Tattooing: Medical uses and problems

Glassy, Crystal M.; Glassy, Matthew S.; Aldasouqi, Saleh

doi:10.3949/ccjm.79a.12016

Cited by 21 publications

(8 citation statements)

References 31 publications

(42 reference statements)

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“…Identificou-se, por fim, como argumento contrário ao uso de tatuagens para fins de declaração de vontade antecipada o fato de elas poderem ser resultado de brincadeiras ou desafios, podendo representar as iniciais do nome de uma pessoa, gíria de gangue ou mantra pessoal, ou também terem sido feitas em um período depressivo. (ISERSON, 1992;GLASSY et. al, 2012).…”

Section: Resultsunclassified

“…O objetivo dessas diversas formas de manifestação da vontade é expressar a livre autonomia do indivíduo em situações em que ele esteja incapacitado de externar as suas preferências terapêuticas ou que não tenha um representante indicado para tal fim. Logo, o baixo custo e a facilidade emocional e burocrática para a realização de uma tatuagem com diretivas antecipadas podem ser fatores atrativos para a sua disseminação (GLASSY et. al, 2012).…”

Section: Discussionunclassified

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A (In)Validade Ética das Tatuagens com Diretivas Antecipadas / The Ethical (In)Validity of Tattoos with Advance Directives

Svaiger¹,

Ajeka²,

Silva³

et al. 2021

BJDV

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Regulamentadas pelo Conselho Federal de Medicina em 2012, as diretivas antecipadas exprimem os cuidados e tratamentos de saúde que os pacientes desejam receber quando estiverem incapacitados de manifestar a sua vontade. Não obstante o CFM tenha se restringido a legitimar eticamente o registro no prontuário das diretivas comunicadas diretamente ao médico, outras formas de manifestação da vontade têm se apresentado na prática clínica, tais como o uso de tatuagens, colares, pulseiras e até microchips implantados. Em razão do surgimento dessas alternativas de comunicação da vontade, torna-se relevante indagar se as diretivas antecipadas expressas de modo não convencional podem ser consideradas eticamente válidas. Este estudo tem como objetivo

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Section: Resultsunclassified

Section: Discussionunclassified

A (In)Validade Ética das Tatuagens com Diretivas Antecipadas / The Ethical (In)Validity of Tattoos with Advance Directives

Svaiger¹,

Ajeka²,

Silva³

et al. 2021

BJDV

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“…Body modification by injecting pigments into the dermis layer is a custom more than 4000 years old . By puncturing the outer dermis, pigments are inserted within the skin to permanently modify the body appearance .…”

Section: Introductionmentioning

confidence: 99%

Dermal Tattoo Biosensors for Colorimetric Metabolite Detection

et al. 2019

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Tattooing is aubiquitous body modification involving the injection of ink and/or dye pigments into the dermis. Biosensors in the form of tattoos can be used to monitor metabolites in interstitial fluid. Here,m inimally invasive, injectable dermal biosensors were developed for measuring pH, glucose,a nd albumin concentrations.T he dermal pH sensor was based on methyl red, bromothymol blue,a nd phenolphthalein, which responded to ap Hr ange from 5.0 to 9.0. The dermal glucose sensor consisted of glucose oxidase, 3,3',5,5'-tetramethylbenzidine,a nd peroxidase that detected concentrations up to 50.0 mmol L À1 .T he dermal albumin sensor consisted of 3',3'',5',5''-tetrachlorophenol-3,4,5,6-tetrabromosulfophthalein to measure concentrations up to 5.0 gL À1 .T he sensors were multiplexed in ex vivo skin tissue and quantitative readouts were obtained using as martphone camera. These sensors can be used to manage of acid-base homeostasis,diabetes,and liver failure in point-of-care settings.Supportinginformation and the ORCID identification number(s) for the author(s) of this article can be found under: https://doi.

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“…Dark ink tattoos (1–3 mm diameter) are routinely used in the majority of radiotherapy (RT) departments to reproduce the patient planned position and ensure precise radiation delivery. 3 Furthermore, the use of external references, immobilization and image guidance in modern RT practice mitigates the risk of geographic miss, ensuring compliance with International Commission on Radiation Units 50 guidelines. 4 The Royal College of Radiologists (RCR) cite a survey by Dobbs et al 5 (2003) suggesting systematic errors ( ∑ setup ) and random errors ( σ setup ) of 3.2 and 2.9 mm, respectively, for breast RT.…”

Section: Introductionmentioning

confidence: 99%

A randomized control trial evaluating fluorescent ink versus dark ink tattoos for breast radiotherapy

Landeg¹,

Kirby²,

Lee³

et al. 2016

The British Journal of Radiology

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Objective:The purpose of this UK study was to evaluate interfraction reproducibility and body image score when using ultraviolet (UV) tattoos (not visible in ambient lighting) for external references during breast/chest wall radiotherapy and compare with conventional dark ink.Methods:In this non-blinded, single-centre, parallel group, randomized control trial, patients were allocated to receive either conventional dark ink or UV ink tattoos using computer-generated random blocks. Participant assignment was not masked. Systematic (∑) and random (σ) setup errors were determined using electronic portal images. Body image questionnaires were completed at pre-treatment, 1 month and 6 months to determine the impact of tattoo type on body image. The primary end point was to determine that UV tattoo random error (σsetup) was no less accurate than with conventional dark ink tattoos, i.e. <2.8 mm.Results:46 patients were randomized to receive conventional dark or UV ink tattoos. 45 patients completed treatment (UV: n = 23, dark: n = 22). σsetup for the UV tattoo group was <2.8 mm in the u and v directions (p = 0.001 and p = 0.009, respectively). A larger proportion of patients reported improvement in body image score in the UV tattoo group compared with the dark ink group at 1 month [56% (13/23) vs 14% (3/22), respectively] and 6 months [52% (11/21) vs 38% (8/21), respectively].Conclusion:UV tattoos were associated with interfraction setup reproducibility comparable with conventional dark ink. Patients reported a more favourable change in body image score up to 6 months following treatment.Advances in knowledge:This study is the first to evaluate UV tattoo external references in a randomized control trial.

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Tattooing: Medical uses and problems

Cited by 21 publications

References 31 publications

A (In)Validade Ética das Tatuagens com Diretivas Antecipadas / The Ethical (In)Validity of Tattoos with Advance Directives

A (In)Validade Ética das Tatuagens com Diretivas Antecipadas / The Ethical (In)Validity of Tattoos with Advance Directives

Dermal Tattoo Biosensors for Colorimetric Metabolite Detection

A randomized control trial evaluating fluorescent ink versus dark ink tattoos for breast radiotherapy

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