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Wednesday, January 16, 2013

Radiological Protection in Cardiology, ICRP Publication 120


Cardiac nuclear medicine, cardiac computed tomography (CT), interventional cardiology procedures, and electrophysiology procedures are increasingly used in medicine and form the major share of patient radiation exposure. Some of the percutaneous coronary interventions and cardiac electrophysiology procedures are associated with high radiation doses. These medical procedures can result in patient skin doses that are high enough to cause radiation injury and an increased risk of cancer. 

The Commission provided recommendations for radiological protection during fluoroscopically guided interventions in Publication 85, for radiological protection in CT in Publications 87 and 102, and for training in radiological protection in Publication 113. This report is focused specifically on cardiology, and brings together information relevant to cardiology from the Commission’s published documents. The material and recommendations in the current document have been updated to reflect the most recent recommendations of the Commission. 

This document provides guidance to assist the cardiologist with justification procedures and optimization of protection in cardiac CT studies, cardiac nuclear medicine studies, and fluoroscopically guided cardiac interventions. It includes discussions of the biological effects of radiation, principles of radiological protection, protection of staff during fluoroscopically guided interventions, radiological protection training, and establishment of a quality assurance programme for cardiac imaging and intervention (Source: www.icrp.org).

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