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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.

Authors

A.C. Green

D. Coggon

R. de Sèze

Penny A. Gowland

C. Marino

A.P. Peralta

P.G. Söderberg

R. Stam

M.C. Ziskin

E. van Rongen

M. Feychting

M. Asmuss

R. Croft

G. D'Inzeo

A. Hirata

S. Miller

G. Oftedal

T. Okuno

M. Röösli

Z. Sienkiewicz

S. Watanabe



Abstract

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.

Journal Article Type Article
Publication Date Mar 1, 2017
Journal Health Physics
Print ISSN 0017-9078
Electronic ISSN 1538-5159
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 112
Issue 3
APA6 Citation Green, A., Coggon, D., Sèze, R. D., Gowland, P. A., Marino, C., Peralta, A., …Watanabe, S. (2017). ICNIRP statement on diagnostic devices using non-ionizing radiation: existing regulations and potential health risks. Health Physics, 112(3), https://doi.org/10.1097/HP.0000000000000654
DOI https://doi.org/10.1097/HP.0000000000000654
Keywords Diagnostic radiology, Imaging, Medical radiation, Radiation, Non-ionizing
Publisher URL http://journals.lww.com/health-physics/pages/articleviewer.aspx?year=2017&issue=03000&article=00010&type=abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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