Radiation Effects of Fluoroscopy on Patients’ Skin and Hair

A review of the current data concerning the essential factors regarding radiation effects on patients’ skin and hair. Fluoroscopy guided procedures and radiation therapy are discussed.

Course ID: Q00293 Category:
Modalities: , , , ,

2.0

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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Cardiac-Interventional Radiography: 2.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Image Production: 1.00
Image Acquisition and Equipment: 1.00

Computed Tomography: 1.00
Safety: 1.00
Radiation Safety and Dose: 1.00

Nuclear Medicine Technology: 1.75
Safety: 1.75
Radiation Physics, Radiobiology, and Regulations: 1.75

Radiography: 2.00
Safety: 2.00
Radiation Physics and Radiobiology: 1.25
Radiation Protection: 0.75

Registered Radiologist Assistant: 2.00
Safety: 2.00
Patient Safety, Radiation Protection, and Equipment Operation: 2.00

Radiation Therapy: 1.75
Safety: 1.75
Radiation Protection, Equipment Operation, and Quality Assurance: 1.75

Vascular-Interventional Radiography: 2.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Image Production: 1.00
Image Acquisition and Equipment: 1.00

Outline

  1. Introduction
  2. Background
  3. Clinical Use of Radiation
  4. Biologic Factors That Influence Skin Reactions
  5. Radiobiology of Radiation Injuries
  6. Initiating Dose and Time Course of Radiation Injury
    1. Prompt Reactions
    2. Early Reactions
    3. Midterm Reactions
    4. Long-term Reactions
    5. Time Sequence
  7. Interaction between Different Types of Damage
  8. Risk Management of Skin Effects in Interventional Procedures
  9. Staged and Repeated Procedures
  10. Discussion
  11. Appendix

Objectives

Upon completion of this course, students will:

  1. know the time frame when a noticeable skin change is observed after a peak dose
  2. be able to recognize the essential factors of radiation effects related to fluoroscopy-guided procedures
  3. be familiar with steps necessary to manage radiation exposure to patients
  4. understand that the fluoroscopy time is not a good indicator of skin injury
  5. be familiar with what factor increases backscatter
  6. be familiar with the physical and patient-related factors that can affect the expression of skin injury
  7. be familiar with the body regions that are relatively resistant sites to the development of skin damage
  8. be familiar with which body regions are the most sensitive sites to the development of skin damage
  9. be able to recognize disorders associated with increased radio-sensitivity
  10. be familiar with drugs associated with radiation recall
  11. recognize an inflammatory skin condition which occurs in a previously irradiated body part after drug administration
  12. be familiar with the properties of repopulation of skin cells
  13. be familiar with the organization responsible for defining the 5 grades of skin toxicity
  14. be familiar with the so-called 24-hour erythematous reaction
  15. be familiar with reactions observed between 2 and 8 weeks after exposure
  16. be familiar with reactions observed more than 40 weeks after irradiation
  17. be able to recognize a long-term reaction resulting from dilation of capillaries more than 52 weeks after irradiation
  18. be familiar with reactions in which there is development of delayed lesions in the walls of blood vessels in the dermis and subcutaneous fat
  19. be able to compare a healed wound and non-irradiated skin with regard to potential breakdown
  20. be familiar with skin dose range associated with A1 dose band scale
  21. be familiar with recommended advice associated with A2 dose band scale
  22. be familiar with recommended advice associated with B dose band scale
  23. be familiar with skin dose range associated with D dose band scale
  24. be familiar with skin dose range associated with C dose band scale
  25. be familiar with recommended advice associated with A1 dose band scale
  26. be familiar with skin dose range associated with B dose band scale
  27. be familiar with recommended advice associated with C dose band scale
  28. be familiar with skin dose range associated with A2 dose band scale
  29. be familiar with recommended advice associated with D dose band scale
  30. be familiar with the influence of residual effects from previous procedures
  31. know the best indicator of cumulative skin dose
  32. recognize how NCI skin toxicity grade 1 manifests in patients
  33. recognize how NCI skin toxicity grade 2 manifests in patients
  34. recognize how NCI skin toxicity grade 3 manifests in patients
  35. recognize how NCI skin toxicity grade 4 manifests in patients