Radiation-Induced Skin Injuries to Patients: What the Interventional Radiologist Needs to Know

Cardiovascular and Interventional Radiology
Werner JaschkeGabriel Bartal

Abstract

For a long time, radiation-induced skin injuries were only encountered in patients undergoing radiation therapy. In diagnostic radiology, radiation exposures of patients causing skin injuries were extremely rare. The introduction of fast multislice CT scanners and fluoroscopically guided interventions (FGI) changed the situation. Both methods carry the risk of excessive high doses to the skin of patients resulting in skin injuries. In the early nineties, several reports of epilation and skin injuries following CT brain perfusion studies were published. During the same time, several papers reported skin injuries following FGI, especially after percutaneous coronary interventions and neuroembolisations. Thus, CT and FGI are of major concern regarding radiation safety since both methods can apply doses to patients exceeding 5 Gy (National Council on Radiation Protection and Measurements threshold for substantial radiation dose level). This paper reviews the problem of skin injuries observed after FGI. Also, some practical advices are given how to effectively avoid skin injuries. In addition, guidelines are discussed how to deal with patients who were exposed to a potentially dangerous radiation skin dose during medically justified...Continue Reading

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Citations

Dec 21, 2018·International Journal of Radiation Biology·José L SorianoBeatriz Clares
Sep 25, 2018·Radiation Protection Dosimetry·L O'HoraL Rainford
May 22, 2020·Cardiovascular and Interventional Radiology·Werner JaschkeEliseo Vano
Apr 29, 2019·Journal of Vascular and Interventional Radiology : JVIR·Mélanie Guesnier-DopagneMichel D'Incan
Jan 27, 2021·Journal of Clinical Medicine·Anna Paulina Domaszewska-SzostekMaria Siemionow
Jun 2, 2020·Annals of Vascular Surgery·Andrea KleinMelissa Kirkwood
Dec 5, 2020·International Journal of Computer Assisted Radiology and Surgery·Philipp RoserAndreas Maier
May 15, 2021·Cardiovascular and Interventional Radiology·Ewald GuniRalf Adamus
May 15, 2021·Cardiovascular and Interventional Radiology·Agapi PloussiElias Brountzos
Jul 8, 2021·Cardiovascular and Interventional Radiology·Andreas H MahnkenGeorgia Tsoumakidou
Sep 4, 2021·Materials Science & Engineering. C, Materials for Biological Applications·Hye Ran LeeChul-Ho Kim
Dec 4, 2021·Radiation and Environmental Biophysics·Eyachew Misganew TegawGetu Ferenji Tadesse

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