RE: question concerning stress tests

["Martinson, Timothy I." <Timothy.Martinson@nmcco.com>]

Hello All

   The subject of "adding up" the individual exposures from each procedure performed on a patient is not new. I was fortunate to attend the 1995 Radiological Society of North America anual meeting where Dr. Thomas B. Shope presented:"Radiation-induced Skin Injuries from Fluoroscopy" I have attached a link to the paper for your use. The example injury and pictures demonstrate  what can happen when no one is keeping track of patient "total" exposure. http://www.fda.gov/cdrh/rsnaii.html



Tim Martinson

Health Physics Group

Kewaunee Nuclear Power Plant

Wisconsin Public Service Corp

Operated by: Nuclear Management Co.

N490 Highway 42

Kewaunee, Wi    54216

Phone: Work: 920-388-8345

       Home: 920-553-7937

Fax: 920-388-8331

E-mail: Work:timothy.martinson@nmcco.com

        Home: tmartinson@charter.net 



-----Original Message-----

From: Stabin, Michael [mailto:michael.g.stabin@vanderbilt.edu]

Sent: Friday, January 14, 2005 11:26 AM

To: Shailendra Shukla; radsafe@list.vanderbilt.edu;

garyi@trinityphysics.com

Subject: RE: question concerning stress tests







My intent was not in the direction of "informed consent" on a

patient-by-patient basis. We do this in research trials, but not in the

clinic. My interest was in subjects who have had multiple CTs, fairly

high dose nuclear medicine studies, and perhaps other radiological exams

in which accumulated doses are heading towards the 100's of mSv range

(1000's in fluoro), and it just seemed to me that docs would want to

know this. I understand fully that even here benefits outweigh risks, I

just think we as a society are a bit laissez-faire about this, while

being panicked about nSv doses in other applications.





Mike



Michael G. Stabin, PhD, CHP

Assistant Professor of Radiology and Radiological Sciences 

Department of Radiology and Radiological Sciences 

Vanderbilt University 

1161 21st Avenue South

Nashville, TN 37232-2675 

Phone (615) 343-0068

Fax   (615) 322-3764

Pager (615) 835-5153

e-mail     michael.g.stabin@vanderbilt.edu 

internet   www.doseinfo-radar.com

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