Effectiveness of Policies on Reducing Exposure to Ionizing Radiation From Medical Imaging: A Systematic Review

Thaker, Ashesh A.; Navadeh, Soodabeh; Gonzales, Hugo; Malekinejad, Mohsen

doi:10.1016/j.jacr.2015.06.033

Cited by 14 publications

(9 citation statements)

References 26 publications

(30 reference statements)

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“…The pre-test knowledge and awareness about radiation safety was low in the physicians, which was consistent with other studies [18][19][20]. There are few studies on the effectiveness of radiation safety training.…”

Section: Discussionsupporting

confidence: 89%

The Effectiveness of a Radiation Safety Training Program in Increasing the Radiation Safety Knowledge of Physicians: A Pilot Study

Esfahani

Mehrabi

Gheibi

et al. 2020

JQUMS

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Background: Ionizing and non-ionizing radiation are widely used in the diagnosis and treatment of diseases. Considering the potential risks of radiation, radiation safety training courses are important for medical staff. Objective: The aim of this study was to investigate the effectiveness of one-day radiation safety training program in increasing the radiation safety knowledge of physicians. Methods: In this descriptive-analytical study, subjects were 12 physicians (6 general practitioners and 6 non-radiologist specialists) participated in the training program organized by Qazvin University of Medical Sciences in 2018. A researcher-made questionnaire was used for surveying physicians before and after the training. The mean and standard deviation of the scores were first calculated. Then, the pre- and post-test scores were compared using Wilcoxon signed-rank test, and the correlation of these scores with their age, gender, expertise area, and work experience was examined by Spearmanchr('39')s correlation test. Findings: The mean total scores of the physicians before and after training were 7.00±2.56 (ranged 3-11) and 11.92± 2.31 (ranged 8-15) out of 18, respectively. The radiation safety knowledge of physicians significantly increased after training (P<0.001). No significant relationship was found between their scores and their age, gender, expertise area and work experience. Conclusion: The radiation safety training program was effective in increasing the radiation safety knowledge of physicians and it can be used for a larger community of physicians.

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Section: Discussionsupporting

confidence: 89%

The Effectiveness of a Radiation Safety Training Program in Increasing the Radiation Safety Knowledge of Physicians: A Pilot Study

Esfahani

Mehrabi

Gheibi

et al. 2020

JQUMS

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“…Healthcare professionals, particularly those working in imaging sectors and in hospitals, are more exposed to ionizing radiation. If they do not take adequate protective measures, they will be at greater risk of developing different types of cancer (2)(3)(4)(5)(6)(7) . These risks have been known for decades; however, the curricula for the training of health professionals, whether in college or vocational training courses, rarely include radiation protection education.…”

Section: Introductionmentioning

confidence: 99%

Radiological protection in the perspective of health professionals exposed to radiation

et al. 2019

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Objective: To evaluate the knowledge of health professionals about radiological protection and to implement educational actions to promote a safe working environment for professionals, patients and companions. Method: An exploratory cross-sectional study, applying a questionnaire to 59 participants from different sectors of a teaching hospital. Open-ended questions were analyzed through the discourse of the collective subject and closed-ended questions were analyzed through quantitative analysis. Results: In the opinion of the participants, their professional training did not offer radioprotection class or the training was insufficient for the practice. In addition, the work environment does not provide regulatory norms and training on radioprotection. Most participants do not have solid knowledge and do not present safe behavior in radioprotection. In the internal week for the prevention of work accidents, a lecture and a theatricalisation about the topic of radioprotection were conducted and a booklet was distributed. Conclusion: Radiation protection education is necessary in the curricula of the training courses for health professionals and in the work environment.

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“…It is well-known that medical radiation poses a potential risk of carcinogenesis in the patient, physician and other healthcare personnel. Thyroid, skin, extremity, and hematological malignancies can develop after chronic exposure to radiation [ 15 – 17 ]. Fluoroscopy is the main source of radiation exposure to the urologist.…”

Section: Discussionmentioning

confidence: 99%

Is fluoroscopy necessary during flexible ureteroscopy for the treatment of renal stones?

Kirac

Köprü

Ergin

et al. 2019

Arab Journal of Urology

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Objective: To investigate the feasibility and effectiveness of flexible ureteroscopy (fURS) without fluoroscopy during the treatment of renal stones. Patients and methods: Between April 2013 and August 2018, 744 patients' data were evaluated retrospectively. Of these, 576 patients were included in the study. All fURS were performed by experienced surgeons. All procedures were planned with zero-dose fluoroscopy. But, if fluoroscopy was necessary for any reasons, these patients were excluded from the study. Demographic data, perioperative parameters, stone-free rate (SFR), and complication rates were recorded. Results: Of the patients planned for fluoroless fURS (ffURS), the procedure was successfully achieved in 96.7% (557/576 patients), as 19 patients required fluoroscopy during the procedure for various reasons. In the patients included in the study, the mean (SD) stone size was 11.6 (5.2) mm and the mean (SD) operating time was 39.4 (8.2) min. After the first session of ffURS, the SFR was 83.3% (achieved in 464 patients). Second and third sessions of ffURS were performed in 32 (5.7%) and seven (1.2%) patients, respectively. Overall, the complication rate was 11.8% and all complications were minor (Clavien-Dindo Grade I or II). Conclusions: The ffURS technique seems to be a safe and effective treatment compared to conventional fURS in patients with renal stones. This procedure should be performed in experienced centers, where fluoroscopy can be considered not to be mandatory during fURS.

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Effectiveness of Policies on Reducing Exposure to Ionizing Radiation From Medical Imaging: A Systematic Review

Abstract: Existing evidence on the effectiveness of policies aimed at reducing patient radiation dose is disperse and low in quality. Compared with other approaches, multipronged efforts may offer more patient protection.

Cited by 14 publications

References 26 publications

The Effectiveness of a Radiation Safety Training Program in Increasing the Radiation Safety Knowledge of Physicians: A Pilot Study

The Effectiveness of a Radiation Safety Training Program in Increasing the Radiation Safety Knowledge of Physicians: A Pilot Study

Radiological protection in the perspective of health professionals exposed to radiation

Is fluoroscopy necessary during flexible ureteroscopy for the treatment of renal stones?

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