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22 Cards in this Set

  • Front
  • Back
Mantra for interventional Radiology?
OPEN IT UP
CLOSE IT DOWN
LEAVE SOMETHING IN
TAKE SOMETHING OUT
Our Mantra
“UP, DOWN, IN, OUT
What % of interventional radiology is therapeutic?
>90%
Does interventional radiology do work on lymphatics?
No.
LeRiche Syndrome is...
... intrarenal aortic occulsion
Possible things radiation exposure can do to an embryo or fetus? (3)
spontaneous abortion
congenital abnormalities
cancer and leukemia
Is genetic damage a concern for Radiology diagnostic tests on a one test basis? Sterility? Cancer?
No, no. Yes.
3 ways to describe radiation doses:
1. how much is incident on the patient (exposure) (C/kg)
2. how much is actually absorbed by the patient "absorbed dose" (mGy)
3. Relative amount of biological response (equivalent dose) (mSv)
What term is replacing 'exposure' in many cases?
Air Kerma
Define "air kerma"... what are it's units?
absorbed does would be in air from the given exposure... units are milligray (mGy)
What are some low dose Radiology exams?
Chest, extremities

<0.01mGv to fetus
Moderate dose radiology exams?
abdomen, lumbar spine, nuclear medicine exam

10mGv to the fetus
High dose rad. exams?
CT, fluoroscopy, interventional procedures

>10mGy to the fetus
How much radiation 'background' do we get everyday?
~0.01 mGy per day
In which trimester is the fetus/embryo most sensitive to radiation?
1st trimester
Three highly sensitive periods during fetal development for radiation damage?
preimplantation: 0-2 wks
organogenesis: 2-8 wks
early fetal development: 9-15 wks
In which sensitive period does radiation have an all or nothing effect?
conception age: spontaneous abortion or no effect at all.
What is the dangerous dose for organogenesis? What might be considered as Rx?
Early fetal development? Rx?
>100mGy
Therapeudic termination of preg.

50-150mGy - might not justify early termination
Order the following possible complications from most common with 150mGy dose to least: cancer, microcephaly, mental retardation
microcephaly, mental retardation, cancer
apart from data, is there some "association" between exposures as low as 10mGy in utero & development of childhood leukemia?
yes.
Is the primary source of exposure for healthcare workers from the equipment?
no, scattered radiation from the patient.
Registered radiation workers may receive how much radiation a year? Other non-registered?
50mGy
1mGy
Rad. risks to am embryo or fetus depend on what 2 critical factors?
conception age & total radiation dose