Suggestions for amendments to responding approaches to events in medical exposure of patients within the updating sanitary and epidemiological legislation
A. V. Vodovatov,
L. A. Chipiga,
S. A. Ryzhov,
A. V. Likhacheva,
A. M. Biblin,
G. A. Gorsky,
N. M. Vishnyakova https://doi.org/10.21514/1998-426X-2024-17-4-96-107
Abstract
Identification, prevention and response to events in medical exposure are an integral part of the radiation safety system in medicine. The existing approaches in the Russian Federation, presented in the current regulatory and methodological documents, need to be updated and harmonised with international practice. At the same time, it is advisable to focus on events related with patients, because of potential overexposure of workers and public is presented comprehensively. The study presents suggestions for amendments to terminology in medical exposure events of patients and development of classification of the events criteria as well. Schemes to identify and respond to events in medical exposure that related to overexposure of patients are defined. It is advisable to implement the results of the study into the section on radiation safety in medical exposure in the updated version of OSPORB-99/2010.
Supporting agencies: The work was performed as a part of the program of Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being “Development and scientific justification of a set of measures to ensure radiation protection in nuclear medicine”.
About the Authors
A. V. Vodovatov
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
Russian Federation
Russian Federation
Aleksandr V. Vodovatov – Candidate of Biological Sciences, Head of Laboratory, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; docent, Saint Petersburg State Pediatric Medical University.
Mira Str., 8, Saint Petersburg, 197101
L. A. Chipiga
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 of the Russian Federation; Almazov National Medical Research Centre of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Larisa A. Chipiga – Candidate of Engineering Sciences, Research Fellow, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; research fellow, A.M. Granov Russian Scientific Center of Radiology and Surgical Technologies of the Ministry of Health of the Russian Federation; docent, Almazov National Medical Research Centre of the Ministry of Health of the Russian Federation.
Saint Petersburg
S. A. Ryzhov
Association of Medical Physicists of Russia; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation; Research and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare Department
Russian Federation
Russian Federation
Sergey A. Ryzhov – Vice President, Association of Medical Physicists in Russia; research fellow, Research and Practice Center of Diagnostics and Telemedicine Technologies; Head of the radiation safety and medical physics department, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation.
Moscow
A. V. Likhacheva
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
Russian Federation
Russian Federation
Anastasia V. Likhacheva – Acting Junior Researcher, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; radiation safety engineer, Saint Petersburg City Hospital No. 40.
Saint Petersburg
A. M. Biblin
Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance of Consumer Rights Protection and Human Wellbeing
Russian Federation
Russian Federation
Artem M. Biblin – Senior Research Fellow, Head of Information-analytical center, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing.
Saint Petersburg
G. A. Gorsky
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
Russian Federation
Russian Federation
Grigory A. Gorsky – Candidate of Medical Sciences, Deputy Director of the Innovation work, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; docent, I. Mechnikov North Western State Medical University.
Saint Petersburg
N. M. Vishnyakova
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
Russian Federation
Russian Federation
Nadezhda M. Vishnyakova – Doctor of Medical Sciences, Deputy Director, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights and Human Wellbeing.
Saint Petersburg
References
1. Ricks R, Berger M, Holloway E, Goans E. REAC/TS Radiation Accident Registry: Update of Accidents in the United States. Available from: https://www.irpa.net/irpa10/cdrom/00325.pdf (Accessed: 31.10.2024).
2. Yeung TK, Bortolotto K, Cosby S, Hoar M, Lederer E. Quality assurance in radiotherapy: evaluation of errors and incidents recorded over a 10 year period. Radiotherapy and Oncology. 2005;74(3): 283–291. DOI: 10.1016/j.radonc.2004.12.003.
3. IAEA: Investigation of an accidental exposure of radiotherapy patients in Panama; 2001.
4. Mayles WP. The Glasgow incident--a physicist's reflections. Clinical Oncology. 2007;19(1): 4–7. DOI: 10.1016/j.clon.2006.12.003.
5. Ash D. Lessons from Epinal. Clinical Oncology. 2007;19(8): 614–615. DOI: 10.1016/j.clon.2007.06.011.
6. IAEA Safety Standards Series. No. GSR Part 3. Radiation Protection and Safety of Radiation Sources. STI/PUB/1578. IAEA: Vienna; 2014. 518 p.
7. Radiation Protection and safety in medical uses of ionizing radiation. Specific safety guide SSG-46. IAEA: Vienna; 2018. 340 p.
8. ICRP Publication 105. Radiation Protection in Medicine. Russian translation under M. Balonov. Saint Petersburg: NIIRG; 2011. 66 p. (In Russian).
9. Vodovatov AV, Chipiga LA, Ryzhov SA, Petryakova AV, Biblin AM, Gorsky GA. Radiation accidents in X-ray and radionuclide diagnostics and therapy: comparison of Russian and international approaches to the terminology and classification. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(1): 97–110. (In Russian) DOI: 10.21514/1998-426X-2024-17-1-97-110.
10. Vodovatov AV, Chipiga LA, Ryzhov SA, Petryakova AV, Biblin AM, Gorsky GA, et al. Analysis of the radiation accidents prevalence in nuclear medicine in the Russian Federation. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(3): 93–102. (In Russian) DOI: 10.21514/1998-426X-2024-17-3-93-102.
11. European Society of Radiology (ESR). How to manage accidental and unintended exposure in radiology: an ESR white paper. Insights Imaging. 2019;10(1): 23. DOI: 10.1186/s13244-019-0691-0.
12. Martin CJ, Vassileva J, VaNo E, Mahesh M, Ebdon-Jackson S, Ng KH, et al. Unintended and accidental medical radiation exposures in radiology: guidelines on investigation and prevention. Journal of Radiological Protection. 2017;37(4): 883–906. DOI: 10.1088/1361-6498/aa881e.
13. Jaschke W, Bartal G, Martin CJ, VaNo E. Unintended and Accidental Exposures, Significant Dose Events and Trigger Levels in Interventional Radiology. CardioVascular and Interventional Radiology. 2020;43(8): 1114–1121. DOI: 10.1007/s00270-020-02517-2.
14. Ash D, Bates T. Report on the clinical effects of inadvertent radiation underdosage in 1045 patients. Clinical Oncology. 1994;6(4): 214–226. DOI: 10.1016/s0936-6555(05)80290-0.
Review
For citations:
Vodovatov A.V., Chipiga L.A., Ryzhov S.A., Likhacheva A.V., Biblin A.M., Gorsky G.A., Vishnyakova N.M. Suggestions for amendments to responding approaches to events in medical exposure of patients within the updating sanitary and epidemiological legislation. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(4):96-107. (In Russ.) https://doi.org/10.21514/1998-426X-2024-17-4-96-107
Views:
219
Email this article 