Radiation-Induced Skin Injuries to Patients: What the Interventional Radiologist Needs to KnowReport as inadecuate




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CardioVascular and Interventional Radiology

, Volume 40, Issue 8, pp 1131–1140

First Online: 11 May 2017Received: 22 February 2017Accepted: 24 April 2017

Abstract

For a long time, radiation-induced skin injuries were only encountered in patients undergoing radiation therapy. In diagnostic radiology, radiation exposures of patients causing skin injuries were extremely rare. The introduction of fast multislice CT scanners and fluoroscopically guided interventions FGI changed the situation. Both methods carry the risk of excessive high doses to the skin of patients resulting in skin injuries. In the early nineties, several reports of epilation and skin injuries following CT brain perfusion studies were published. During the same time, several papers reported skin injuries following FGI, especially after percutaneous coronary interventions and neuroembolisations. Thus, CT and FGI are of major concern regarding radiation safety since both methods can apply doses to patients exceeding 5 Gy National Council on Radiation Protection and Measurements threshold for substantial radiation dose level. This paper reviews the problem of skin injuries observed after FGI. Also, some practical advices are given how to effectively avoid skin injuries. In addition, guidelines are discussed how to deal with patients who were exposed to a potentially dangerous radiation skin dose during medically justified interventional procedures.

KeywordsInterventional radiology Radiation Skin injuries  Download fulltext PDF



Author: Werner Jaschke - Matthias Schmuth - Annalisa Trianni - Gabriel Bartal

Source: https://link.springer.com/



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