1) Be able to describe effects on patient's skin, hair, eyes, and other tissues resulting from fluoroscopically-guided interventional procedures. 2) Be able to adequately communicate FGI radiation risk as part of the informed consent process. 3) Understand the use of real-time displays of radiation quantities and their relation to radiation risks.
Some fluoroscopically-guided interventional procedures (FGI) require the use of a substantial amount of radiation for their completion. Radiation can be regarded as a toxic agent in the same sense that contrast-media and drugs can be toxic if inappropriately used. The interventional radiologist should have reasonable knowledge of the toxic effects of radiation on patients at dose levels that may occur during IR procedures. These include short-term tissue reactions on the skin, hair loss, and radiogenic cataracts. Longer term effects such as cancer induction are of importance for some patients. Because radiation is potentially toxic, its risks should be appropriately discussed during the informed consent process. The display of reference air kerma and kerma area product provide risk information to the radiologist while performing a procedure. This is intended to provide ongoing inputs into a continuous evaluation of benefit-risk.
Balter, S,
Issues in Interventional Fluoroscopy Procedures. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/12021233.html
