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Additional info for Radiation Dose Management for Fluoroscopically-Guided Interventional Medical Procedures issue 168
2009a). This situation has been previously discussed in depth by NCRP (1995b). 3). 2 Patient Cancer Risk. 3). 3 demonstrates the differences in cancer mortality risk between any particular age group of patients (by gender) and the general population. , FGI procedures) have a different age distribution and may be less healthy than the general population. Risk estimation tools designed for a general population have uncertainties that are beyond the scope of this Report. Their application to FGI patients is likely to have increased uncertainty.
Justification thus goes far beyond the scope of radiological protection. ” A medical procedure should only be performed when it is appropriate for a particular patient. , mortality, morbidity, anxiety of anticipating the procedure, pain produced by the procedure, misleading or false diagnoses, time lost from work) by a sufficiently wide margin that the procedure is worth doing (NHS, 1993; Sistrom, 2008). , 2006). This consideration of benefits and risks is called a benefit-risk analysis. Even if the benefit-cost analysis is favorable, FGI procedures should not be substituted for the alternative surgical procedures unless the benefit-risk ratio is equivalent to or better for the FGI procedure.
Life expectancy, health status). 6 RADIATION HEALTH EFFECTS / 39 Fig. 4. Schematic illustrating the method of computing E (ICRP, 2007a). the population undergoing medical procedures using ionizing radiation, and will also differ from one type of medical procedure to another, depending on the characteristics of the individuals with the medical condition being evaluated. An “effective dose” for an FGI procedure is often evaluated using PKA and a procedure-specific conversion coefficient. Published conversion coefficients are obtained using Monte-Carlo simulations or thermoluminescent-dosimeter measurements in phantoms.