A Survey on the Radiation Protection Status among Radiology Staff

Document Type : Original Paper

Authors

1 Student Research Committee and Department of Medical Physics, Semnan University of Medical Sciences, Semnan, Iran

2 Cancer Research Center and Department of Medical Physics, Semnan University of Medical Sciences, Semnan, Iran

3 Department of Medical Physics, Semnan University of Medical Sciences, Semnan, Iran

4 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran

5 Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

6 Department of Anatomical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran

7 Deputy of Research and Technology, Semnan University of Medical Sciences, Semnan, Iran

8 Student Research Committee, Department of Medical Physics, Semnan University of Medical Sciences, Semnan, Iran

9 Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Radiation exposure during radiological examination is a health concern, of which radiology professionals should be cognizant. We sought to evaluate the radiation protection knowledge, attitudes, and practice (KAP) amongst radiology staff of hospitals across 10 provinces of Iran.
Materials and Methods: For evaluating the level of radiation protection KAP, 553 radiology staff were enrolled. A 32-item questionnaire was designed to assess radiation protection KAP, the validity which was confirmed by members of the Medical Physics and Biostatistics departments. The questionnaire evaluated the respondents' knowledge, practice, and attitudes towards the basic principles of radiation protection, the necessity of using protective equipment, and their performance in the implementation of radiation protection recommendations.
Results: We found no significant difference in the level of radiation protection KAP between male and female radiology staff and among those with different educational levels and ages (P>0.05). However, there was a significant association between radiation protection KAP and working experience, hospital size, and hospital type (P<0.05). Further, no significant difference was observed in the radiation protection KAP level among radiology staff of different regions (P>0.05).
Conclusion: Our results showed that the level of radiation protection KAP among radiology staff is inadequate. This might be due to the lack of ongoing training courses concerning protection against ionizing radiation. Thus, sustained training of radiation protection principles can promote KAP among the staff of radiology departments, and in turn, reduce public dose from medical diagnostic modalities.

Keywords

Main Subjects


  1. References

     

    1. Harirchi I, Karbakhsh M, Kashefi A, Momtahen AJ. Breast cancer in Iran: results of a multi-center study. Asian Pac J Cancer Prev.2004; 5(1):24-7.
    2. Shimizu M, Tainaka H, Oba T, Mizuo K, Umezawa M, Takeda K. Maternal exposure to nanoparticulate titanium dioxide during the prenatal period alters gene expression related to brain development in the mouse. Part Fibre Toxicol. 2009; 6(20):20.
    3. Long TC, Tajuba J, Sama P, Saleh N, Swartz C, Parker J, et al. Nanosize titanium dioxide stimulates reactive oxygen species in brain microglia and damages neurons in vitro. Environ Health Perspect. 2007;1631-7.
    4. Rehani MM, Ciraj-Bjelac O, Vano E, Miller DL, Walsh S, Giordano BD, et al. Radiological protection in fluoroscopically guided procedures performed outside the imaging department. Annals of the ICRP. 2010; 40(6): 1-102.
    5. Petoussi-Henss N, Bolch WE, Eckerman KF, Endo A, Hertel N, Hunt J, et al. . Conversion coefficients for radiological protection quantities for external radiation exposures . Annals of the ICRP . 40(2-5): 2010; 1-257
    6. Rehani MM. The IAEA's activities in radiological protection in digital imaging. Radiation protection dosimetry. 2008;129(1-3):22-8.
    7. Rostamzadeh A, Farzizadeh M, Fatehi D. Evaluation of the Level of Protection in Radiology Departments of Kermanshah, Iran. Iranian Journal of Medical Physics. 2015; 12(3):200-8.
    8. Zhou G, Wong D, Nguyen L, Mendelson R. Student and intern awareness of ionising radiation exposure from common diagnostic imaging procedures. J Med Imaging Radiat Oncol. 20010; 54(1):17-23.
    9. Adejumo S, Irurhe N, Olowoyeye O, Ibitoye A, Eze C, Omiyi O. Evaluation of compliance to radiation safety standard amongst radiographers in radiodiagnostic centers in South West, Nigeria. World J Med Sci. 2012; 7(3):194-6.
    10. Tilson E. Educational and experiential effects on radiographers' radiation safety behavior. Radiol Technol. 1981; 53(4):321-5.
    11. Shannoun F, Blettner M, Schmidberger H, Zeeb H. Radiation protection in diagnostic radiology. Deutsches arzteblatt-koln.2008; 105(3):41.
    12. Ekşioğlu AS, Üner Ç. Pediatric Radiology Clinic Dr. Sami Ulus Women and Children's Hospital, Ankara, Turkey. Pediatr Radiol. 2012; 18(1).
    13. Slechta AM, Reagan JT. An examination of factors related to radiation protection practices. Radiol Technol. 2008; 79(4):297-305.
    14. Lee RK, Chu WC, Graham CA, Rainer TH, Ahuja AT. Knowledge of radiation exposure in common radiological investigations: a comparison between radiologists and non-radiologists. Emerg Med J. 2012; 29(4):306-8.
    15. foulady b, IbrahimiGhavamabadi, bozar m, mohamadi a, ahmadi k. Evaluation of X-Ray Radiation Levels in Radiology Departments of Two Educational Hospitals in Ahvaz, Iran. Iranian Journal of Medical Physics. 2017; 14(2):87-91.
    16. Kargar E, Parwaie W, Farhood B, Atazadegan Z, Afkhami Ardekani M. Assessment of Radiographers’ Awareness about Radiation Protection Principles in Hospitals of Bandar Abbas, Iran. Iranian Journal of Medical Physics. 2017; 14(1):47-52.
    17. Rehani MM. Status of Radiation Protection of Patients in Developing Countries. In: Dössel O, Schlegel WC, editors. World Congress on Medical Physics and Biomedical Engineering. Biological Effects of Radiation. Berlin, Heidelberg: Springer Berlin Heidelberg. 2009; p. 491-4.
    18. Rostamzadeh A, Farzizadeh M, Fatehi D. Evaluation of the Level of Protection in Radiology Departments of Kermanshah, Iran. Iranian Journal of Medical Physics. 2015; 12(3):200-8.
    19. Yaremko Z, Tkachenko N, Bellmann C, Pich A. Redispergation of TiO 2 particles in aqueous solutions. J Colloid Interface Sci. 2006; 296(2):565-71.
    20. Baveye P, Laba M. Aggregation and toxicology of titanium dioxide nanoparticles. Environ Health Perspect. 2008; 116(4): 152.
    21. Ferrari M. Cancer nanotechnology: opportunities and challenges. Nature Reviews Cancer. 2005; 5(3):161-71.
    22. Protection R. ICRP publication 103. Ann ICRP. 2007; 37(2.4):2.
    23. Pan Z, Lee W, Slutsky L, Clark RA, Pernodet N, Rafailovich MH. Adverse effects of titanium dioxide nanoparticles on human dermal fibroblasts and how to protect cells. Small. 2009; 5(4):511-20.
    24. Nazemi Gelyan H, Makhdumi Y, Nikoofar A, Hasanzadeh H. Measurement of surface dose in external radiotherapy of brain frontal lobe: A study on patient and phantom. koomesh. 2016; 17 (2):323-8.
    25. Rafati M, Eftekhari-Moghadam A, Mehri-Kakavand G, Hasanzadeh H, Maftoon A. Dosimetry of organ at risks in Orthopantomography. koomesh. 2015; 17 (1) :262-6.
    26. Nazemi-Gelyan H, Hasanzadeh H, Makhdumi Y, Abdollahi S, Akbari F, Varshoee-Tabrizi F, et al. Evaluation of Organs at Risk’s Dose in External Radiotherapy of Brain Tumors. Iranian journal of cancer prevention. 2015; 8(1):47.
    27. Mokhtari-Dizaji M, Sharafi AA, Larijani B, Mokhlesian N, Hasanzadeh H. Estimating the absorbed dose to critical organs during dual X-ray absorptiometry. Korean journal of radiology. 2008;9(2):102-10.
    28. Hasanzadeh H, Sharafi A, Verdi MA, Nikoofar A. Assessment of absorbed dose to thyroid, parotid and ovaries in patients undergoing Gamma Knife radiosurgery. Physics in medicine and biology. 2006; 51(17):4375.
    29. Gurr J-R, Wang AS, Chen C-H, Jan K-Y. Ultrafine titanium dioxide particles in the absence of photoactivation can induce oxidative damage to human bronchial epithelial cells. Toxicology.2005; 213(1):66-73.
    30. Yule A. International Society of Radiographers and Radiological Technologists and radiation protection. Radiological Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy. 2001; 99.
    31. Brenner DJ. Medical imaging in the 21st century—getting the best bang for the rad. The New England Journal of Medicine. 2010; 362:943-5.
    32. Malone J, Guleria R, Craven C, Horton P, Järvinen H, Mayo J, et al. Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation. The British journal of radiology. 2012; 85(1013):523-8.
    33. Picano E. Sustainability of medical imaging. BMJ: British Medical Journal. 2004; 328(7439):578.
    34. Malone J, Guleria R, Craven C, Horton P, Järvinen H, Mayo J, et al. Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation. The British journal of radiology. 2012; 85(1013):523-38.
    35. Nguyen PK, Wu JC. Radiation exposure from imaging tests: is there an increased cancer risk? Expert review of cardiovascular therapy. 2011; 9(2):177-83.
    36. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT Scans: Assessment of Patient, Physician, and Radiologist Awareness of Radiation Dose and Possible Risks 1. Radiology. 2004; 231(2):393-8.
    37. Dehghani A, Ranjbarian M, Mohammadi A, Soleiman-Zade M, Dadashpour-Ahangar A. Radiation Safety Awareness amongst Staff and Patients in the Hospitals. International Journal of Occupational Hygiene. 2015; 6(3):114-9.
    38. Arrah ARMA, Faisal A, Sadewa AH. Assessment of the application level of radia-tion protection and awareness of radiation safety regulations among the radiographers at Yogyakarta Special Region, Indonesia. J Med Sci. 2011; 43(2).
    39. Szarmach A, Piskunowicz M, Świętoń D, Muc A, Mockałło G, Dzierżanowski J, et al. Radiation safety awareness among medical staff. Pol J Radiol. 2015;80:57-61.
    40. Eksioglu AS, Üner Ç. Pediatricians' awareness of diagnostic medical radiation effects and doses: are the latest efforts paying off? Diagnostic and interventional radiology. 2012; 18(1):78.
    41. Talab AHD, Mahmodi F, Aghaei H, Jodaki L, Ganji D. Evaluation the effect of individual and demographic factors on awareness, attitude and performance of radiographers regarding principles of radiation protection. Al Am een J Med Sci. 2016; 9(2):90-5.
    42. Behroozi H, Tahmasebi M, Mohebifar B. Evaluation of the Prevalence of Shielding in Patients Undergoing Conventional Radiological Procedures (1 Work Shift-1 X-ray Room). Journal of patient safety.2015. DOI: 10.1097/PTS.0000000000000180.
    43. Singh P, Aggarwal S, Kapoor AMS, Kaur R, Kaur A. A prospective study assessing clinicians attitude and knowledge on radiation exposure to patients during radiological investigations. Journal of natural science, biology, and medicine. 2015; 6(2):398.
    44. Ramanathan S, Ryan J.  Radiation awareness among radiology residents, technologists, fellows and staff: where do we stand? Insights into imaging. 2015; 6(1):133-9.
    45. Maharjan S. Radiation knowledge among radiographers and radiography students. Radiography Open. 2017 ;3(1):17.