☆ 4.4 Review

Radiation Safety Education and Practices in Urology: A Review

JOURNAL OF ENDOUROLOGY (2023)

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Article Urology & Nephrology

X-ray therapy safety and awareness education for medical trainees and attending physicians

Mckinley Smith et al.

Summary: This study aimed to assess the level of radiation safety knowledge and training among medical trainees and attending physicians. Medical students had a lower rate (41.9%) of receiving radiation safety training compared to attending physicians (14.9%). Attending physicians and residents had more frequent exposure to radiation and better knowledge of radiation safety. Online courses and workshops were the preferred methods of training.

CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL (2023)

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Article Radiology, Nuclear Medicine & Medical Imaging

The use of digital magnification to reduce radiation dose in the cardiac catheter laboratory

Shailesh Dalvi et al.

Summary: Using digital matrix magnification to enlarge images by 33% without using X-ray machine zoom magnification protocols resulted in over 30% reduction in kerma-area product (KAP) for both diagnostic and interventional procedures in a cardiac catheter laboratory. This approach demonstrated significant dose reduction without loss of image resolution, indicating its potential applicability in interventional radiology as well.

BRITISH JOURNAL OF RADIOLOGY (2022)

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Review Gastroenterology & Hepatology

How should radiation exposure be handled in fluoroscopy-guided endoscopic procedures in the field of gastroenterology?

Mamoru Takenaka et al.

Summary: Fluoroscopy-guided endoscopic procedures (FGEPs) are becoming popular in gastroenterology, but radiation is a known health hazard. Gastroenterologists should understand and adhere to radiation protection principles and DRLs to protect themselves and patients from radiation exposure.

DIGESTIVE ENDOSCOPY (2022)

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Article Urology & Nephrology

Rules and regulations for a pregnant endourologist: the European perspective

Patrick Juliebo-Jones et al.

Summary: There are significant variations in maternity leave policies across European countries, with some offering additional weeks of paid or unpaid leave. Furthermore, there is a lack of universal guidance on radiation safety for pregnant clinicians, highlighting the need for standardized protocols and policies to address this issue.

WORLD JOURNAL OF UROLOGY (2022)

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Article Urology & Nephrology

ALARA in Urology: Steps to Minimise Radiation Exposure During All Parts of the Endourological Journey

Bhanot Radhika et al.

Summary: This article provides an overview of the global burden and management of kidney stone disease (KSD) and its reliance on ionising radiation. It emphasizes the importance of ionising radiation in various stages of endourological management, along with strategies to reduce radiation exposure and risks. The article highlights the need for urologists to minimize their own exposure risks and improve practice in this area through teaching programs, checklists, and judicious use of imaging techniques.

CURRENT UROLOGY REPORTS (2022)

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Article Surgery

Fluoroscopy-use during ureterorenoscopy: are urologists concerned about radiation exposure? A nationwide survey in Belgium and The Netherlands

Michael M. E. L. Henderickx et al.

Summary: The study found a wide variety in the use and awareness of radiation among urologists during URS procedures. Some urologists lack awareness of radiation safety, which highlights the need for further education and training to reduce the negative effects of radiation on patients and medical staff.

ACTA CHIRURGICA BELGICA (2021)

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Article Urology & Nephrology

Radiation Exposure of Surgical Team During Endourological Procedures: International Atomic Energy Agency-South-Eastern European Group for Urolithiasis Research Study

Jenia Vassileva et al.

Summary: This multicenter study found that the practice of radiation protection among operating team members during fluoroscopy-guided endourology procedures was inconsistent. While lead aprons and thyroid collars were universally used, protective eyewear was only used in half of the centers. Standard protocols for fluoroscopy use and increased awareness of radiation protection are needed to improve safety for surgical staff.

JOURNAL OF ENDOUROLOGY (2021)

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Article Medicine, General & Internal

A survey analysis of knowledge levels of urologists about radiation safety and fluoroscopy use

Emre Altintas et al.

Summary: The study aimed to assess the awareness of fluoroscopy use and preventive measures among urologists in Turkey. Results showed a lack of information on radiation protection and harmful effects of radiation among participants, indicating a need for systematic training programs on fluoroscopy use and radiation exposure in urology residency.

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE (2021)

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Article Urology & Nephrology

Radiation Safety Knowledge and Practice in Urology Theaters: A Collaborative Multicenter Survey

Kelly Ong et al.

Summary: The study reveals suboptimal compliance with radiation safety guidelines in contemporary urologic practice, posing a significant occupational health concern that urgently requires addressing the availability of protective equipment.

JOURNAL OF ENDOUROLOGY (2021)

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Article Urology & Nephrology

Flat Panel Detector c-Arms Are Associated with Dramatically Reduced Radiation Exposure During Ureteroscopy and Produce Superior Images

Jason J. Lee et al.

Summary: This study compared radiation doses from new FPD c-arms and traditional CII c-arms during ureteroscopy, finding that FPD group had significantly lower radiation doses and higher image quality compared to the CII group.

JOURNAL OF ENDOUROLOGY (2021)

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Article Multidisciplinary Sciences

Radiation exposure to the urology surgeon during retrograde intrarenal surgery

Il Woo Park et al.

Summary: This study measured the radiation exposure for urologists during retrograde intrarenal surgery and found that wearing lead collars and aprons significantly reduced radiation exposure. With recommended protective measures in place, urologists can safely perform up to 517 procedures per year.

PLOS ONE (2021)

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Article Medicine, General & Internal

Effect of Structured Educational Program on Practices of Radiation Safety Measures Among Health Care Providers in Urology Operation Theater

Vijay Kumar et al.

Summary: The study conducted at JIPMER Department of Urology showed that educational interventions significantly improved the knowledge of radiation safety measures among healthcare providers, leading to increased use of radiation protective gear. Regular structured educational programs are recommended for a healthy and safe working environment in urology operation theaters.

CUREUS JOURNAL OF MEDICAL SCIENCE (2021)

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Article Medicine, General & Internal

Reduced Fluoroscopy Time With Physician-Controlled Fluoroscopy During Endoscopic Retrograde Cholangiopancreatography: A Community Hospital Experience

Samir Kakodkar et al.

Summary: This study compared physician-controlled and technologist-controlled fluoroscopy during ERCP, finding that physician-controlled fluoroscopy was associated with shorter fluoroscopy time and potentially reduced radiation exposure for patients, indicating a possible benefit of using physician-controlled fluoroscopy during ERCP procedures.

CUREUS JOURNAL OF MEDICAL SCIENCE (2021)

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Article Urology & Nephrology

Awareness and implementation of lonizing radiation safety measures among urology community in Egypt: nationwide survey

Mohamed Omar et al.

Summary: The study aimed to assess the awareness and implementation of radiation safety measures among Egyptian Urology Trainees and Urologists. Results showed a lack of awareness and implementation of these measures, with receiving radiation safety courses being the only predictor of good compliance.

AFRICAN JOURNAL OF UROLOGY (2021)

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Article Urology & Nephrology

The Future is Female: Urology Workforce Projection From 2020 to 2060

Catherine S. Nam et al.

UROLOGY (2020)

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Article Urology & Nephrology

Impact of Surgical Experience on Radiation Exposure during Retrograde Intrarenal Surgery: A Propensity-Score Matching Analysis

Luca Boeri et al.

EUROPEAN UROLOGY FOCUS (2020)

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Article Urology & Nephrology

Assessment of Radiation Safety Knowledge Among Urology Residents in the United States

Andrew M. Harris et al.

JOURNAL OF ENDOUROLOGY (2019)

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Article Urology & Nephrology

Level of knowledge on radiation exposure and compliance to wearing protective equipment: where do endourologists stand? An ESUT/EULIS survey

Lazaros Tzelves et al.

WORLD JOURNAL OF UROLOGY (2019)

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Article Radiology, Nuclear Medicine & Medical Imaging

Reduction of radiation exposure to operating physician and assistant using a real-time auditory feedback dosimeter during femoral artery puncturing: a study on swine model

Muhammad Umair Ahmad Khan et al.

EUROPEAN RADIOLOGY EXPERIMENTAL (2019)

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Article Urology & Nephrology

Radiation Exposure to the Urologist Using an Overcouch Radiation Source Compared With an Undercouch Radiation Source in Contemporary Urology Practice

Andrew M. Harris

UROLOGY (2018)

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Article Pediatrics

The effect of surgeon versus technologist control of fluoroscopy on radiation exposure during pediatric ureteroscopy: A randomized trial

Paul J. Kokorowski et al.

JOURNAL OF PEDIATRIC UROLOGY (2018)

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Review Clinical Neurology

Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management

Bo Kyung Cheon et al.

KOREAN JOURNAL OF PAIN (2018)

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Article Radiology, Nuclear Medicine & Medical Imaging

Eye lens radiation exposure of the medical staff performing interventional urology procedures with an over-couch X-ray tube

S. Medici et al.

PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS (2017)

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Article Urology & Nephrology

Should surgeons control fluoroscopy during urology procedures?

Jeremy Setterfield et al.

CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL (2016)

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Article Urology & Nephrology

Surgical Staff Radiation Protection During Fluoroscopy-Guided Urologic Interventions

Francois Galonnier et al.

JOURNAL OF ENDOUROLOGY (2016)

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Editorial Material Urology & Nephrology

Radiation exposure to a pregnant urological surgeon - what is safe?

Angela M. Birnie et al.

BJU INTERNATIONAL (2015)

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Article Urology & Nephrology

How are we protecting ourselves from radiation exposure? A nationwide survey

Claudio F. Borges et al.

INTERNATIONAL UROLOGY AND NEPHROLOGY (2015)

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Article Urology & Nephrology

Fluoroscopy time during uncomplicated unilateral ureteroscopy for urolithiasis decreases with urology resident experience

Lancaster R. Weld et al.

WORLD JOURNAL OF UROLOGY (2015)

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Article Medicine, General & Internal

The Knowledge of Radiation and the Attitude Towards Radio-Protection among Urology Residents in India

Tarun Jindal

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2015)

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Review Gastroenterology & Hepatology

Radiation Exposure in Gastroenterology: Improving Patient and Staff Protection

Immanuel K. H. Ho et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2014)

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Article Surgery

Radiation safety education in vascular surgery training

Stefano J. Bordoli et al.

JOURNAL OF VASCULAR SURGERY (2014)

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Article Urology & Nephrology

Safety, Minimization, and Awareness Radiation Training Reduces Fluoroscopy Time During Unilateral Ureteroscopy

Lancaster R. Weld et al.

UROLOGY (2014)

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Article Radiology, Nuclear Medicine & Medical Imaging

Online Training on the Safe Use of Fluoroscopy Can Result in a Significant Decrease in Patient Dose

Katherine C. Frederick-Dyer et al.

ACADEMIC RADIOLOGY (2013)

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Article Orthopedics

Leaded Eyeglasses Substantially Reduce Radiation Exposure of the Surgeon’s Eyes During Acquisition of Typical Fluoroscopic Views of the Hip and Pelvis

Sean Burns et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2013)

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Article Education, Scientific Disciplines

Radiation Safety Knowledge and Practices Among Urology Residents and Fellows: Results of a Nationwide Survey

Ariella A. Friedman et al.

JOURNAL OF SURGICAL EDUCATION (2013)

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Article Urology & Nephrology

Knowledge and Attitude of European Urology Residents About Ionizing Radiation

Haluk Soylemez et al.

UROLOGY (2013)

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Article Urology & Nephrology

Influence of surgeon's experience on fluoroscopy time during endourological interventions

M. Ritter et al.

WORLD JOURNAL OF UROLOGY (2013)

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Article Urology & Nephrology

Radiation Exposure-Do Urologists Take it Seriously in Turkey?

Haluk Soylemez et al.

JOURNAL OF UROLOGY (2012)

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Article Radiology, Nuclear Medicine & Medical Imaging

Staff Doses in Interventional Radiology: A National Survey

Roberto Mariano Sanchez et al.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY (2012)

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Article Urology & Nephrology

Tracking Intraoperative Fluoroscopy Utilization Reduces Radiation Exposure During Ureteroscopy

Tin C. Ngo et al.

JOURNAL OF ENDOUROLOGY (2011)

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Article Urology & Nephrology

Prevalence of Orthopedic Complaints Among Endourologists and Their Compliance with Radiation Safety Measures

Mohamed A. Elkoushy et al.

JOURNAL OF ENDOUROLOGY (2011)

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Review Environmental Sciences

Occupational radiation doses to operators performing cardiac catheterization procedures

Kwang Pyo Kim et al.

HEALTH PHYSICS (2008)

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Article Cardiac & Cardiovascular Systems

Radiation dose to the radiologist's hand during continuous CT fluoroscopy-guided interventions

BM Stoeckelhuber et al.

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY (2005)

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