Measuring radiation dose to patients undergoing fluoroscopically-guided interventions

13th South-East Asian Congress of Medical Physics 2015

物理学;医药卫生

Lubis, L.E.^1 ; Badawy, M.K.^2,3

Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Indonesia, Kampus UI Depok, West Java

16424, Indonesia^1

Department of Medical Radiations, School of Medical Sciences, RMIT, Bundoora

VIC

3083, Australia^2

Medical Physics Department, Austin Health, Heidelberg

VIC

3084, Australia^3

关键词: Measuring technique;    Monitoring techniques;    Patient care;    Patient dose;    Patient radiation dose;    Radiation dose measurements;    Radiation dosimeters;    Radiation-induced;   

Others  :  https://iopscience.iop.org/article/10.1088/1742-6596/694/1/012049/pdf
DOI  :  10.1088/1742-6596/694/1/012049

学科分类：卫生学

来源: IOP

【 摘 要 】

The increasing prevalence and complexity of fluoroscopically guided interventions (FGI) raises concern regarding radiation dose to patients subjected to the procedure. Despite current evidence showing the risk to patients from the deterministic effects of radiation (e.g. skin burns), radiation induced injuries remain commonplace. This review aims to increase the awareness surrounding radiation dose measurement for patients undergoing FGI. A review of the literature was conducted alongside previous researches from the authors' department. Studies pertaining to patient dose measurement, its formalism along with current advances and present challenges were reviewed. Current patient monitoring techniques (using available radiation dosimeters), as well as the inadequacy of accepting displayed dose as patient radiation dose is discussed. Furthermore, advances in real-time patient radiation dose estimation during FGI are considered. Patient dosimetry in FGI, particularly in real time, remains an ongoing challenge. The increasing occurrence and sophistication of these procedures calls for further advances in the field of patient radiation dose monitoring. Improved measuring techniques will aid clinicians in better predicting and managing radiation induced injury following FGI, thus improving patient care.