Radiation Management of Interventional Procedures

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:

Cardiac-Interventional Radiography: 2.50
Image Production: 2.50
Image Acquisition and Equipment: 2.50

Radiography: 2.50
Safety: 2.50
Radiation Physics and Radiobiology: 0.50
Radiation Protection: 2.00

Registered Radiologist Assistant: 2.50
Safety: 2.50
Patient Safety, Radiation Protection and Equipment Operation: 2.50

Vascular-Interventional Radiography: 2.50
Image Production: 2.50
Image Acquisition and Equipment: 2.50

Outline

1. Introduction
2. Radiation Effects
3. Principles of Radiation Protection
4. Radiation Dose Estimation
5. Radiation Management in Interventional Procedures
   1. Before the Procedure
   2. Procedure Planning
   3. During the Procedure
   4. After the Procedure
   5. Quality Assurance and Quality Improvement

Objectives

Upon completion of this course, students will:

1. understand how many FGI procedures are performed
2. understand why FGI procedures have increased over the years
3. understand the biologic effects from radiation exposure
4. explain dose optimization
5. understand radiation monitoring and recording of dose
6. know what portion of the fluoroscope allows for high definition
7. relate stochastic injury to genetic transformation
8. understand stochastic injury in the pediatric population
9. know time frame of stochastic radiation effects
10. relate severity of deterministic effects to radiation dose
11. understand patient outcomes from deterministic radiation injury
12. understand ICRP fundamental principles
13. define ICRP principle of optimization
14. understand application of the ICRP principle of optimization
15. understand special metrics for radiation dose estimation
16. relate peak skin dose to primary beam and scatter
17. be familiar with pre-procedure factors that help estimate the severity and likelihood of radiation effects
18. understand what patient population has the lowest risk for radiation-induced cancer
19. understand which patient population is more at risk for stochastic effects
20. understand which patient population is more at risk for deterministic effects
21. be familiar with diseases and their relationship to sensitivity to radiation
22. understand connection between deterministic effects and FGI procedure factors
23. compare latency period and cataract formation
24. understand time needed between FGI procedures
25. know alternate imaging modalities for pregnant patients
26. know procedure modifications for pregnant patients undergoing FGI procedures
27. understand the physicist inspection requirements of radiation-generating equipment
28. be familiar with adjusted technical parameters and their affect
29. understand fluoroscopic options to reduce patient radiation
30. be familiar with professionals that can make adjustment to the fluoroscope
31. be familiar with techniques to reduce peak skin dose
32. know how to reduce radiation dose to the eye during FGI procedures
33. be familiar with radiation management responsibilities
34. relate threshold value and additional dose management
35. understand the importance of radiation dose notification during the procedure
36. relate threshold amount and sentinel events
37. be familiar with recordable procedure radiation data
38. understand operator actions when a significant radiation dose has been administered
39. know primary goal of radiation management in interventional radiology
40. relate fluoroscopic equipment function to practice results