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Home | Current Program | PAC 2 | SC 2-3SC 2-3: Radiation Safety Issues for Image-Guided Interventional Medical ProceduresThe purpose of this report is to review the existing literature on image-guided interventional procedures (IGIPs) and evaluate the most common high-dose IGIPs with regard to radiation dose and safety issues. The report will provide recommendations on: (1) optimizing imaging protocols, (2) managing procedure time, (3) available radiation protection equipment and dose-reduction features, (4) tracking and trending patient and physician radiation dose, and (5) physician credentialing regarding use of IGIP equipment for these specialized procedures.The report will be of benefit to interventional radiologists and other medical specialists (e.g., cardiologists, orthopedic surgeons), particularly those specialists who use IGIPs and often do not have adequate training in radiation safety or radiation biology and the practical radiation protection aspects of fluoroscopy (e.g., knowledge of equipment operation, optimal imaging techniques, patient and physician dose management, risk-benefit trade-offs, and the potential for early or late radiation effects). SC 2-3 held its first meeting on July 31-August 1, 2007 at NCRP Headquarters. At the meeting it was concluded that the principal audience for the report is policymakers that can place requirements on those who conduct x-ray guided invasive (i.e., diagnostic) and interventional (i.e., therapeutic) procedures. Five key sections were identified with the following working titles, and assignment of the members to these sections was made:
As of December 31, 2007 initial outlines were prepared for all five sections, and numerous references have been collected and entered on the Committee’s website for access by all Committee members. An initial draft of Section 1 on the medical benefits and risks of IGIPs was prepared and considerable thought and early draft material has been generated for Section 2 on some basic radiation science topics such as the appropriate methods for specifying radiation quantities and for evaluating the risk of deterministic and stochastic radiation effects. On February 20, 2008 a conference call was held to review the status of writing assignments. Additional consultants have been added to the Committee to assist with effects on the skin and radiation risk analysis for patients and staff. The next SC 2-3 meeting is scheduled for May 5-6, 2008 to review the first compilation of draft material. The membership of SC 2-3 is:
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