In plain language
International Commission on Radiological Protection (ICRP) guidance warns that fluoroscopy use by surgeons, gastroenterologists, urologists, anaesthetists and pain specialists outside imaging departments often lacks radiation protection training and oversight, and gives specialty-specific advice on worker and patient dose management.
At a glance
- Type of study
- Guideline or consensus statement
- Who was studied
- Vascular surgeons, Urologists, Orthopedic surgeons, Other surgeons, Gastroenterologists, Anesthesia staff, Other physicians, Patients
- Topics
- Training and educationRegulation and policyPatient doseDosimetry and monitoringDose reduction techniquesSafety culture and compliance
- Summary based on
- the abstract
What it found
Radiological protection coverage of fluoroscopy used outside imaging departments has been generally neglected, and lack of training can increase radiation risk to workers and patients.
Several procedures performed outside imaging departments (EVAR, renal and iliac angioplasty, ureteric stenting, therapeutic endoscopic retrograde cholangiopancreatography (ERCP), bile duct stenting) can deliver patient skin doses at the gray level.
Tissue reactions in patients and workers have so far been reported only in interventional radiology and cardiology, but the extent of fluoroscopy use elsewhere creates potential for such injuries.
The report gives specialty-specific guidance for vascular surgery, urology, orthopaedics, obstetrics and gynaecology, gastroenterology/hepatobiliary, and anaesthetics/pain management, including dose levels and dose management.
Limits to keep in mind
This is a consensus guidance document rather than original research; only the abstract was available, so specific dose figures and recommendations are not captured.
Related research summaries
- ICRP Draft - Radiological Protection in Fluoroscopically Guided Procedures (Guideline or consensus statement)
- IU Health Handbook of Fluoroscopy Safety (Guideline or consensus statement)
- AST Standards for Ionizing Radiation Exposure (Guideline or consensus statement)
- AAPM Medical Physics Practice Guideline 12.a - Fluoroscopy Dose Management (2022, Guideline or consensus statement)
- IAEA Radiation Protection and Safety in Medical Uses of Ionizing Radiation (2018, Regulation or standard)
How this summary was made
ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.
Prepared November 3, 2026.