Some of the diagnostic and therapeutic interventional radiologic procedures that are performed in pediatric oncology patients are discussed here, along with specific tips for managing radiation exposure. (orig.)

Intercomparison Measurements Exercises of Mobile Radiological Laboratories (invited paper)

International Nuclear Information System (INIS)

Martincic, R.

2000-01-01

After the reactor accident in Chernobyl, the importance of mobile radiological laboratories became evident and in situ gamma spectrometry became a common method for the rapid detection of gamma emitters in the environment. Since then different institutions in European countries have organised periodic intercomparison exercises of mobile radiological laboratories to improve the measurement methods and the preparedness of emergency monitoring teams. The general objectives of these workshops are to promote the knowledge and to exchange the experiences of emergency monitoring teams that use mobile radiological laboratories, as well as to foster the international harmonisation of emergency monitoring procedures and cooperation among teams. Finally, the results of intercomparison measurements have shown that such exercises are mandatory for rapid, efficient and correct environmental monitoring in nuclear or radiological emergencies. An overview of these intercomparison measurements is given, results from the 1999 intercomparison workshop are presented and lessons learned are discussed. (author)

Role of the IAEA's ALMERA network in harmonization of analytical procedures applicable worldwide for radiological emergencies

International Nuclear Information System (INIS)

Pitois, A.; Osvath, I.; Tarjan, S.; Groening, M.; Osborn, D.; )

2016-01-01

The International Atomic Energy Agency (IAEA) coordinates and provides analytical support to the worldwide network of Analytical Laboratories for the Measurement of Environmental Radioactivity (ALMERA), consisting at the end of 2015 of 154 laboratories in 85 countries. This network, established by the IAEA in 1995, has for aim to provide timely and reliable measurement results of environmental radioactivity in routine monitoring and emergency situations. The IAEA supports the ALMERA laboratories in their routine and emergency response environmental monitoring activities by organizing proficiency tests and inter-laboratory comparison exercises, developing validated analytical procedures for environmental radioactivity measurement, and organizing training courses and workshops. The network also acts as a forum for sharing knowledge and expertise. The aim of this paper is to describe the current status of ALMERA analytical method development activities for radiological emergencies and the plans for further development in the field

Quality assurance program plan for the radiological survey activities program: Uranium Mill Tailings Remedial Action Project

International Nuclear Information System (INIS)

Ramos, S.J.; Berven, B.A.; Little, C.A.

1986-08-01

The Radiological Survey Activities (RASA) program at Oak Ridge National Laboratory (ORNL) is responsible for surveying designated sites in the vicinity of 24 inactive mill sites involved in the Department of Energy's (DOE) Uranium Mill Tailings Remedial Action Project (UMTRAP). The purpose of these surveys is to provide a recommendation to DOE whether to include or exclude the site from UMTRAP based on whether the onsite residual radioactive material (if any) originated from the former mill sites, and radiation levels onsite are in excess of appropriate Environmental Protection Agency (EPA) criteria. This report describes the quality assurance program plan for the RASA program in conducting all activities related to the UMTRA project. All quality assurance provisions given by the DOE, DOE/UMTRA, and ORNL organizations are integrated into this plan. Specifically, this report identifies the policies and procedures followed in accomplishing the RASA/UMTRAP QA program, identifies those organizational units involved in the implementation of these procedures, and outlines the respective responsibilities of those groups

Quality assurance program plan for the Radiological Survey Activities Program - Uranium Mill Tailings Remedial Action Project

International Nuclear Information System (INIS)

Ramos, S.J.; Berven, B.A.; Little, C.A.

1986-01-01

The Radiological Survey Activities (RASA) program at Oak Ridge National Laboratory (ORNL) is responsible for surveying designated sites in the vicinity of 24 inactive mill sites involved in the Department of Energy's (DOE) Uranium Mill Tailings Remedial Action Project (UMTRAP). The purpose of these surveys is to provide a recommendation to DOE whether to include or exclude the site from UMTRAP based on whether the onsite residual radioactive material (if any) originated from the former mill sites, and radiation levels onsite are in excess of appropriate Environmental Protection Agency (EPA) criteria. This report describes the quality assurance program plan for the RASA program in conducting all activities related to the UMTRA project. All quality assurance provisions given by the DOE, DOE/UMTRA, and ORNL organizations are integrated into this plan. Specifically, this report identifies the policies and procedures followed in accomplishing the RASA/UMTRAP QA program, identifies those organizational units involved in the implementation of these procedures, and outlines the respective responsibilities of those groups

Environmental procedures

International Nuclear Information System (INIS)

1992-01-01

The European Bank has pledged in its Agreement to place environmental management at the forefront of its operations to promote sustainable economic development in central and eastern Europe. The Bank's environmental policy is set out in the document titled, Environmental Management: The Bank's Policy Approach. This document, Environmental Procedures, presents the procedures which the European Bank has adopted to implement this policy approach with respect to its operations. The environmental procedures aim to: ensure that throughout the project approval process, those in positions of responsibility for approving projects are aware of the environmental implications of the project, and can take these into account when making decisions; avoid potential liabilities that could undermine the success of a project for its sponsors and the Bank; ensure that environmental costs are estimated along with other costs and liabilities; and identify opportunities for environmental enhancement associated with projects. The review of environmental aspects of projects is conducted by many Bank staff members throughout the project's life. This document defines the responsibilities of the people and groups involved in implementing the environmental procedures. Annexes contain Environmental Management: The Bank's Policy Approach, examples of environmental documentation for the project file and other ancillary information

Guidance levels for diagnostic radiology in Romania

International Nuclear Information System (INIS)

Iacob, O.; Diaconescu, C.

2002-01-01

Over two decades surveys of radiological practice in Romania have demonstrated wide variations in patient dose levels between different hospitals. Local and national investigations revealed poor performances as well as of radiological equipment, darkroom procedure or technology of investigation. Hitherto, the annual collective effective dose to the population of Romania from diagnostic medical exposures attained a value of 13,820 manSv. Since the annual frequencies of radiological examinations remain unchanged over last ten years, this value is mostly attributed to the individual dose levels in different X-ray procedures. Notwithstanding the huge benefits to patients, the reduction of unnecessary exposures and individual doses are our principal concern and the establishment of national reference dose levels should solve this problem. British experience demonstrated that reference doses are a practical tool in this purpose and the adoption of national reference dose values indicated an overall improvement in patient exposure. Even the local of reference dose values proved a useful way to achieve patient dose reduction. In meantime the optimization of patient protection, each X-ray examination should be conducted with lowest necessary dose to achieve the clinical aim. This paper presents the first approach to establish local reference dose levels for some diagnostic examinations based on the measurements made in six (from the eighth of Eastern territory of Romania) districts, invited to cooperate in this end

Anesthesia Practices for Interventional Radiology in Europe

Energy Technology Data Exchange (ETDEWEB)

Vari, Alessandra, E-mail: alessandra.vari@uniroma1.it [University La Sapienza, Department of Anesthesiology, Intensive Care and Pain Medicine (Italy); Gangi, Afshin, E-mail: gangi@unistra.fr [Les Hôpitaux Universitaires de Strasbourg, Chef de Pôle, Imagerie (France)

2017-06-15

PurposeThe Cardiovascular and Interventional Radiological Society of Europe (CIRSE) prompted an initiative to frame the current European status of anesthetic practices for interventional radiology, in consideration of the current variability of IR suite settings, staffing and anesthetic practices reported in the literature and of the growing debate on sedation administered by non-anesthesiologists, in Europe.MethodsAnonymous online survey available to all European CIRSE members to assess IR setting, demographics, peri-procedural care, anesthetic management, resources and staffing, pain management, data collection, safety, management of emergencies and personal opinions on the role CIRSE should have in promoting anesthetic care for interventional radiology.ResultsPredictable differences between countries and national regulations were confirmed, showing how significantly many “local” factors (type and size of centers, the availability of dedicated inpatient bed, availability of anesthesia staff) can affect the routine practice and the expansion of IR as a subspecialty. In addition, the perception of the need for IR to acquire more sedation-related skills is definitely stronger for those who practice with the lowest availability of anesthesia care.ConclusionSignificant country variations and regulations along with a controversial position of the anesthesia community on the issue of sedation administered by non-anesthesiologists substantially represent the biggest drawbacks for the expansion of peri-procedural anesthetic care for IR and for potential initiatives at an European level.

Notification: Audit of EPA's Adherence to Policies, Procedures and Oversight Controls Pertaining to the Administrator’s Travel

Science.gov (United States)

Project #OA-FY17-0382, August 28, 2017. The EPA OIG plans to begin preliminary research on the EPA’s adherence to policies, procedures and oversight controls pertaining to the Administrator’s travel to Oklahoma.

21 CFR 1404.610 - What procedures does the Office of National Drug Control Policy use in suspension and debarment...

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 9 2010-04-01 2010-04-01 false What procedures does the Office of National Drug Control Policy use in suspension and debarment actions? 1404.610 Section 1404.610 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) General Principles Relating to Suspension and Debarment...

Pediatric radiology for medical-technical radiology assistants/radiologists

International Nuclear Information System (INIS)

Oppelt, Birgit

2010-01-01

The book on pediatric radiology includes the following chapter: differences between adults and children; psycho-social aspects concerning the patient child in radiology; relevant radiation doses in radiology; help for self-help: simple phantoms for image quality estimation in pediatric radiology; general information; immobilization of the patient; pediatric features for radiological settings; traumatology; contrast agents; biomedical radiography; computerized tomography; NMR imaging; diagnostic ultrasonography; handling of stress practical recommendations; medical displays.

Management of science policy, sociology of science policy and economics of science policy

CERN Document Server

Ruivo, Beatriz

2017-01-01

'Management of science policy, sociology of science policy and economics of science policy' is a theoretical essay on the scientific foundation of science policy (formulation, implementation, instruments and procedures). It can be also used as a textbook.

Optimization of radiological protection in Spanish nuclear power plants

International Nuclear Information System (INIS)

O'Donnell, P.; Amor, I.; Butragueno, J.L.

1997-01-01

Optimizing the radiological protection of occupationally exposed nuclear power plant workers has become one further item in what is called the safety culture. Spanish facilities are implementing programme with this in mind, grounded on a personal motivation policy with the backing of a suitable organizational structure. (Author)

Number of radiological examinations in Finland in 2000

CERN Document Server

Hakanen, A

2002-01-01

STUK (Radiation and Nuclear Safety Authority) collected the number of radiological examinations in Finland in 2000. The work was based on a decree of the ministry of social affairs and health on the medical use of radiation. The work was done in cooperation with the Finnish work group of nomenclature of radiological examinations and procedures and professor Seppo Soimakallio. In 2000, ca. 4.1 million x-ray examinations were made in Finland. In 1984 and in 1995, the numbers were ca. 4.6 million and 4.2 million, respectively, indicating that the total number of x-ray examinations has remained nearly unaltered. The proportions of conventional x-ray examinations, computed tomography examinations, angiographic and interventional procedures were ca. 93.5 %, 5.0 %, 0.9 % and 0.6 %, respectively. The reported number of ultrasound examinations was ca. 0.5 million. The reported number of MRI examinations was ca. 0.1 million.

Quality assurance program in diagnostic radiology

International Nuclear Information System (INIS)

Yacovenco, Alejandro; Borges, J.C.

1994-01-01

Aiming to elaborate a methodology to optimize the performance of the Radiology Service of the Military Police Hospital, in Rio dee Janeiro, some goals were established: improvement of the attendance to patients; improvement of the qualification of technicians; achievement and maintenance of high degrees of quality in each step of the radiological process; improvement of the image quality; optimization of dose per examination and cost reduction. The procedure used to detect faults in the radiological process was the analysis of causes of film losses. Results show a 70% reduction in the film rejection rate. 74% of total identified faults were due to equipment, 11% to films, 10% to patients and 5% to developing. The reduction in the cost of developed film reached 75%. A training course given to the staff of the radiological service fully reached its goals, contributing, with the staff motivation, mostly to the success of the program. This success indicates that, with a serious persistent work, it is possible to offer to patients services within their expectations, even at a public hospital. Such programs should be supported by health authorities, not only due to their technical and economic needs but, mostly, due to their social implications. (author). 10 refs., 11 figs

Radiology Physician Extenders: A Literature Review of the History and Current Roles of Physician Extenders in Medical Imaging.

Science.gov (United States)

Sanders, Vicki L; Flanagan, Jennifer

2015-01-01

The purpose of the literature review was to assess the origins of radiology physician extenders and examine the current roles found in the literature of advanced practice physician extenders within medical imaging. Twenty-six articles relating to physician assistants (PAs), nurse practitioners (NPs), radiologist assistants (RAs), and nuclear medicine advanced associates (NMAAs) were reviewed to discern similarities and differences in history, scope of practice, and roles in the medical imaging field. The literature showed PAs and NPs are working mostly in interventional radiology. PAs, NPs, and RAs perform similar tasks in radiology, including history and physicals, evaluation and management, preprocedure work-up, obtaining informed consent, initial observations/reports, and post-procedure follow-up. NPs and PAs perform a variety of procedures but most commonly vascular access, paracentesis, and thoracentesis. RAs perform gastrointestinal, genitourinary, nonvascular invasive fluoroscopy procedures, and vascular access procedures. The review revealed NMAAs are working in an advanced role, but no specific performances of procedures was found in the literature, only suggested tasks and clinical competencies. PAs, NPs, and RAs are currently the three main midlevel providers used in medical imaging. These midlevel providers are being used in a variety of ways to increase the efficiency of the radiologist and provide diagnostic and therapeutic radiologic procedures to patients. NMAAs are being used in medical imaging but little literature is available on current roles in clinical practice. More research is needed to assess the exact procedures and duties being performed by these medical imaging physician extenders.

Report: EPA Needs Policies and Procedures to Manage Public Pesticide Petitions in a Transparent and Efficient Manner

Science.gov (United States)

Report #16-P-0019, October 27, 2015. OPP’s lack of policies and procedures to manage public pesticide petitions in a transparent and efficient manner can result in unreasonable delay lawsuits costing the agency time and resources.

SU-D-209-05: Sensitivity of the Diagnostic Radiological Index of Protection (DRIP) to Procedural Factors in Fluoroscopy

Energy Technology Data Exchange (ETDEWEB)

Jones, A [UT MD Anderson Cancer Center, Houston, TX (United States); Pasciak, A [University of Tennessee Medical Center, Knoxville, TN (United States); Wagner, L [UT Medical School, Houston, TX (United States)

2016-06-15

Purpose: To evaluate the sensitivity of the Diagnostic Radiological Index of Protection (DRIP) to procedural factors in fluoroscopy in an effort to determine an appropriate set of scatter-mimicking primary beams (SMPB) to be used in measuring the DRIP. Methods: A series of clinical and factorial Monte Carlo simulations were conducted to determine the shape of the scattered X-ray spectra incident on the operator in different clinical fluoroscopy scenarios. Two clinical evaluations studied the sensitivity of the scattered spectrum to gantry angle and patient size while technical factors were varied according to measured automatic dose rate control (ADRC) data. Factorial evaluations studied the sensitivity of the scattered spectrum to gantry angle, field of view, patient size and beam quality for constant technical factors. Average energy was the figure of merit used to condense fluence in each energy bin to a single numerical index. Results: Beam quality had the strongest influence on the scattered spectrum in fluoroscopy. Many procedural factors affected the scattered spectrum indirectly through their effects on primary beam quality through ADRC, e.g., gantry angle and patient size. Lateral C-arm rotation, common in interventional cardiology, increased the energy of the scattered spectrum, regardless of the direction of rotation. The effect of patient size on scattered radiation depended on ADRC characteristics, patient size, and procedure type. Conclusion: The scattered spectrum striking the operator in fluoroscopy, and therefore the DRIP, is most strongly influenced by primary beam quality, particularly kV. Use cases for protective garments should be classified by typical procedural primary beam qualities, which are governed by the ADRC according to the impacts of patient size, anatomical location, and gantry angle. These results will help determine an appropriate set of SMPB to be used for measuring the DRIP.

Report writing in skeletal radiology

International Nuclear Information System (INIS)

Rowe, L.J.; Yochum, T.R.

1987-01-01

The formulation of reports in clinical practice is a standard method of documentation of a patient's history, examination findings, therapeutic regime, and prognosis, as well as other important features. In the practice of producing and interpreting diagnostic radiographs, report writing also serves a number of important roles, which include providing an accurate means of recording findings in instances of 1) medicolegal circumstances; 2) a standard for comparison with previous or later examinations; 3) a permanent record if the radiographs are lost or not immediately available for perusal; 4) communication with other practitioners and health professionals; and 5) expediating the treatment regime by providing a resume of important indications and contraindictions for therapy. In the radiological literature there is a distinct lack of material on report writing and very little as to what would be considered a standard style. Consequently, radiological reporting has increasingly become a subjective, personalized procedure, with each individual modifying the report according to previous training, experience, and needs. It is the purpose of this chapter to provide basic guidelines on the mechanisms of formulating adequate standardized reports in radiological examinations of the skeletal system

Monte Carlo calculations on extremity and eye lens dosimetry for medical staff at interventional radiology procedures

International Nuclear Information System (INIS)

Carinou, E.; Ferrari, P.; Koukorava, C.; Krim, S.; Struelens, L.

2011-01-01

There are many factors that can influence the extremity and eye lens doses of the medical staff during interventional radiology and cardiology procedures. Numerical simulations can play an important role in evaluating extremity and eye lens doses in correlation with many different parameters. In the present study, the first results of the ORAMED (Optimisation of Radiation protection of Medical staff) simulation campaign are presented. The parameters investigated for their influence on eye lens, hand, wrist and leg doses are: tube voltage, filtration, beam projection, field size and irradiated part of the patient's body. The tube voltage ranged from 60 to 110 kVp, filtration from 3 to 6 mm Al and from 0 to 0.9 mm Cu. For all projections, the results showed that doses received by the operator decreased with increasing tube voltage and filtration. The magnitude of the influence of the tube voltage and the filtration on the doses depends on the beam projection and the irradiated part of the patient's body. Finally, the influence of the field size is significant in decreasing the doses. (authors)

CT- and MR-guided interventions in radiology. 2. ed.

International Nuclear Information System (INIS)

Mahnken, Andreas H.; Wilhelm, Kai E.; Ricke, Jens

2013-01-01

Revised and extended second edition that covers a broad range of non-vascular interventions guided by CT or MR imaging. Discusses in detail indications, materials, techniques, and results. Includes a comprehensive section on interventional oncology. Richly illustrated source of information and guidance for all radiologists who deal with non-vascular procedures. Interventional radiology is an indispensable and still expanding area of modern medicine that encompasses numerous diagnostic and therapeutic procedures. Cross-sectional imaging modalities such as computed tomography (CT) and magnetic resonance (MR) have emerged as important techniques for non-vascular interventions, including percutaneous biopsy, drainage, ablation, and neurolysis. Various organs, diseases, and lesions can be approached in this way, permitting the treatment and management of tumors, fluid collections, and pain, the embolization of endoleaks, the provision of access to hollow organs, etc. Accordingly, interventional radiology is now an integral component of the interdisciplinary management of numerous disorders. The revised and significantly extended second edition of this volume covers a broad range of non-vascular interventions guided by CT or MR imaging. Indications, materials, techniques, and results are all carefully discussed. A particularly comprehensive section is devoted to interventional oncology as the most rapidly growing branch of interventional radiology. In addition, detailed information is provided that will assist in establishing and developing an interventional service. This richly illustrated book will be a most valuable source of information and guidance for all radiologists who deal with non-vascular procedures.

Procedures minimally invasive image-guided

International Nuclear Information System (INIS)

Mora Guevara, Alejandro

2011-01-01

A literature review focused on minimally invasive procedures, has been performed at the Department of Radiology at the Hospital Calderon Guardia. A multidisciplinary team has been raised for decision making. The materials, possible complications and the available imaging technique such as ultrasound, computed tomography, magnetic resonance imaging, have been determined according to the procedure to be performed. The revision has supported medical interventions didactically enjoying the best materials, resources and conditions for a successful implementation of procedures and results [es

Airborne systems for emergency radiological monitoring

International Nuclear Information System (INIS)

Jupiter, C.; Boyns, P.

1976-01-01

A variety of aerial radiological monitoring systems are available to respond to a radiological accident or incident affecting large areas. These are operated by EG and G, Inc. for ERDA's Division of Operational Safety. A survey system can be airborne within approximately two hours after notification. Both airborne and terrestrial radioactivity can be measured and mapped. Special analysis procedures allow discrimination between radioactivity from most man-made radioelements and naturally occurring radioelements. A position accuracy of +-54 feet can be maintained over a large area survey. Detection sensitivity for gamma sources employing NaI detector arrays on board an airplane flying at 500 feet altitude is better than 2 μR/hr for surface planar contaminants and approximately 10 mCi for a point gamma source

Soft tissue Burkitt's lymphoma: radiological findings

International Nuclear Information System (INIS)

Garcia-Barredo, R.; Fernandez Echevarria, M.A.; Riego, M. del; Canga, A.

1998-01-01

An unusual case is reported of a soft tissue mass in the lower extremity, without bone involvement, in an 85-year-old woman; the histopathological diagnosis was Burkitt's lymphoma. Pertinent clinical history, histological examination, and imaging procedures allowed early diagnosis. To our knowledge, the radiological findings in Burkitt's lymphoma with this unusual clinical presentation have not been described previously. (orig.)

Effectiveness of E-Learning in Oral Radiology Education: A Systematic Review.

Science.gov (United States)

Santos, Glaucia Nize M; Leite, André F; Figueiredo, Paulo T de S; Pimentel, Nara M; Flores-Mir, Carlos; de Melo, Nilce S; Guerra, Eliete N S; De Luca Canto, Graziela

2016-09-01

E-learning has been used recently in dental curricula to support traditional learning methods. However, the published literature concerning e-learning in oral radiology has shown mixed conclusions. The aim of this systematic review was to provide a synthesis of the effectiveness of e-learning in oral radiology education when compared with traditional classroom learning methods. A search of the literature was conducted on the LILACS, PubMed, Science Direct, Scopus, and Web of Science databases. Trials registries were also consulted for ongoing trials, and a partial grey literature search was conducted. Controlled trials about oral radiology education that compared any e-learning method with a control group using any traditional classroom instruction method were included. E-learning effectiveness was measured using three outcomes from Kirkpatrick's model of evaluation: attitudes about e-learning, knowledge gain, and performance on clinical procedures. Data were analyzed descriptively. Qualitative appraisal was performed according to the Cochrane risk of bias tool for randomized trials and MINORS tool for non-randomized trials. Eleven studies met the inclusion criteria. Risk of bias was identified related to the selection procedures, blinding, lack of sample size calculation, and incomplete analyses. Ten studies reported that students had positive attitude when using e-learning. Results from the knowledge gain outcome were mixed. Only two studies examined performance on clinical procedures, showing contrasting results. The evidence reviewed in this study suggests that e-learning in oral radiology is at least as effective as traditional learning methods and that students have positive attitudes about e-learning.

Radiation dose to physicians’ eye lens during interventional radiology

International Nuclear Information System (INIS)

Bahruddin, N A; Hashim, S; Karim, M K A; Ang, W C; Salehhon, N; Sabarudin, A; Bakar, K A

2016-01-01

The demand of interventional radiology has increased, leading to significant risk of radiation where eye lens dose assessment becomes a major concern. In this study, we investigate physicians' eye lens doses during interventional procedures. Measurement were made using TLD-100 (LiF: Mg, Ti) dosimeters and was recorded in equivalent dose at a depth of 0.07 mm, Hp(0.07). Annual Hp(0.07) and annual effective dose were estimated using workload estimation for a year and Von Boetticher algorithm. Our results showed the mean Hp(0.07) dose of 0.33 mSv and 0.20 mSv for left and right eye lens respectively. The highest estimated annual eye lens dose was 29.33 mSv per year, recorded on left eye lens during fistulogram procedure. Five physicians had exceeded 20 mSv dose limit as recommended by international commission of radiological protection (ICRP). It is suggested that frequent training and education on occupational radiation exposure are necessary to increase knowledge and awareness of the physicians’ thus reducing dose during the interventional procedure. (paper)

Radiological diagnosis in traumatology

International Nuclear Information System (INIS)

Frahm, R.

2001-01-01

This loose-leaf publication covers all radiological problems that may possibly occur in accident surgery. The focus is on conventional radiological diagnosis. The physical and technical fundamentals of diagnostic examination methods are discussed, followed by practical hints on radiation protection, technical equipment and quality assurance, as well as accurate information on the procedure of taking and interpreting standard X-ray pictures. The indications for standard X-raying, tomography, CT and MRT are presented in consideration of the radiation exposure incurred by the patient. The reader is also informed on the dynamics and varying morphology of bone fracture healing, potential disturbances of callus formation and reconstruction, as well as on possible complications. The main section of the book discusses injuries of the skull, spinal cord, pectoral girdle, upper arm, elbow and lower arm, wrist and hands, pelvis, hip joint, knee and upper and lower leg, ankle joint and foot, thorax and abdomen. (orig.)

Criteria and actions facing a radiological environmental contamination

International Nuclear Information System (INIS)

Gutierrez, Jose; Montero, Milagros

2008-01-01

An approach to improve the management of the radiological risk due to an environmental contamination is presented. The experience gained in emergency response has clearly demonstrated the importance to have an efficient emergency system including planning, procedures and operational internally consistent criteria. The lack of these components in the emergency system could lead to important radiological and non radiological consequences. The setting of internationally agreed criteria and guides is very important in the anticipated emergency response plan. The paper firstly reviews the approaches proposed by international recommendations and norms. From this review, a substantial coincidence on the basic principles is stated, in spite of small differences in its formulation. Also, a need for harmonization is endorsed. So, generic levels, in terms of imparted dose or avoided dose due to intervention, and, in some cases, derived levels, in terms of activity concentration, are proposed. Numerical values for emergency actions are also identified. The second part deals with the adaptation of the existing prediction and decision systems to the above radiological criteria. Relations among deposition, activity concentrations and annual doses for different scenarios, exposure pathways and age groups are established. Also, the sensibility of the radiological impact against different characteristics of the intervention scenarios is stated. This makes easy to assess the radiological significance of different contamination situations by comparison to the existing action generic levels. Furthermore, the radiological impact can be numerically incorporated in a decision system which includes non radiological aspects of the applicable intervention options. Agricultural, urban and mixed scenarios are presented and solved for a 137 Cs contamination. The results can be further used to develop a methodology guide for setting action generic levels in post-accidental interventions and

CARS 2008: Computer Assisted Radiology and Surgery. Proceedings

Energy Technology Data Exchange (ETDEWEB)

NONE

2008-06-15

The proceedings contain contributions to the following topics: digital imaging, computed tomography, magnetic resonance, cardiac and vascular imaging, computer assisted radiation therapy, image processing and display, minimal invasive spinal surgery, computer assisted treatment of the prostate, the interventional radiology suite of the future, interventional oncology, computer assisted neurosurgery, computer assisted head and neck and ENT surgery, cardiovascular surgery, computer assisted orthopedic surgery, image processing and visualization, surgical robotics, instrumentation and navigation, surgical modelling, simulation and education, endoscopy and related techniques, workflow and new concepts in surgery, research training group 1126: intelligent surgery, digital operating room, image distribution and integration strategies, regional PACS and telemedicine, PACS - beyond radiology and E-learning, workflow and standardization, breast CAD, thoracic CAD, abdominal CAD, brain CAD, orthodontics, dentofacial orthopedics and airways, imaging and treating temporomandibular joint conditions, maxillofacial cone beam CT, craniomaxillofacial image fusion and CBCT incidental findings, image guided craniomaxillofacial procedures, imaging as a biomarker for therapy response, computer aided diagnosis. The Poster sessions cover the topics computer aided surgery, Euro PACS meeting, computer assisted radiology, computer aided diagnosis and computer assisted radiology and surgery.

CARS 2008: Computer Assisted Radiology and Surgery. Proceedings

International Nuclear Information System (INIS)

2008-01-01

The proceedings contain contributions to the following topics: digital imaging, computed tomography, magnetic resonance, cardiac and vascular imaging, computer assisted radiation therapy, image processing and display, minimal invasive spinal surgery, computer assisted treatment of the prostate, the interventional radiology suite of the future, interventional oncology, computer assisted neurosurgery, computer assisted head and neck and ENT surgery, cardiovascular surgery, computer assisted orthopedic surgery, image processing and visualization, surgical robotics, instrumentation and navigation, surgical modelling, simulation and education, endoscopy and related techniques, workflow and new concepts in surgery, research training group 1126: intelligent surgery, digital operating room, image distribution and integration strategies, regional PACS and telemedicine, PACS - beyond radiology and E-learning, workflow and standardization, breast CAD, thoracic CAD, abdominal CAD, brain CAD, orthodontics, dentofacial orthopedics and airways, imaging and treating temporomandibular joint conditions, maxillofacial cone beam CT, craniomaxillofacial image fusion and CBCT incidental findings, image guided craniomaxillofacial procedures, imaging as a biomarker for therapy response, computer aided diagnosis. The Poster sessions cover the topics computer aided surgery, Euro PACS meeting, computer assisted radiology, computer aided diagnosis and computer assisted radiology and surgery

Report by the work-group on radiation protection in interventional radiology. Recommendations related to the improvement of radiation protection in interventional radiology

International Nuclear Information System (INIS)

2010-01-01

This report aims at proposing recommendations for the improvement of the quality of radiation protection of workers and patients in the field of interventional radiology. These recommendations concern the training of health personnel, the application of the optimization principle to health professionals and patients, dosimetry and the definition of diagnosis reference levels. More particularly, these recommendations concern professions involved in interventional radiology, and take into account the experience of other European Union State members and recommendations made by the IAEA. The authors analyze the equipment, radiological actions, procedures and doses, practitioners, equipment used for radio-guided interventions. They discuss doses received by patients, patient monitoring and radio-induced lesions. Then, they address the role and training of the different interveners in radiation protection, the equipment maintenance issue, and personnel dosimetry and protection

Health Risks of Diagnostic Radiology

International Nuclear Information System (INIS)

Al-Oraby, M.N.A.

2014-01-01

Exposure to ionizing radiation during diagnostic radiologic procedures carries small but real risks. Children, young adults and pregnant women are especially vulnerable. Exposure of patients to diagnostic energy levels of ionizing radiation should be kept to the minimum necessary to provide useful clinical information and allay patients concerns about radiation-related risks. Computerized Tomography (CT) accounts for two thirds of the cumulative patient dose from diagnostic radiological procedures and the cumulative dose from CT is rising as technological advances increase the number of indications and the capabilities of CT. Carcinogenesis and teratogenesis are the main concerns with ionizing radiation. The risk increases as the radiation dose increases. There is no minimum threshold and the risk is cumulative: a dose of 1 mSv once a year for 10 years is equivalent to a single dose of 10 mSv. Whenever practical, choose an imaging test that uses less radiation or no radiation and lengthen the periods between follow-up imaging tests. Some patients may avoid screening mammography because of fear of radiation-induced cancer, yet this test uses a very small radiation dose (0.6 mSv, much less than the annual dose from background radiation, 3.6 mSv). (author)

Radiological Worker Training: Radiological Worker 2 study guides

International Nuclear Information System (INIS)

1992-10-01

Upon completion of this training course, the participant will have the knowledge to work safely in areas controlled for radiological purposes using proper radiological practices. Radiological Worker H Training, for the worker whose job assignment involves entry into Radiological Buffer Areas and all types of Radiation Contamination and Airborne Radioactivity Areas. This course is designed to prepare the worker to work safely in and around radiological areas and present methods to use to ensure individual radiation exposure is maintained As Low As Reasonably Achievable

Radiologic examination of orthopaedics. Methods and techniques

International Nuclear Information System (INIS)

Hafner, E.; Meuli, H.C.

1976-01-01

This volume describes in detail radiological examinations of the skeleton modern procedures in orthopaedic surgery. Special emphasis is given to functional examination techniques based upon the authors' extensive work on standardized radiological examinations best suited to the needs of orthopaedic surgeons. These techniques were developed at the Radiodiagnostic Department of the Central Radiological Clinic, Bern University, in cooperation with the University Clinic of Orthopaedics and Surgery of the Locomotor System. Exposure techniques are explained concisely, yet with extraordinary precision and attention to detail. They have proved highly successful in teaching programs for X-ray technicians and as standard examination techniques for many hospitals, X-ray departments, orthopaedic units, and private clinics. Recommended for orthopaedic surgeons, radiologists, general surgeons, and X-ray technicians, this definitive treatise, with its superb X-ray reproductions and complementary line drawings, explains how to achieve improved diagnoses and standardized control with the least possible radiation exposure to the patient

Dosimetry in medical specialist in procedures of interventionist radiology

International Nuclear Information System (INIS)

Gaona, E.; Vazquez V, J. A.; Rivera M, T.; Izeta G, A. C.; Azorin V, J. C.; Arreola, M.

2014-08-01

In this work are presented the experimental results of determining the dose in different body parts, measured by thermoluminescent dosimeters, to medical specialists of implantation procedures of definitive cardiac pacemaker. The medical personnel in ten intervention procedures were controlled according to the procedure type, pathological indication, fluoroscopy time and machine generating estimates of the patient doses. The doses to the extremities of the cardiologist were measured by means of thermoluminescent dosimeters (TLD). The domains of first level in the hand are in the index finger of the left and the right hand. The medium doses of the skin in the eyes, a report of the dose received during each type of intervention procedure in the glandular thyroid and fingers of the cardiologists is made. The results represent the integrated dose to the cardiologist, received during the implantation procedures of definitive cardiac pacemaker in the same patient. By a half time of detection of 70 minutes for patient, the half dose of the skin, received for the right and left hand, ascended to 1,4 mSv, under the glove. In conclusion, the dose average for the dosimeters of the thyroid gland and forehead was varied from 0,41 up to 1,14 mSv for study. The exposure to the X-rays is a topic to consider, more important every time on the development of systematic procedures little invasive, including the angiography, catheter, worker and patient. (Author)

Radiological clerkships as a critical curriculum component in radiology education

International Nuclear Information System (INIS)

Kourdioukova, Elena V.; Verstraete, Koenraad L.; Valcke, Martin

2011-01-01

Objective: The aim of this research was to explore the perceived value of clinical clerkships in the radiology curriculum as well as the impact of radiology clerkship on students' beliefs about the profession of radiology as a whole and as a career. Methods: This study is a sequel to a previous survey in which student perceptions about radiology curriculum components were investigated. The present study focuses on a further analysis of a subsection in this study, based on 14 statements about radiology clerkship and two statements about radiology as a career. Results: Perceived usefulness of the aspects of radiology clerkship as 'radiology examination', 'skills development' and 'diagnosis focus' were awarded the highest scores. The predict value of the subscale 'radiology examination' on the level of performance was very high (adjusted R 2 = 0.19, p < .001). Conclusion: Students expressed highly favorable evaluation of clerkship as a learning environment to learn to order and to interpret imaging studies as well as an unique possibility to attend various radiological examinations and to access to specific radiology software systems, as well as to get a better view on radiology and to improve image interpretation skills. This positive attitude towards clerkship is closely tied to students' beliefs about the profession of radiology as a whole. These aspects of dedicated radiology clerkship are crucial for effective and high-quality education as well as for the choice of radiology as a career.

Diagnostic radiology 1987

International Nuclear Information System (INIS)

Margulis, A.R.; Gooding, C.A.

1987-01-01

This is the latest version of the continuing education course on diagnostic radiology given yearly by the Department of Radiology at the University of California, San Francisco. The lectures are grouped into sections on gastrointestinal radiology, mammography, uroradiology, magnetic resonance, hepatobiliary radiology, pediatric radiology, ultrasound, interventional radiology, chest radiology, nuclear medicine, cardiovascular radiology, and skeletal radiology. Each section contains four to eight topics. Each of these consists of text that represents highlights in narrative form, selected illustrations, and a short bibliography. The presentation gives a general idea of what points were made in the lecture

Plants for the Swedish change to SI units in radiology

International Nuclear Information System (INIS)

Bengtsson, G.

1977-04-01

In the years from about 1975 to 1985, a universal adjustment will be made to the international system of units, SI, at least concerning several units used in radiology (Liden 1976). The Swedish authorities have deemed it necessary that the change be coordinated within the country as much as possible, mainly on grounds relating to the safety of patients subjected to radiological procedures. The change will take place around 1 January, 1979. This report descibes briefly the administrative planning behind the change.(author)