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Whenever a diagnostic or interventional X-ray examination of a pregnant patient is considered to be necessary, conceptus dose estimation is an essential step in assessing the radiogenic risks to the unborn child. Accurate estimation of embryo/fetus radiation dose is also needed after accidental exposure of a pregnant patient from an X-ray procedure. The exposure of pregnant patients to medical X-rays is often a complex case and involves emotionally sensitive issues for both prospective parents and physicians. Conceptus dose assessment is not always easy. Medical physicists should be able to assess conceptus doses and risks from diagnostic and interventional procedures and also to place the risk in a perspective from which an informed decision can be made. Pregnant medical professionals working with radiation have many misconceptions about the risks of ionizing radiation on the unborn child. Medical radiation workers of childbearing age should be aware that careful planning and dose optimization of examinations can address their concerns and permit, in the vast majority of cases, safe performance of procedures. Pediatric patients requiring diagnostic and interventional procedures are exposed to diagnostic and interventional X-rays. Pediatric patients are more sensitive to radiation than adults and, for this reason, accurate assessment of doses and risks is needed in these cases. Medical physicists should be able to assess paediatric doses and risks from diagnostic and interventional procedures. Several techniques and tools have been developed for dose optimization of radiographic, fluoroscopic, computed tomography and fluoroscopically-guided interventional pediatric procedures. The scan parameters should be adjusted for patient size and body region. Part of Series in Physics and Engineering in Medicine and Biology.
Describes management of neuroendovascular complications, focusing on tips and tricks for 'bailout' procedures.
In print since 1972, this seventh edition of Radiobiology for the Radiologist is the most extensively revised to date. It consists of two sections, one for those studying or practicing diagnostic radiolo, nuclear medicine and radiation oncology; the other for those engaged in the study or clinical practice of radiation oncology--a new chapter, on radiologic terrorism, is specifically for those in the radiation sciences who would manage exposed individuals in the event of a terrorist event. The 17 chapters in Section I represent a general introduction to radiation biology and a complete, self-contained course especially for residents in diagnostic radiology and nuclear medicine that follows the Syllabus in Radiation Biology of the RSNA. The 11 chapters in Section II address more in-depth topics in radiation oncology, such as cancer biology, retreatment after radiotherapy, chemotherapeutic agents and hyperthermia. Now in full color, this lavishly illustrated new edition is replete with tables and figures that underscore essential concepts. Each chapter concludes with a "summary of pertinent conclusions" to facilitate quick review and help readers retain important information.
This is the most comprehensive book to be written on the subject of fetal MRI. It provides a practical hands-on approach to the use of state-of-the-art MRI techniques and the optimization of sequences. Fetal pathological conditions and methods of prenatal MRI diagnosis are discussed by organ system, and the available literature is reviewed. Interpretation of findings and potential artifacts are thoroughly considered with the aid of numerous high-quality illustrations. In addition, the implications of fetal MRI are explored from the medico-legal and ethical points of view. This book will serve as a detailed resource for radiologists, obstetricians, neonatologists, geneticists, and any practitioner wanting to gain an in-depth understanding of fetal MRI technology and applications. In addition, it will provide a reference source for technologists, researchers, students, and those who are implementing a fetal MRI service in their own facility.
This book explains clearly and in detail all aspects of radiation protection in nuclear medicine, including measurement quantities and units, detectors and dosimeters, and radiation biology. Discussion of radiation doses to patients and to embryos, fetuses, and children forms a central part of the book. Phantom models, biokinetic models, calculations, and software solutions are all considered, and a further chapter is devoted to quality assurance and reference levels. Occupational exposure also receives detailed attention. Exposure resulting from the production, labeling, and injection of radiopharmaceuticals and from contact with patients is discussed and shielding calculations are explained. The book closes by considering exposure of the public and summarizing the "rules of thumb" for radiation protection in nuclear medicine. This is an ideal textbook for students and a ready source of useful information for nuclear medicine specialists and medical physics experts.
The editors address the anxiety-provoking, but not uncommon, scenario of a woman learning that she is pregnant after diagnostic or therapeutic radiologic exposure, or alternately, requiring X-rays, magnetic resonance, radioisotopes, or ultrasound after she becomes pregnant. Considerations span: the mechanisms for injury by diagnostic radiations, the units and measures of radiation, the amount of radiation absorbed by the conceptus, prenatal risk assessment, clinical management, and case reports (of diseases and traumatic injuries) exemplifying decision recommendations and counseling. Appendixes guide conceptus dose calculations for X-ray exams and radionuclide studies, and list half-lives of 23 radionuclides used in nuclear medicine (5,730 years for Carbon-14). Annotation copyrighted by Book News, Inc., Portland, OR
Nearly 20 million nuclear medicine procedures are carried out each year in the United States alone to diagnose and treat cancers, cardiovascular disease, and certain neurological disorders. Many of the advancements in nuclear medicine have been the result of research investments made during the past 50 years where these procedures are now a routine part of clinical care. Although nuclear medicine plays an important role in biomedical research and disease management, its promise is only beginning to be realized. Advancing Nuclear Medicine Through Innovation highlights the exciting emerging opportunities in nuclear medicine, which include assessing the efficacy of new drugs in development, individualizing treatment to the patient, and understanding the biology of human diseases. Health care and pharmaceutical professionals will be most interested in this book's examination of the challenges the field faces and its recommendations for ways to reduce these impediments.
Provides guidance to radiologists, other clinicians and radiographers/technologists involved in using ionizing radiation for diagnostic procedures with children and adolescents, and should also be of value to medical physicists and regulators.