ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks

Use of non-ionizing radiation (NIR) for diagnostic purposes allows non-invasive assessment of the structure and function of the human body, and is widely employed in medical care. ICNIRP has published previous statements about the protection of patients during medical magnetic resonance imaging (MRI...

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Main Authors:	Green, A.C., Coggon, D., Sèze, R. de, Gowland, Penny A., Marino, C., Peralta, A.P., Söderberg, P.G., Stam, R., Ziskin, M.C., Rongen, E. van, Feychting, M., Asmuss, M., Croft, R., D'Inzeo, G., Hirata, A., Miller, S., Oftedal, G., Okuno, T., Röösli, M., Sienkiewicz, Z., Watanabe, S.
Format:	Article
Language:	English
Published:	Lippincott, Williams & Wilkins 2017
Online Access:	http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/2/pub.ICNIRP_Statement_on_Diagnostic_Devices_Using.10.pdf

id	nottingham-40489
recordtype	eprints
spelling	nottingham-404892017-10-14T12:25:08Z http://eprints.nottingham.ac.uk/40489/ ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks Green, A.C. Coggon, D. Sèze, R. de Gowland, Penny A. Marino, C. Peralta, A.P. Söderberg, P.G. Stam, R. Ziskin, M.C. Rongen, E. van Feychting, M. Asmuss, M. Croft, R. D'Inzeo, G. Hirata, A. Miller, S. Oftedal, G. Okuno, T. Röösli, M. Sienkiewicz, Z. Watanabe, S. Use of non-ionizing radiation (NIR) for diagnostic purposes allows non-invasive assessment of the structure and function of the human body, and is widely employed in medical care. ICNIRP has published previous statements about the protection of patients during medical magnetic resonance imaging (MRI), but diagnostic methods using other forms of NIR have not been considered. This statement reviews the range of diagnostic NIR devices currently used in clinical settings; documents the relevant regulations and policies covering patients and health care workers; reviews the evidence around potential health risks to patients and health care workers exposed to diagnostic NIR; and identifies situations of high NIR exposure from diagnostic devices in which patients or health care workers might not be adequately protected by current regulations. Diagnostic technologies were classified by the types of NIR that they employ. The aim was to describe the techniques in terms of general device categories which may encompass more specific devices or techniques with similar scientific principles. Relevant legally-binding regulations for protection of patients and workers, and organizations responsible for those regulations were summarised. Review of the epidemiological evidence concerning health risks associated with exposure to diagnostic NIR highlighted a lack of data on potential risks to the foetus exposed to MRI during the first trimester, and on long-term health risks in workers exposed to MRI. Most of the relevant epidemiological evidence that is currently available relates to MRI or ultrasound. Exposure limits are needed for exposures from diagnostic technologies using optical radiation within the body. There is a lack of data regarding risk of congenital malformations following exposure to ultrasound in utero in the first trimester and also about the possible health effects of interactions between ultrasound and contrast media. Lippincott, Williams & Wilkins 2017-03-01 Article PeerReviewed application/pdf en cc_by http://eprints.nottingham.ac.uk/40489/2/pub.ICNIRP_Statement_on_Diagnostic_Devices_Using.10.pdf Green, A.C. and Coggon, D. and Sèze, R. de and Gowland, Penny A. and Marino, C. and Peralta, A.P. and Söderberg, P.G. and Stam, R. and Ziskin, M.C. and Rongen, E. van and Feychting, M. and Asmuss, M. and Croft, R. and D'Inzeo, G. and Hirata, A. and Miller, S. and Oftedal, G. and Okuno, T. and Röösli, M. and Sienkiewicz, Z. and Watanabe, S. (2017) ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks. Health Physics, 112 (3). pp. 305-321. ISSN 1538-5159 http://journals.lww.com/health-physics/pages/articleviewer.aspx?year=2017&issue=03000&article=00010&type=abstract doi:10.1097/HP.0000000000000654 doi:10.1097/HP.0000000000000654
repository_type	Digital Repository
institution_category	Local University
institution	University of Nottingham Malaysia Campus
building	Nottingham Research Data Repository
collection	Online Access
language	English
description	Use of non-ionizing radiation (NIR) for diagnostic purposes allows non-invasive assessment of the structure and function of the human body, and is widely employed in medical care. ICNIRP has published previous statements about the protection of patients during medical magnetic resonance imaging (MRI), but diagnostic methods using other forms of NIR have not been considered. This statement reviews the range of diagnostic NIR devices currently used in clinical settings; documents the relevant regulations and policies covering patients and health care workers; reviews the evidence around potential health risks to patients and health care workers exposed to diagnostic NIR; and identifies situations of high NIR exposure from diagnostic devices in which patients or health care workers might not be adequately protected by current regulations. Diagnostic technologies were classified by the types of NIR that they employ. The aim was to describe the techniques in terms of general device categories which may encompass more specific devices or techniques with similar scientific principles. Relevant legally-binding regulations for protection of patients and workers, and organizations responsible for those regulations were summarised. Review of the epidemiological evidence concerning health risks associated with exposure to diagnostic NIR highlighted a lack of data on potential risks to the foetus exposed to MRI during the first trimester, and on long-term health risks in workers exposed to MRI. Most of the relevant epidemiological evidence that is currently available relates to MRI or ultrasound. Exposure limits are needed for exposures from diagnostic technologies using optical radiation within the body. There is a lack of data regarding risk of congenital malformations following exposure to ultrasound in utero in the first trimester and also about the possible health effects of interactions between ultrasound and contrast media.
format	Article
author	Green, A.C. Coggon, D. Sèze, R. de Gowland, Penny A. Marino, C. Peralta, A.P. Söderberg, P.G. Stam, R. Ziskin, M.C. Rongen, E. van Feychting, M. Asmuss, M. Croft, R. D'Inzeo, G. Hirata, A. Miller, S. Oftedal, G. Okuno, T. Röösli, M. Sienkiewicz, Z. Watanabe, S.
spellingShingle	Green, A.C. Coggon, D. Sèze, R. de Gowland, Penny A. Marino, C. Peralta, A.P. Söderberg, P.G. Stam, R. Ziskin, M.C. Rongen, E. van Feychting, M. Asmuss, M. Croft, R. D'Inzeo, G. Hirata, A. Miller, S. Oftedal, G. Okuno, T. Röösli, M. Sienkiewicz, Z. Watanabe, S. ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
author_facet	Green, A.C. Coggon, D. Sèze, R. de Gowland, Penny A. Marino, C. Peralta, A.P. Söderberg, P.G. Stam, R. Ziskin, M.C. Rongen, E. van Feychting, M. Asmuss, M. Croft, R. D'Inzeo, G. Hirata, A. Miller, S. Oftedal, G. Okuno, T. Röösli, M. Sienkiewicz, Z. Watanabe, S.
author_sort	Green, A.C.
title	ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
title_short	ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
title_full	ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
title_fullStr	ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
title_full_unstemmed	ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
title_sort	icnirp statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks
publisher	Lippincott, Williams & Wilkins
publishDate	2017
url	http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/ http://eprints.nottingham.ac.uk/40489/2/pub.ICNIRP_Statement_on_Diagnostic_Devices_Using.10.pdf
first_indexed	2018-09-06T13:06:42Z
last_indexed	2018-09-06T13:06:42Z
_version_	1610863557913608192

ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks

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