The importance of public health in radiology and radiation protection

  • Zuzana Bárdyová | zuzanabardyova@gmail.com Faculty of Health and Social Care, Trnava University in Trnava, Slovakia. https://orcid.org/0000-0001-5727-4596
  • Martina Horváthová Faculty of Health and Social Care, Trnava University in Trnava, Slovakia.
  • Katarína Pinčáková Faculty of Health and Social Care, Trnava University in Trnava, Slovakia.
  • Darina Budošová Faculty of Health and Social Care, Trnava University in Trnava, Slovakia.

Abstract

The ionizing radiation belongs to the basic physical factors that can be measured. We forget often about its risks and the possible damage to our health. The imaging methods which use the ionizing radiation increase the diagnostics quality and they have become a certainty for many medical workers. Therefore, they are being used without rational thinking many times. With this is related to increasing the cumulative dose of patients. Next problem can be radiation safety knowledge of medical workers. The enormous increase in the use of sources ionizing radiation in medicine and rapid development, there may be a disproportionate acquisition of radiation safety knowledge of healthcare workers. At the same time, constant attention must be paid to the biological effects of radiation and realize epidemiology studies. In all the areas mentioned the public health has space. However, it is sad that presently, the radiation safety is not considered important enough in Public Health.  Based on many sources, it is safe to say that this is a major problem, because the public health itself can play an important role in radiation safety. It is important to point out, that safety and effectivity of using the source of ionizing radiation is one of the main components of Good Medical Practice.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

References

WHO. Public health services. Accessed: January 28, 2021. Available from: https://www.euro.who.int/en/health-topics/Health-systems/public-health-services

Pongpirul K, Lungren MP. Public Health and International Epidemiology for Radiology. Radiology in Global Health. Springer, New York: NY; 2014. DOI: https://doi.org/10.1007/978-1-4614-0604-4_14

Loose, RW, Vano E, Mildenberger P. et al. Radiation dose management systems—requirements and recommendations for users from the ESR EuroSafe Imaging initiative. European Radiology. 2020. Available from: https://doi.org/10.1007/s00330-020-07290-x DOI: https://doi.org/10.1007/s00330-020-07290-x

Guglielmi G, Pinto A, Salerno, S. Editorial from guest editors current Euratom legislation (DE 59/2013): new patient management in radiation protection. La radiologia medica. 2019; 124(8): 711–713. DOI: https://doi.org/10.1007/s11547-019-01070-4

Vanhavere F, Carinou E, Gualdrini G et al. ORAMED: Optimization of Radiation Protection of Medical Staff. EURADOS Report 2012-02.

Torresin A, Evans S, Lizio D. et al. Practical recommendations for the application of DE 59/2013. La radiologia medica. 2019; 124(8): 721–727. DOI: https://doi.org/10.1007/s11547-019-01031-x

Faggioni L, Paolicchi F, Bastiani L et al. Awareness of radiation protection and dose levels of imaging procedures among medical students, radiography students, and radiology residents at an academic hospital: Results of a comprehensive survey. European Journal of Radiology. 2017; 86(1): 135-142. DOI: https://doi.org/10.1016/j.ejrad.2016.10.033

Cabaneková H. [Ionizing radiation and health risk]. XI. Banskoštiavnické dni: Banská Štiavnica, 2009. Accessed: January 28, 2021. Available from: https://inis.iaea.org/collection/NCLCollectionStore/_Public/41/122/41122251.pdf

Domenech H. Radiation Safety. Management and Programs. Switzerland: Springer International Publishing; 2017.

6. Podzimek F. 2015. [Radiological physics. Physics of ionizing radiation]. Praha: ČVUT; 2015. Czech

Franco A, Ciccarelli M, Sorriento D et al. Rays Sting: The acute cellular effects of ionizing radiation exposure. Translation Medicine. 2016; 14(8): 42-53.

Paolicchi F, Miniati F, Bastiani L et al. Assessment of radiation protection awareness and knowledge about radiological examination doses among Italian radiographers. Insights Imaging 2016; 7(2): 233-242. DOI: https://doi.org/10.1007/s13244-015-0445-6

WHO. Global Initiative on Radiation Safety in Healthcare Settings. 2008.100 p. Accessed: January 28, 2021. Available from: https://www.who.int/ionizing_radiation/about/GI_TM_Report_2008_Dec.pdf

Ivanov VK, Kasjcheev VV, Chekin SY et al. Estimation of risk from medical radiation exposure based on effective and organ dose: How much difference is there? Radiation Protection Dosimetry. 2013; 155(3):317-328. DOI: https://doi.org/10.1093/rpd/nct008

Ivanov VK, Tsyb AF, Mettler FA et al. Methodology for estimating cancer risk of diagnostic medical exposure: with an example of the risks associated with computed tomography. Health Physics. 2012; 103(6): 732-739. DOI: https://doi.org/10.1097/HP.0b013e31825c179f

OECD. Health at a Glance 2017. OECD Indicators. Paris: OECD, 2017.

Štubňa M. [Radiation risks potentially associated with CT]. České Budějovice: Jihočeská univerzita v Českých Budějovicích, 2013. Czech.

Carpeggiani C, Kraft G, Caramella D et al. Radioprotection (un)awareness in cardiologists, and how to improve it. Journal of Cardiovascular Imaging. 2012; 28(6):1369-1374. DOI: https://doi.org/10.1007/s10554-011-9937-8

Malone J, Guleria R, Craven C et al. Justification of diagnostic medical exposures, some practical issues. Report of an International Atomic Energy Agency (IAEA) Consultation. The British Journal of Radiology 2012; 85(1013): 523-538. DOI: https://doi.org/10.1259/bjr/42893576

Gerić M, Popić J, Gajski G et al. Cytogenetic status of interventional radiology unit workers occupationally exposed to low-dose ionising radiation: A pilot study. Mutation Research - Genetic Toxicology and Environmental Mutagenesis. 2019; 843: 46-51. DOI: https://doi.org/10.1016/j.mrgentox.2018.10.001

Coppeta L, Pietroiusti A, Neri A et al. Risk of radiation-induced lens opacities among surgeons and interventional medical staff. Radiological Physics and Technology. 2018; 12(323): 26-29.

Ko S, Kang S, Ha M et al. Health effects from occupational radiation exposure among fluoroscopy-guided interventional medical workers: A systematic review. Journal of Vascular and Interventional Radiology. 2018; 29(3): 353-366. DOI: https://doi.org/10.1016/j.jvir.2017.10.008

Picano E, Vano E, Domenici L et al. Cancer and non-cancer brain and eye effects of chronic low-dose ionizing radiation exposure. BMC Cancer. 2012; 12:157. DOI: https://doi.org/10.1186/1471-2407-12-157

Reeves RR, Ang L, Bahadorani J et al. Invasive cardiologists are exposed to greater left sided cranial radiation: The BRAIN Study (Brain radiation exposure and attenuation during invasive cardiology procedures). JACC: Cardiovascular Interventions. 2015; 8(9): 1197-1206.

Burns S, Thornton R, Dauer LT et al. 2013. Leaded eyeglasses substantially reduce radiation exposure of the surgeon’s eyes during acquisition of typical fluoroscopic views of the hip and pelvis. The Journal of Bone & Joint Surgery. 2013; 95(14): 1307-1311.

König AM, Etzel R, Thomas RP et al. Personal radiation protection and corresponding dosimetry in interventional radiology: An overview and future developments. Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 2019; 191(6): 512-521. DOI: https://doi.org/10.1055/a-0800-0113

Meisingeer QC, Stahl CM, Andre MP et al. Radiation protection for the fluoroscopy operator and staff. American Journal of Roentgenology. 2016; 207(4): 745-754. DOI: https://doi.org/10.2214/AJR.16.16556

Behzadmehr R, Doostkami M, Sarchahi Z et al. Radiation protection among health care workers: knowledge, attitude, practice, and clinical recommendations: a systematic review. Reviews on Environmental Health. 2020. Accessed: January 28, 2021. Available from: https://www.degruyter.com/view/journals/reveh/ahead-of-print/article-10.1515-reveh-2020-0063/article-10.1515-reveh-2020-0063.xml?language=en

Marwe B. Standardised Training And Assessment In Radiation Safety For Diagnostic Radiographers. Thesis: Faculty Of Health Sciences, University Of The Free State Bloemfontein, 2014. Accessed: January 28, 2021. Available from: http://scholar.ufs.ac.za:8080/xmlui/bitstream/handle/11660/802/vanderMerweB.pdf;sequence=1

EUROPEAN COMMISSION. Radiation Protection 116. Guidelines on education and training in radiation protection for medical exposures. EC, 2000.

INTERNATIONAL ATOMIC ENERGY AGENCY, WORLD HEALTH ORGANIZATION. [Bonn call for action. 10 principles of strengthening radiation protection in healthcare for the next decade]. IAEA, WHO, 2012. Accessed: January 28, 2021. Available from:https://www.health.gov.sk/Clanok?10-zasad-posilnenia-radiacnej-ochrany-v-zdravotnictve-na-najblizsiu-dekdu

O’Sullivan J, O’Connor J, O’Regan K et al. An assessment of medical students’ awareness of radiation exposures associated with diagnostic imaging investigations. Insights Imaging 2010: 1(2): 86-92. DOI: https://doi.org/10.1007/s13244-010-0009-8

Ng SE, Sa, F. Assessment of awareness and practice of ionizing radiation protection procedures among exposed health care workers. Egyptian Journal of Occupational Medicine. 2020; 44:529–44. DOI: https://doi.org/10.21608/ejom.2020.67771

Alavi SS, Dabbagh ST, Abbasi M et al. Medical radiation workers’ knowledge, attitude, and practice to protect themselves against ionizing radiation in Tehran Province, Iran. Journal of Education and Health Promotion 2017. 6:58.

Alzubaidi MA, Mutairi HH, Alakel SM et al. Assessment of knowledge and attitude of nurses towards ionizing radiation during radiography in Jeddah city. The Egyptian Journal of Hospital Medicine. 2017; 69(7): 2906-2909. DOI: https://doi.org/10.12816/0042590

Söylemez H, Sancaktutar AA, Silay MS et al. Knowledge and attitude of European urology residents about ionizing radiation. Urology 2013; 81:30-6. DOI: https://doi.org/10.1016/j.urology.2012.07.097

Shabani F, Hasanzadeh H, Emadi A et al. Radiation protection knowledge, attitude, and practice (KAP) in interventional radiology. Oman Med J 2018;33(2):141. DOI: https://doi.org/10.5001/omj.2018.26

Ihle IR, Neibling E, Albrecht K et al. Investigation of radiation‐protection knowledge, attitudes, and practices of North Queensland dentists. J Investig Clin Dentistry 2019;10:e12374. DOI: https://doi.org/10.1111/jicd.12374

Ramanathas S, Ryan J. Radiation awareness among radiology residents, technologists, fellows, and staff: where do we stand? Insights Imaging 2014;6:133-39. DOI: https://doi.org/10.1007/s13244-014-0365-x

Hagi SK, Khafaji MA. Medical student’s knowledge of ionizing radiation and radiation protection. Saudi Med J 2011;32:179-83.

Campanella F, Rossi L, Giroletti E et al. Are physicians aware enough of patient radiation protection? Results from a survey among physicians of Pavia District– Italy. BMC Health Serv Res 2017;17:406. DOI: https://doi.org/10.1186/s12913-017-2358-1

Enabulele JE, Igbinedion BO. An assessment of dental students’ knowledge of radiation protection and practice. J Educ Ethics Dentistry 2014;3:54-5.

Kim TH, Hong SW, Woo NS et al. The radiation safety education and the pain physicians’ efforts to reduce radiation exposure. Korean J Pain 2017; 30:104-15. DOI: https://doi.org/10.3344/kjp.2017.30.2.104

Foley SJ, Evanoff MG, Rainford LA. A questionnaire survey reviewing radiologists’ and clinical specialist radiographers’ knowledge of CT exposure parameters. Insights Imaging 2013;4:637-46. DOI: https://doi.org/10.1007/s13244-013-0282-4

Published
2021-03-12
Info
Issue
Section
Review Articles
Supporting Agencies
This work was supported by Grant of University of Trnava number 11/TU/2020
Keywords:
education, ionizing radiation, public health, radiation safety, radiology
Statistics
  • Abstract views: 169

  • PDF: 69
How to Cite
Bárdyová, Z., Horváthová, M., Pinčáková, K., & Budošová, D. (2021). The importance of public health in radiology and radiation protection. Journal of Public Health Research. https://doi.org/10.4081/jphr.2021.2141