Radiation accidents in X-ray and radionuclide diagnostics and therapy: comparison of Russian and international approaches to the terminology and classification-Reference-Cited by-同舟云学术

Radiation accidents in X-ray and radionuclide diagnostics and therapy: comparison of Russian and international approaches to the terminology and classification

Published:2024-04-21 Issue:1 Volume:17 Page:97-110
ISSN:2409-9082
Container-title:Radiatsionnaya Gygiena = Radiation Hygiene
language:
Short-container-title:Radiac. gig. (2008)

Author:

Vodovatov A. V.¹^ORCID,Chipiga L. A.²^ORCID,Ryzhov S. A.³^ORCID,Petryakova A. V.⁴^ORCID,Biblin A. M.⁵^ORCID,Gorsky G. A.⁶^ORCID

Affiliation:

1. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing; Saint-Petersburg State Pediatric Medical University

2. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing; A. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health; Almazov National Medical Research Centre of the Ministry of Health

3. Association of Medical Physicists of Russia; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health; Research and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare Department

4. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing; The City Hospital No 40 of the Kurortny District

5. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing

6. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing; I. Mechnikov North Western State Medical University

Abstract

Introduction of new methods of nuclear medicine, X-ray diagnostics and therapy using medical sources of ionizing radiation inevitably leads to an increase in the number and types of accidents (abnormal situations). In international practice in recent years, special attention has been paid to the prevention of radiation accidents and incidents from medical exposure. The main focus is put on accidental exposure (overexposure) of patients in X-ray and radionuclide diagnostics and therapy. These approaches are implemented in Russian regulatory and methodological documents in a limited and formal way. The main attention is paid to large-scale technogenic radiation accidents, and accidents (abnormal situations) from medical irradiation are undeservedly ignored. The aim of the work was to analyze the terminology and classification of radiation accidents and incidents from medical exposure in the Russian Federation and foreign countries to develop proposals to improve approaches to their classification within the framework of revision of existing regulatory and methodological documents. The results of the work indicate that it is necessary to actualize Russian approaches to the definition and classification of radiation accidents in medicine considering the specifics of medical exposure. For this purpose, it is advisable to introduce different levels of accidents (abnormal situations), differing from each other by the scale of impact and consequences for patients, workers and public. Considering the absence of elaborated scenarios of accidents (abnormal situations) in Russian regulatory and methodological documents, such gradation can be borrowed from international regulatory documents provided that it is adapted to the specifics and realities of the Russian health care system

Publisher

SPRI of Radiation Hygiene Prof. PV Ramzaev

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