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Basic Considerations of
Radiation Safety and Barrier Protection
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Categories of Radiation in Medicine
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Today, three broad categories of radiation are used in medicine. The most intense
in terms of radiation exposure to the patient is radiation therapy. Radiation
therapy involves a tumoricidal dosage that is highly focused on neoplastic tissues
in an attempt to cure or control local growth or disease. Patients who undergo radiation
therapy typically receive the highest doses of radiation exposure, although all
efforts are made to minimize the potential for untoward reactions in the surrounding
healthy tissue. A second category, called diagnostic radiology, is used in
determining or confirming healthcare disorders such as bone fractures, or other
maladies such as pneumonia.
To the general public, diagnostic x-rays are a principal source of exposure to potentially
carcinogenic man-made ionizing radiations. The last category encompasses the high-dose
fluoroscopically guided interventional procedures such as angioplasty and
stent replacement. These procedures involve a single dose of low-energy x-rays with
limited variation in the direction of applications. Patients undergoing fluoroscopically
or fluorographically guided interventional procedures absorb much larger doses from
ionizing radiation than patients having diagnostic procedures. Some clinicians believe
that the high doses reported in the interventional literature actually under-represent
exposure time for many long, complex cases.5
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