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Does radiation medicine need more regulation or simply better-coordinated regulation? This book addresses this and other questions of critical importance to public health and safety. The issues involved are high on the nation's agenda: the impact of radiation on public safety, the balance between federal and state authority, and the cost-benefit ratio of regulation. Although incidents of misadministration are rare, a case in Pennsylvania resulting in the death of a patient and the inadvertent exposure of others to a high dose of radiation drew attention to issues concerning the regulation of ionizing radiation in medicine and the need to examine current regulatory practices. Written at the request from the Nuclear Regulatory Commission (NRC), Radiation in Medicine reviews the regulation of ionizing radiation in medicine, focusing on the NRC's Medical Use Program, which governs the use of reactor-generated byproduct materials. The committee recommends immediate action on enforcement and provides longer term proposals for reform of the regulatory system. The volume covers: Sources of radiation and their use in medicine. Levels of risk to patients, workers, and the public. Current roles of the Nuclear Regulatory Commission, other federal agencies, and states. Criticisms from the regulated community. The committee explores alternative regulatory structures for radiation medicine and explains the rationale for the option it recommends in this volume. Based on extensive research, input from the regulated community, and the collaborative efforts of experts from a range of disciplines, Radiation in Medicine will be an important resource for federal and state policymakers and regulators, health professionals involved in radiation treatment, developers and producers of radiation equipment, insurance providers, and concerned laypersons.
A comprehensive review of non-ionizing radiation and its public health and environmental risks, for researchers, policy makers, and laymen This book explains the characteristics of all forms of electromagnetic non-ionizing radiation (NIR) and analyzes the relationship between exposure and its biological effects, as well as the known dose-response relationships associated with each. Taking a uniquely holistic approach to the concept of health that builds upon the WHO definition to include not only absence of disease, but the physical, mental and social well-being of individuals and the population, it reviews established and potential risks and protections, along with regulatory issues associated with each. The risks to public health of NIR, whether in the form of UV light, radio waves from wireless devices, or electric and magnetic fields associated with electrical power systems, is currently a cause of great concern among members of the public and lawmakers. But in order to separate established science from speculation and make informed decisions about how to mitigate the risks of NIR and allocate precious resources, policymakers, manufacturers, and individuals need a comprehensive source of up-to-date information based on the current scientific evidence. Written by a team of experts in their fields, this book is that source. Among other things, it: Summarizes scientific findings on the safety of different forms of NIR and the rationale behind current standards Describes devices for monitoring NIR along with the established and potential hazards of each form Explores proper protections against UV light and lasers, RF radiation, ELF fields and other forms of NIR Discusses how to avoid injuries through occupational training or public awareness programs, and how to perform medical assessments in cases of suspected NIR injuries Considers how to decide whether or not to spend money on certain mitigation measures, based on cost-benefit analyses Offering expert reviews and analyses of the latest scientific findings and public policy issues concerning the risks to public health and the environment of NIR, Non-ionizing Radiation Protection is an indispensable source of information for manufacturers, government regulators, and regulatory agencies, as well as researchers, concerned laypersons, and students.
This renowned work is derived from the authors' acclaimed national review course (“Physics of Medical Imaging") at the University of California-Davis for radiology residents. The text is a guide to the fundamental principles of medical imaging physics, radiation protection and radiation biology, with complex topics presented in the clear and concise manner and style for which these authors are known. Coverage includes the production, characteristics and interactions of ionizing radiation used in medical imaging and the imaging modalities in which they are used, including radiography, mammography, fluoroscopy, computed tomography and nuclear medicine. Special attention is paid to optimizing patient dose in each of these modalities. Sections of the book address topics common to all forms of diagnostic imaging, including image quality and medical informatics as well as the non-ionizing medical imaging modalities of MRI and ultrasound. The basic science important to nuclear imaging, including the nature and production of radioactivity, internal dosimetry and radiation detection and measurement, are presented clearly and concisely. Current concepts in the fields of radiation biology and radiation protection relevant to medical imaging, and a number of helpful appendices complete this comprehensive textbook. The text is enhanced by numerous full color charts, tables, images and superb illustrations that reinforce central concepts. The book is ideal for medical imaging professionals, and teachers and students in medical physics and biomedical engineering. Radiology residents will find this text especially useful in bolstering their understanding of imaging physics and related topics prior to board exams.
Magnetic Resonance Procedures: Health Effects and Safety is the first authoritative text on MR procedures and its associated health and safety concerns written by noted radiologists, physicists, and scientists with expertise in the field. It contains both theoretical and practical information. This timely text discusses emergent issues rela
This open access book gives a complete and comprehensive introduction to the fields of medical imaging systems, as designed for a broad range of applications. The authors of the book first explain the foundations of system theory and image processing, before highlighting several modalities in a dedicated chapter. The initial focus is on modalities that are closely related to traditional camera systems such as endoscopy and microscopy. This is followed by more complex image formation processes: magnetic resonance imaging, X-ray projection imaging, computed tomography, X-ray phase-contrast imaging, nuclear imaging, ultrasound, and optical coherence tomography.
Radiology Fundamentals is a concise introduction to the dynamic field of radiology for medical students, non-radiology house staff, physician assistants, nurse practitioners, radiology assistants, and other allied health professionals. The goal of the book is to provide readers with general examples and brief discussions of basic radiographic principles and to serve as a curriculum guide, supplementing a radiology education and providing a solid foundation for further learning. Introductory chapters provide readers with the fundamental scientific concepts underlying the medical use of imaging modalities and technology, including ultrasound, computed tomography, magnetic resonance imaging, and nuclear medicine. The main scope of the book is to present concise chapters organized by anatomic region and radiology sub-specialty that highlight the radiologist’s role in diagnosing and treating common diseases, disorders, and conditions. Highly illustrated with images and diagrams, each chapter in Radiology Fundamentals begins with learning objectives to aid readers in recognizing important points and connecting the basic radiology concepts that run throughout the text. It is the editors’ hope that this valuable, up-to-date resource will foster and further stimulate self-directed radiology learning—the process at the heart of medical education.
Each year more than 180,000 new cases of breast cancer are diagnosed in women in the U.S. If cancer is detected when small and local, treatment options are less dangerous, intrusive, and costly-and more likely to lead to a cure. Yet those simple facts belie the complexity of developing and disseminating acceptable techniques for breast cancer diagnosis. Even the most exciting new technologies remain clouded with uncertainty. Mammography and Beyond provides a comprehensive and up-to-date perspective on the state of breast cancer screening and diagnosis and recommends steps for developing the most reliable breast cancer detection methods possible. This book reviews the dramatic expansion of breast cancer awareness and screening, examining the capabilities and limitations of current and emerging technologies for breast cancer detection and their effectiveness at actually reducing deaths. The committee discusses issues including national policy toward breast cancer detection, roles of public and private agencies, problems in determining the success of a technique, availability of detection methods to specific populations of women, women's experience during the detection process, cost-benefit analyses, and more. Examining current practices and specifying research and other needs, Mammography and Beyond will be an indispensable resource to policy makers, public health officials, medical practitioners, researchers, women's health advocates, and concerned women and their families.
Report No. 147 (2004) presents recommendations and technical information related to the design and installation of structural shielding for facilities that use x rays for medical imaging. The purpose of structural shielding is to limit radiation exposure to employees and members of the public. The information supersedes the recommendations that address such facilities in NCRP Report No. 49, Structural Shielding Design and Evaluation for Medical Use of X Rays and Gamma Rays of Energies Up to 10 MeV, which was issued in September 1976. NCRP Report No. 147 includes a discussion of the various factors to be considered in the selection of appropriate shielding materials and in the calculation of barrier thicknesses. The Report presents the fundamentals of radiation shielding, discusses shielding design goals for controlled and uncontrolled areas in or near x-ray imaging facilities and defines the relationship of these goals to the NCRP effective dose limits for radiation workers and members of the public. The Report includes a detailed discussion of the recommended shielding design methodology for x-ray imaging facilities and provides an extensive collection of shielding data and sample shielding calculations for various types of x-ray imaging facilities. The Report is mainly intended for those individuals who specialize in radiation protection. However, it will also be of interest to architects, hospital administrators and related professionals concerned with the planning of new facilities that use x rays for medical imaging.
Widely regarded as the cornerstone text in the field, the successful series of editions continues to follow the tradition of a clear and comprehensive presentation of the physical principles and operational aspects of medical imaging. The Essential Physics of Medical Imaging, 4th Edition, is a coherent and thorough compendium of the fundamental principles of the physics, radiation protection, and radiation biology that underlie the practice and profession of medical imaging. Distinguished scientists and educators from the University of California, Davis, provide up-to-date, readable information on the production, characteristics, and interactions of non-ionizing and ionizing radiation, magnetic fields and ultrasound used in medical imaging and the imaging modalities in which they are used, including radiography, mammography, fluoroscopy, computed tomography, magnetic resonance, ultrasound, and nuclear medicine. This vibrant, full-color text is enhanced by more than 1,000 images, charts, and graphs, including hundreds of new illustrations. This text is a must-have resource for medical imaging professionals, radiology residents who are preparing for Core Exams, and teachers and students in medical physics and biomedical engineering.
Offering a complete review for radiology residents and radiologic technologists preparing for certification, Review of Radiologic Physics, 5th Edition, by Dr. William F. Sensakovic, is a high-yield, efficient resource for today’s clinically focused exams. Now fully up to date, this edition covers x-ray production and interactions, projection and tomographic imaging, image quality, radiobiology, radiation protection, nuclear medicine, ultrasound, and magnetic resonance—all of the important physics information you need to understand the factors that improve or degrade image quality.