JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.
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Medical Radiology and Radiation Safety. 2012. Vol. 57. No. 5. P. 31-36
RADIATION MEDICINE
I.A. Galstyan, N.M. Nadejina
Local Radiation Injuries as Complications of Medical Radiation Exposure
Burnazyan Federal Medical Biophysic Center of Federal Medical Biology Agency of Russia, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract
Purpose: To familiarize medical doctors with situations of diagnostic and therapeutic medical radiation exposure where the development of acute radiation injuries in patients is possible. The clinical cases are addressed to medical doctors to whom patients with complaints in connection with developing local radiation injuries (LRI) can apply.
Material and methods: The analysis of archival materials of 214 patients with the LRI which were under dynamic supervision of clinic of Burnazyan FMBC has allowed to reveal 15 patients injured with medical radiation.
Results: Descriptions of case histories for 13 out of 15 patients exposed to medical radiation concerning various neoplasms and nononcological diseases and at which LRI of the II-IV degree were developed.
Conclusions: 1. Carrying out radiation diagnostic and therapeutic procedures occasionally can become complicated by LRI development.
- The reasons of development of radiation injuries can be: technical malfunction of the equipment, safety measures violation by personnel carrying out procedures, the specific features of the patient changing routine characteristics of exposure; the severe somatic status of the patient is the reason of more severe trophopathy of irradiated tissues.
- In cardiological practice of the diagnostic and medical procedures which are carried out under an X-ray control, approximately 3 % of cases led to development of acute LRI. Repeated interventions possibly develop of signs of chronic radiation dermatitis.
Key words: local radiation injuries, complications of medical radiation exposure, radiation therapy, X-rays -examination
REFERENCES
- Chida K., Saito H., Otani H. et al. Relationship between fluoroscopic time, dose-area product, body weight, and maximum radiation skin dose in cardiac interventional procedures. Amer. J. Roentgenol. 2006. Vol. 186. No. 3. P. 774-778.
- Slovut D. Cutaneous radiation injury after complex coronary intervention. JACC Cardiovasc. Interv. 2009. Vol. 2. No. 7. P. 701-702.
- Mettler F.A., Jr., Ortiz-Lopez P. Accidents in radiation therapy. In “Medical Management of Radiation Accidents”. Ed. by I.A. Gusev, A.K. Guskova, F.A. Mettler. CRC Press. 2001. P. 291-297.
- Sharp Ch. Medical accidents with local injury from use of medical fluoroscopy. In “Medical Management of Radiation Accidents”. Ed. by I.A. Gusev, A.K. Guskova, F.A. Mettler. CRC Press. 2001. P. 313-318.
- Tanaka J. The potential patient skin injuries from radiologically guided interventional procedure: the present condition and recommendable measure. Igaku Butsuri. 2002. Vol. 22. No. 2. P. 98-104.
- Kato M., Chida R., Sato T. et al. Patient skin injury in cardiac intervention procedures. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2010. Vol. 66. No. 6. P. 688-689.
- Aerts A., Decraene T., van den Oord J.J. et al. Chronic radiodermatitis following percutaneous coronary interventions: a report of two cases. J. Eur. Acad. Dermatol. Venereol. 2003. Vol. 17. No. 3. P. 340-343.
- Banaag L.O., Carter M.J. Radionecrosis induced by cardiac imaging procedures: a case study of a 66-yearold diabetic male with comorbidities. J. Invasive Cardiol. 2008. Vol. 20. No. 8. P. 233-236.
- Valentin J. Avoidance of Radiation Injuries from Medical Interventional procedures. Ann. ICRP. 2000. Vol. 30. No. 2. P. 7-67.
- Vlietstra R.E., Wagner L.K., Koenig T., Mettler F. Radiation burns as a severe complication of fluoroscopically guided cardiological interventions. J. Interv. Cardiol. 2004. Vol. 17. No. 3. P. 131-142.
- Wong L., Rehm J. Radiation injury from a fluoroscopic procedure. N. Engl. J. Med. 2004. Vol. 350. No. 25. P. 23-32.
- Bogaert E., Bacher K., Lemmens K. et al. A large-scale multicentre study of patient skin doses in interventional cardiology: dose-area product action levels and dose reference levels. Brit. J. Radiol. 2009. Vol. 82. No. 976. P. 303-312.
- Mettler F.A. Jr., Koenig T.R., Wagner L.K., Kelsey C.A. Radiation injuries after fluoroscopic procedures. Semin. Ultrasound. CT. MR. 2002. Vol. 23. No. 5. P. 428-442.
- Granel F., Barbaud A., Gillet-Terver M.N. et al. Chronic radiodermatitis after interventional cardiac catheterization. Four cases. Ann. Dermatol. Venerol. 1998. Vol. 125. No. 6-7. P. 405-407.
- Vano E., Goicolea J., Galvan C. et al. Skin radiation injuries in patients following repeated coronary angioplasty procedures. Brit. J. Radiol. 2001. Vol. 74. No. 887. P. 1023-1031.
- Kawakami T., Saito R., Miyazaki S. Chronic radiodermatitis following repeated percutaneous transluminal coronary angioplasty. Brit. J. Dermatol. 1999. Vol. 141. No. 1. P. 150-153.
- Sovik E., Klow N.E., Hellesnes J., Lykke J. Radiationinduced skin injuey after percutaneous transluminal coronary angioplasty. Case report. Acta Radiol. 1996. Vol. 37. No. 1. Pt. 1. P. 305-306.
- Monaco J.L., Bowen K., Tadros P.N., Witt P.D. Iatrogenic deep muscolocutaneous radiation injury following percutaneous coronary intervention. J. Invasive Cardiol. 2003. Vol. 15. No. 8. P. 451-453.
- Kotenko K.V., Eremin I.I., Moroz B.B. et. al. Kletochnye tekhnologii v lechenii radiatsionnykh ozhogov: opyt FMBTs im. A.I. Burnazyana. Kletochnaya transplantologiya i tkanevaya inzheneriya. 2012, Vol. VII. No. 2. P. 97-102.