Strategies to optimize radiation exposure from interventional fluoroscopy
An important goal of all interventional fluoroscopy is to achieve clinical success using the least amount of radiation consistent with adequate imaging guidance. However, most interventional procedures require high quality images, long fluoroscopy time or both. Using appropriate operating parameters for x-ray machines will lower radiation doses to patients, and therefore to operators and assistants as well. It is critically important to adequately train operators and their assistants to use equipment that provides acceptable image quality along with the maximum possible dose-reduction, and to have equipment regularly inspected and maintained. Physicians, technologists, medical physicists, fluoroscopy equipment manufacturers and medical and governmental organizations share the responsibility to optimize radiation doses to patients undergoing interventional fluoroscopy.