Fluoroscopic Radiation Protection for Radiographers

Course Description

Welcome to “Fluoroscopic Radiation Protection”.  This is an ASRT approved, four (4) CEU course covering radiation safety in the clinical uses of fluoroscopy for radiologic technologists.  For radiographers in California, this course satisfies the California requirement for fluoroscopic radiation protection.  It is presented using actual demonstrations with the c-arm in the OR, or in fluoroscopic and interventional suites, as well as live lectures.

Some of the demonstrations include showing the location and amount of scatter during a cross table lateral hip in OR, the location and amount of scatter during a pacemaker or Cholangiogram in OR, the dose difference between magnification modes, the dose difference between spot and captured/saved images, and how much radiation is saved using pulse modes, collimation and the Inverse Square Law.

The goal of the lectures is to introduce different concepts regarding scatter radiation and the demonstrations are used to show how much radiation occurs during typical fluoroscopy examinations, as well as, what can be done to minimize dose to everyone in the room while maximizing image quality.

Lesson Order And Times

    1. Introduction for Techs … 2:53
    2. Ion chamber at head, 45 and 90 degrees in R/F Room … 6:15
    3. Adverse Events and Biologic Effects … 11:27
    4. How Radiation Changes as it Goes Through the Body … 3:50
    5. How Radiation Changes with Increased SID – Exit Dose … 2:46
    6. How Radiation Changes with Increased SID – Patient ESE … 3:00
    7. kV and Attenuation … 2:44
    8. Increasing SID/OID … 4:17
    9. How to properly move a C-arm In and Out and end up in the same place … 3:22
    10. Units of Radiation … 3:46
    11. Inverse Square Law … 2:43
    12. Demonstration of Inverse Square Law … 7:04
    13. Time, Distance, Shielding … 4:22
    14. How to Correctly Set-Up and Use a C-arm … 12:56
    15. Dose Area Product (DAP) … 1:44
    16. Difference in Dose Between 1fps, 2 fps and 3 fps With Digital Spots … 6:02
    17. Radiation Dose & Tube Anglulation … 3:46
    18. X-Table Lateral Hip – Location of the Least Amount of Scatter … 5:38
    19. Image Intensifiers – Physics … 6:30
    20. CIRS Pediatric Phantom with Pediatric Versus Adult Settings … 4:30
    21. Low Dose Versus Default Settings … 5:16
    22. Magnification Modes … 4:28
    23. Dose Difference Between Magnification Modes … 3:16
    24. ABS/ABC … 4:48
    25. ABS – How mA & kV Change … 1:58
    26. Collimation … 0:48
    27. Vertical Collimation … 0.22
    28. Dr. Yeh Using Collimation During an UGI … 4:06
    29. Advantages & Disadvantages of FPD’s … 8:51
    30. Interventional Suite Radiation Safety … 5:55
    31. Cath Lab … 10:51
    32. ORSIF … 2:46
    33. Ionizing Radiation in the U.S. … 5:08
    34. How to Get the Clearest, Sharpest Image Using a C-arm … 17:17
    35. Difference Between Spot and Captured/Saved Images … 3:08
    36. How Much radiation is Saved Using Pulse Modes? … 5:39
    37. Ion chamber at head, 45, 90, (w/wo lead) foot in OR … 4:54
    38. Fluoroscopic Capabilities with the CT Scanner … 3:24
    39. Lead Aprons … 9:55
    40. Fluoroscan – Mini C-arm … 3:24
    41. Summary … 0:34

Total Time … 200