Radiological Protection Of Patients
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Radiological Protection Of Patients
Patients are exposed to ionizing radiation when they undergo diagnostic examinations using x-rays or radiopharmaceuticals. Radiation emitted by radioisotopes or radiation generators is utilized in therapy for cancer or benign lesions and also in interventional procedures using fluoroscopy. There has been a tremendous increase in the use of ionizing radiation in medicine during recent decades and health professionals and patients are concerned about the harmful effects of radiation. The International Atomic Energy Agency (IAEA) has established a program on radiological protection of patients in recognition of the increasing importance of this topic. The emphasis in the past had been on radiation protection of staff and this has helped to reduce radiation doses to staff at levels well below the limits prescribed by the International Commission on Radiological Protection (ICRP) and accepted by most countries. The recent emphasis on radiation protection of patients is helping in developi ...
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Patient
A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care provider. Etymology The word patient originally meant 'one who suffers'. This English noun comes from the Latin word ', the present participle of the deponent verb, ', meaning 'I am suffering,' and akin to the Greek verb (', to suffer) and its cognate noun (). This language has been construed as meaning that the role of patients is to passively accept and tolerate the suffering and treatments prescribed by the healthcare providers, without engaging in shared decision-making about their care. Outpatients and inpatients An outpatient (or out-patient) is a patient who attends an outpatient clinic with no plan to stay beyond the duration of the visit. Even if the patient will not be formally admitted with a note as an outpatient, ...
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Ionizing Radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel up to 99% of the speed of light, and the electromagnetic waves are on the high-energy portion of the electromagnetic spectrum. Gamma rays, X-rays, and the higher energy ultraviolet part of the electromagnetic spectrum are ionizing radiation, whereas the lower energy ultraviolet, visible light, nearly all types of laser light, infrared, microwaves, and radio waves are non-ionizing radiation. The boundary between ionizing and non-ionizing radiation in the ultraviolet area is not sharply defined, as different molecules and atoms ionize at different energies. The energy of ionizing radiation starts between 10 electronvolts (eV) and 33 eV. Typical ionizing subatomic particles include alpha particles, beta particles, and neutrons. ...
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Medical Radiography
Radiography is an imaging technique using X-rays, gamma rays, or similar ionizing radiation and non-ionizing radiation to view the internal form of an object. Applications of radiography include medical radiography ("diagnostic" and "therapeutic") and industrial radiography. Similar techniques are used in airport security (where "body scanners" generally use backscatter X-ray). To create an image in conventional radiography, a beam of X-rays is produced by an X-ray generator and is projected toward the object. A certain amount of the X-rays or other radiation is absorbed by the object, dependent on the object's density and structural composition. The X-rays that pass through the object are captured behind the object by a detector (either photographic film or a digital detector). The generation of flat two dimensional images by this technique is called projectional radiography. In computed tomography (CT scanning) an X-ray source and its associated detectors rotate around the su ...
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Radiopharmaceuticals
Radiopharmaceuticals, or medicinal radiocompounds, are a group of pharmaceutical drugs containing radioactive isotopes. Radiopharmaceuticals can be used as diagnostic and therapeutic agents. Radiopharmaceuticals emit radiation themselves, which is different from contrast media which absorb or alter external electromagnetism or ultrasound. Radiopharmacology is the branch of pharmacology that specializes in these agents. The main group of these compounds are the radiotracers used to diagnose dysfunction in body tissues. While not all medical isotopes are radioactive, radiopharmaceuticals are the oldest and still most common such drugs. Drug nomenclature As with other pharmaceutical drugs, there is standardization of the drug nomenclature for radiopharmaceuticals, although various standards coexist. The International Nonproprietary Names (INNs), United States Pharmacopeia (USP) names, and IUPAC names for these agents are usually similar other than trivial style differences. The de ...
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Fluoroscopy
Fluoroscopy () is an imaging technique that uses X-rays to obtain real-time moving images of the interior of an object. In its primary application of medical imaging, a fluoroscope () allows a physician to see the internal structure and function of a patient, so that the pumping action of the heart or the motion of swallowing, for example, can be watched. This is useful for both diagnosis and therapy and occurs in general radiology, interventional radiology, and image-guided surgery. In its simplest form, a fluoroscope consists of an X-ray source and a fluorescent screen, between which a patient is placed. However, since the 1950s most fluoroscopes have included X-ray image intensifiers and cameras as well, to improve the image's visibility and make it available on a remote display screen. For many decades, fluoroscopy tended to produce live pictures that were not recorded, but since the 1960s, as technology improved, recording and playback became the norm. Fluoroscopy is s ...
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International Atomic Energy Agency
The International Atomic Energy Agency (IAEA) is an intergovernmental organization that seeks to promote the peaceful use of nuclear energy and to inhibit its use for any military purpose, including nuclear weapons. It was established in 1957 as an autonomous organization within the United Nations system; though governed by its own founding treaty, the organization reports to both the General Assembly and the Security Council of the United Nations, and is headquartered at the UN Office at Vienna, Austria. The IAEA was created in response to growing international concern toward nuclear weapons, especially amid rising tensions between the foremost nuclear powers, the United States and the Soviet Union. U.S. President Dwight D. Eisenhower's " Atoms for Peace" speech, which called for the creation of an international organization to monitor the global proliferation of nuclear resources and technology, is credited with catalyzing the formation of the IAEA, whose treaty came into ...
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Radiation Protection
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination. Ionizing radiation is widely used in industry and medicine, and can present a significant health hazard by causing microscopic damage to living tissue. There are two main categories of ionizing radiation health effects. At high exposures, it can cause "tissue" effects, also called "deterministic" effects due to the certainty of them happening, conventionally indicated by the unit gray and resulting in acute radiation syndrome. For low level exposures there can be statistically elevated risks of radiation-induced cancer, called " stochastic effects" due to the uncertainty of them happening, ...
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International Commission On Radiological Protection
The International Commission on Radiological Protection (ICRP) is an independent, international, non-governmental organization, with the mission to protect people, animals, and the environment from the harmful effects of ionising radiation. Its recommendations form the basis of radiological protection policy, regulations, guidelines and practice worldwide. The ICRP was effectively founded in 1928 at the second International Congress of Radiology in Stockholm, Sweden but was then called the International X-ray and Radium Protection Committee (IXRPC). In 1950 it was restructured to take account of new uses of radiation outside the medical area and re-named as the ICRP. The ICRP is a sister organisation to the International Commission on Radiation Units and Measurements (ICRU). In general terms ICRU defines the units, and ICRP recommends, develops and maintains the International system of radiological protection which uses these units. Operation The ICRP is a not-for-profit organ ...
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ALARP
ALARP ("as low as reasonably practicable"), or ALARA ("as low as reasonably achievable"), is a principle in the regulation and management of safety-critical and safety-involved systems. The principle is that the residual risk shall be reduced as far as reasonably practicable. In UK and NZ Health and Safety law, it is equivalent to SFAIRP ("so far as is reasonably practicable"). In the US, ALARA is used in the regulation of radiation risks. For a risk to be ALARP, it must be possible to demonstrate that the cost involved in reducing the risk further would be grossly disproportionate to the benefit gained. The ALARP principle arises from the fact that infinite time, effort and money could be spent in the attempt of reducing a risk to zero; not the fact that reducing the risk in half would require a finite time, effort and money. It should not be understood as simply a quantitative measure of benefit against detriment. It is more a best common practice of judgement of the balance of r ...
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Journal Of Radiological Protection
''Journal of Radiological Protection'' is a quarterly peer-reviewed scientific journal covering radiobiological research on all aspects of radiological protection, including non-ionizing as well as ionizing radiations. It is the official journal of the Society for Radiological Protection and published on their behalf by IOP Publishing. It was established in 1981 as the ''Journal of the Society for Radiological Protection'', before obtaining its current name in 1988. The editor-in-chief is Mike THorne. Abstracting and indexing The journal is abstracted and indexed in: According to the ''Journal Citation Reports'', the journal had a 2020 impact factor of 1.394. See also * Centre for Radiation, Chemical and Environmental Hazards The Centre for Radiation, Chemical and Environmental Hazards (CRCE) is a British government environmental research site, run by Public Health England (PHE) in Chilton, Oxfordshire that monitors levels of toxic chemicals and background radiation in t ... (CR ...
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International Radiation Protection Association
The International Radiation Protection Association (IRPA) is an independent non-profit association of national and regional radiation protection societies, and its mission is to advance radiation protection throughout the world. It is the international professional association for radiation protection.) IRPA is recognized by the IAEA as a Non Governmental Organization (NGO) and is an observer on the IAEA Radiation Safety Standards Committee (RASSC). IRPA was formed on June 19, 1965, at a meeting in Los Angeles; stimulated by the desire of radiation protection professionals to have a world-wide body. Membership includes 50 Associate Societies covering 65 countries, totaling approximately 18,000 individual members. Structure The General Assembly, made up of representatives from the Associate Societies, is the representative body of the Association. It delegates authority to the Executive Council for the efficient administration of the affairs of the Association. Specific dutie ...
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European Committee On Radiation Risk
The European Committee on Radiation Risk (ECRR) is an informal committee formed in 1997 following a meeting by the European Green Party at the European Parliament to review the Council of Europe's directive ''96/29Euratom'', issued in May of the previous year. ECRR is not a formal scientific advisory committee to the European Commission or to the European Parliament. Its report is published by the Green Audit. Dr. Busby is the secretary of ECRR. First meeting The Council of Europe directive was a wide-ranging ruling regarding the use and transport of natural and artificial radioactive materials within the European Union, but the inaugural ECRR meeting concentrated on the proposal of Article 4.1.c: "...radioactive substances in the production and manufacture of consumer goods...". The EU legislators had found it convenient to incorporate the findings of the International Commission on Radiological Protection (ICRP) model for assessing radiation risk from internal emitters, but the E ...
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