Korean J Pain.  2012 Jan;25(1):16-21. 10.3344/kjp.2012.25.1.16.

Radiation Safety and Education in the Applicants of the Final Test for the Expert of Pain Medicine

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Konkuk University Hospital, Seoul, Korea. painfree@kuh.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.

Abstract

BACKGROUND
The C-arm fluoroscope is known as the most important equipment in pain interventions. This study was conducted to investigate the completion rate of education on radiation safety, the knowledge of radiation exposure, the use of radiation protection, and so on.
METHODS
Unsigned questionnaires were collected from the 27 pain physicians who applied for the final test to become an expert in pain medicine in 2011. The survey was composed of 12 questions about the position of the hospital, the kind of hospital, the use of C-arm fluoroscopy, radiation safety education, knowledge of annual permissible radiation dose, use of radiation protection, and efforts to reduce radiation exposure.
RESULTS
In this study, although most respondents (93%) had used C-arm fluoroscopy, only 33% of the physicians completed radiation safety education. Even though nine (33%) had received education on radiation safety, none of the physicians knew the annual permissible radiation dose. In comparing the radiation safety education group and the no-education group, the rate of wearing radiation-protective glasses or goggles and the use of radiation badges or dosimeters were significantly higher in the education group. However, in the use of other protective equipment, knowledge of radiation safety, and efforts to reduce radiation exposure, there were no statistical differences between the two groups.
CONCLUSIONS
The respondents knew very little about radiation safety and had low interest in their radiation exposure. To make the use of fluoroscopy safer, additional education, as well as attention to and knowledge of practices of radiation safety are required for pain physicians.

Keyword

education; fluoroscopy; radiation; radiation monitoring; radiation protection

MeSH Terms

Surveys and Questionnaires
Eye Protective Devices
Eyeglasses
Fluoroscopy
Glass
Surveys and Questionnaires
Radiation Monitoring
Radiation Protection

Figure

  • Fig. 1 Frequency of protective device use.

  • Fig. 2 Other protective methods to reduce the radiation exposure. Opposite side of X-ray generator: in case of radiographic lateral view, try to operate on the other side of X-ray generator.


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Reference

1. Behrend M, Rosenthal R. Acquisition of spine injection skills using a beef injection simulator. Pain Physician. 2007; 10:591–598. PMID: 17660859.
2. Koyama M, Takizawa K, Kobayashi K, Sasaka K, Hoshikawa Y, Nakaji S, et al. Initial experience of percutaneous vertebro-plasty using single-plane C-arm fluoroscopy for guidance. Radiat Med. 2005; 23:256–260. PMID: 16012401.
3. Theocharopoulos N, Damilakis J, Perisinakis K, Manios E, Vardas P, Gourtsoyiannis N. Occupational exposure in the electrophysiology laboratory: quantifying and minimizing radiation burden. Br J Radiol. 2006; 79:644–651. PMID: 16641414.
Article
4. Wagner M, Duwenkamp C, Ludwig W, Dresing K, Bott OJ. An approach to simulate and visualize intraoperative scattered radiation exposure to improve radiation protection training. Stud Health Technol Inform. 2010; 160:625–628. PMID: 20841762.
5. Tonnessen BH, Pounds L. Radiation physics. J Vasc Surg. 2011; 53:6S–8S. PMID: 20869192.
Article
6. Andreassi MG. The biological effects of diagnostic cardiac imaging on chronically exposed physicians: the importance of being non-ionizing. Cardiovasc Ultrasound. 2004; 2:25. PMID: 15555078.
Article
7. Limacher MC, Douglas PS, Germano G, Laskey WK, Lindsay BD, McKetty MH, et al. ACC expert consensus document. Radiation safety in the practice of cardiology. American College of Cardiology. J Am Coll Cardiol. 1998; 31:892–913. PMID: 9525565.
8. Brenner DJ, Doll R, Goodhead DT, Hall EJ, Land CE, Little JB, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003; 100:13761–13766. PMID: 14610281.
Article
9. Botwin KP, Freeman ED, Gruber RD, Torres-Rames FM, Bouchtas CG, Sanelli JT, et al. Radiation exposure to the physician performing fluoroscopically guided caudal epidural steroid injections. Pain Physician. 2001; 4:343–348. PMID: 16902680.
10. Singer G. Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg. 2005; 13:69–76. PMID: 15712984.
Article
11. Schueler BA. Operator shielding: how and why. Tech Vasc Interv Radiol. 2010; 13:167–171. PMID: 20723831.
Article
12. Sinclair WK. Radiation protection recommendations on dose limits: the role of the NCRP and the ICRP and future developments. Int J Radiat Oncol Biol Phys. 1995; 31:387–392. PMID: 7836093.
Article
13. Tenforde TS. Future role of the NCRP in radiation health protection. Health Phys. 2004; 87:312–318. PMID: 15303070.
Article
14. Miller DL, Vañó E, Bartal G, Balter S, Dixon R, Padovani R, et al. Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. J Vasc Interv Radiol. 2010; 21:607–615. PMID: 20430294.
Article
15. Le Heron J, Padovani R, Smith I, Czarwinski R. Radiation protection of medical staff. Eur J Radiol. 2010; 76:20–23. PMID: 20656429.
Article
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