Skip to main content
Erschienen in: Dysphagia 3/2019

22.09.2018 | Review

Radiation Exposure to Staff and Patient During Videofluoroscopic Swallowing Studies and Recommended Protection Strategies

verfasst von: Victoria Jean Earl, Mohamed Khaldoun Badawy

Erschienen in: Dysphagia | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Videofluoroscopic swallowing studies expose both the patients and the staff to ionising radiation. Although the radiation exposure is considered low compared to other diagnostic procedures, it is still prudent to keep the radiation dose as low as reasonably achievable. This review aims to summarise the latest literature pertaining to staff and patient radiation dose, as well as to make evidence-based recommendations on dose optimisation strategies. The evidence shows that patient radiation dose is low; nonetheless, care must be taken for patients that require multiple examinations. There are limited studies measuring the staff dose during videofluoroscopic swallowing procedures. However, the operator may receive radiation doses approaching 1 mSv per year. Recommendations for radiation protection strategies are summarised.
Literatur
4.
Zurück zum Zitat Australian Radiation Protection and Nuclear Safety Agency. Code of practice for radiation protection in the medical applications of ionizing radiation. Melbourne: Australian Radiation Protection and Nuclear Safety Agency; 2008. Australian Radiation Protection and Nuclear Safety Agency. Code of practice for radiation protection in the medical applications of ionizing radiation. Melbourne: Australian Radiation Protection and Nuclear Safety Agency; 2008.
5.
Zurück zum Zitat International Commission on Radiological Protection. Radiological protection in paediatric diagnostic and interventional radiology. ICRP Publication 121. Ann ICRP. 2013;42(2):1–63.CrossRef International Commission on Radiological Protection. Radiological protection in paediatric diagnostic and interventional radiology. ICRP Publication 121. Ann ICRP. 2013;42(2):1–63.CrossRef
6.
Zurück zum Zitat International Atomic and Energy Agency (2014) Radiation protection and safety of radiation sources: international basic safety standards—general safety requirements Part 3. International Atomic and Energy Agency (2014) Radiation protection and safety of radiation sources: international basic safety standards—general safety requirements Part 3.
7.
Zurück zum Zitat International Commission on Radiological Protection. The 2007 recommendations of the international commission on radiological protection. ICRP Publication 103. Ann. ICRP. 2007;37(2–4):1–332. International Commission on Radiological Protection. The 2007 recommendations of the international commission on radiological protection. ICRP Publication 103. Ann. ICRP. 2007;37(2–4):1–332.
8.
Zurück zum Zitat Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, National Research Council (2006) Health risks from exposure to low levels of ionizing radiation: BEIR VII Phase 2. https://doi.org/10.17226/11340. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, National Research Council (2006) Health risks from exposure to low levels of ionizing radiation: BEIR VII Phase 2. https://​doi.​org/​10.​17226/​11340.
9.
Zurück zum Zitat Russell SM, Applegate K, Kang J. Speech-Language Pathologists’ radiation knowledge & practices during completion of the MBSS: a survey. J Med Speech-Lang Pathol. 2013;21(4):369–91. Russell SM, Applegate K, Kang J. Speech-Language Pathologists’ radiation knowledge & practices during completion of the MBSS: a survey. J Med Speech-Lang Pathol. 2013;21(4):369–91.
13.
Zurück zum Zitat Hart D, Hillier MC, Shrimpton PC. HPA-CRCE-034: doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK—2010 review. london: Health Protection Agency; 2012. Hart D, Hillier MC, Shrimpton PC. HPA-CRCE-034: doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK—2010 review. london: Health Protection Agency; 2012.
18.
22.
Zurück zum Zitat Hart D, Jones DG, Wall BF. Coefficients for estimating effective doses from 34 paediatric X-ray examinations. NRPB-R279. Chilton: NRPB; 1996. Hart D, Jones DG, Wall BF. Coefficients for estimating effective doses from 34 paediatric X-ray examinations. NRPB-R279. Chilton: NRPB; 1996.
23.
Zurück zum Zitat Le Heron J. CHILDOSE: a user’s guide (NRL). New Zealand: National Radiation Laboratory; 1997. Le Heron J. CHILDOSE: a user’s guide (NRL). New Zealand: National Radiation Laboratory; 1997.
24.
Zurück zum Zitat Tapiovaara M, Siiskonen T. PCXMC, A Monte Carlo program for calculating patient doses in medical x-ray examinations. Report STUK-A139. 2nd ed. Finland (STUK): Radiation and Nuclear Safety Authority; 2008. Tapiovaara M, Siiskonen T. PCXMC, A Monte Carlo program for calculating patient doses in medical x-ray examinations. Report STUK-A139. 2nd ed. Finland (STUK): Radiation and Nuclear Safety Authority; 2008.
27.
Zurück zum Zitat Bushberg JT, Seibert JA, Leidholt EM Jr, Boone JM. The essental physics of medical imaging. 3rd ed. Alphen aan den Rijn: Wolters Kluwer; 2012. Bushberg JT, Seibert JA, Leidholt EM Jr, Boone JM. The essental physics of medical imaging. 3rd ed. Alphen aan den Rijn: Wolters Kluwer; 2012.
28.
Zurück zum Zitat Miles A, Benoit A, Keesing M, McLauchlan H, Ong E, Rigby H, Sargent M, Whitteker L, White J, Williams P. New Zealand speech-language therapy clinical practice guideline on videofluoroscopic study of swallowing (VFSS). Wellington: New Zealand Speech-language Therapists’ Association; 2011. Miles A, Benoit A, Keesing M, McLauchlan H, Ong E, Rigby H, Sargent M, Whitteker L, White J, Williams P. New Zealand speech-language therapy clinical practice guideline on videofluoroscopic study of swallowing (VFSS). Wellington: New Zealand Speech-language Therapists’ Association; 2011.
33.
Zurück zum Zitat American Association of Physicists in Medicine (2012) Functionality and operation of fluoroscopic automatic brightness control/automatic dose rate control logic in modern cardiovascular and interventional angiography systems (AAPM Report No. 125). American Association of Physicists in Medicine (2012) Functionality and operation of fluoroscopic automatic brightness control/automatic dose rate control logic in modern cardiovascular and interventional angiography systems (AAPM Report No. 125).
40.
Zurück zum Zitat International Atomic and Energy Agency. Diagnostic radiology physics: a handbook for teachers and students. Vienna: International Atomic and Energy Agency; 2014. International Atomic and Energy Agency. Diagnostic radiology physics: a handbook for teachers and students. Vienna: International Atomic and Energy Agency; 2014.
41.
Zurück zum Zitat Huda W. Review of radiologic physics. 4th ed. Alphen aan den Rijn: Wolters Kluwer; 2016. Huda W. Review of radiologic physics. 4th ed. Alphen aan den Rijn: Wolters Kluwer; 2016.
44.
Zurück zum Zitat Steele CM, Murray J. Radiation awareness and practices among Speech-Language Pathologists. Special Interest Division 13—Swallowing and Swallowing Disorders (Dysphagia). Rockville: American Speech-Language-Hearing Association; 2004. Steele CM, Murray J. Radiation awareness and practices among Speech-Language Pathologists. Special Interest Division 13—Swallowing and Swallowing Disorders (Dysphagia). Rockville: American Speech-Language-Hearing Association; 2004.
45.
Zurück zum Zitat Australian Radiation Protection and Nuclear Safety Agency. Code for radiation protection in planned exposure situations. Melbourne: Australian Radiation Protection and Nuclear Safety Agency; 2016. Australian Radiation Protection and Nuclear Safety Agency. Code for radiation protection in planned exposure situations. Melbourne: Australian Radiation Protection and Nuclear Safety Agency; 2016.
46.
Zurück zum Zitat American Speech-Language-Hearing Association (2004) Knowledge and skills needed by speech-language pathologists performing videofluoroscopic swallowing studies [Knowledge and Skills]. American Speech-Language-Hearing Association (2004) Knowledge and skills needed by speech-language pathologists performing videofluoroscopic swallowing studies [Knowledge and Skills].
Metadaten
Titel
Radiation Exposure to Staff and Patient During Videofluoroscopic Swallowing Studies and Recommended Protection Strategies
verfasst von
Victoria Jean Earl
Mohamed Khaldoun Badawy
Publikationsdatum
22.09.2018
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 3/2019
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-018-9945-0

Weitere Artikel der Ausgabe 3/2019

Dysphagia 3/2019 Zur Ausgabe

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.