0000000000620683

AUTHOR

Andrea Magistrelli

0000-0003-0772-8048

showing 4 related works from this author

Protecting sensitive patient groups from imaging using ionizing radiation: effects during pregnancy, in fetal life and childhood

2019

The frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that provide guidance regarding imaging of pregnant women are also summarized, and the…

Riskmedicine.medical_specialtyNeoplasms Radiation-InducedRadiation DosageRadiation ToleranceRisk AssessmentPediatric radiology030218 nuclear medicine & medical imagingIonizing radiation03 medical and health sciencesFetus0302 clinical medicineReference ValuesPregnancyRadiation IonizingmedicineHumansRadiology Nuclear Medicine and imagingGonadsRadiation InjuriesChildIntensive care medicineComputed tomographyRadiation-induced cancerNeuroradiologyRadiation protectionPregnancyFetusmedicine.diagnostic_testbusiness.industryInterventional radiologyGeneral MedicineRadiation Exposuremedicine.diseaseRadiographyPediatric RadiologyChild PreschoolFluoroscopy030220 oncology & carcinogenesisFemaleRadiation-induced cancerRadiation protectionTomography X-Ray ComputedbusinessDNA DamageLa radiologia medica
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Radiation risks knowledge in resident and fellow in paediatrics: a questionnaire survey

2015

Background: Analyse through a multi-choice anonymous questionnaire the knowledge's level in paediatric residents and fellows in two different main Italian hospital, looking mainly to the information to patients and relatives related to risks of ionizing radiation used in common radiological investigations in children. Methods: 65 multi choice questionnaires were distributed to paediatric residents and fellows of two different hospitals, an University Hospital (A.O.U.P. "P. Giaccone"- University of Palermo) and a national reference centre for paediatrics (Ospedale Pediatrico Bambino Gesù - Rome). The questionnaire included twelve multiple-choice questions with the aim of analyzing the knowle…

Adultmedicine.medical_specialtyPediatricsHealth Knowledge Attitudes PracticePediatricsEducation and training; Paediatric fellows; Paediatric residents; Radiation protection; Pediatrics Perinatology and Child HealthRadiation IonizingSurveys and QuestionnairesMedicineHumansTraining programmeCompetence (human resources)Paediatric residentRadiation protectionPaediatric residentsPaediatric fellowMaternal and child healthbusiness.industryResearchEducation and trainingQuestionnaireInternship and ResidencyUniversity hospitalTest (assessment)Paediatric fellowsRadiation riskFamily medicineRadiological weaponHealth Care SurveysPediatrics Perinatology and Child HealthbusinessItalian Journal of Pediatrics
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Is MRI imaging in pediatric age totally safe? A critical reprisal.

2017

Current radiological literature is strongly focussed on radiation imaging risks. Indeed, given there is a small but actual augment in cancer risk from exposure to ionizing radiation in children, it is important to understand what the risk of alternative techniques could be. We retrospectively review literature data concerning possible MR imaging risks, focussing on the biological effects of MR, sedation and gadolinium compound risks when dealing with infant patients. The main concerns can be summarized in: (1) Biological effects of non-ionizing electromagnetic fields (EMF) employed—whose mechanisms of interaction with human tissues are polarization, induced current, and thermal heating, res…

medicine.medical_specialtySedationContrast MediaRisk Assessment030218 nuclear medicine & medical imaging03 medical and health sciencesPatient safety0302 clinical medicineElectromagnetic FieldsRisk FactorsMedicineHumansRadiology Nuclear Medicine and imagingGeneral anaesthesiaNeuroradiologyPaediatric populationmedicine.diagnostic_testbusiness.industryRisk FactorInfant NewbornInfantMagnetic resonance imagingInterventional radiologyGeneral MedicineMRForeign BodiesForeign BodieMagnetic Resonance ImagingElectromagnetic FieldRadiological weaponRadiologyPatient SafetySafetymedicine.symptombusinessRisk assessmentNoise030217 neurology & neurosurgeryHumanLa Radiologia medica
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Italian inter-society expert panel position on radiological exposure in Neonatal Intensive Care Units.

2020

Abstract Background In the recent years, clinical progress and better medical assistance for pregnant women, together with the introduction of new complex technologies, has improved the survival of preterm infants. However, this result requires frequent radiological investigations mostly represented by thoracic and abdominal radiographs in incubators. This document was elaborated by an expert panel Italian inter-society working group (Radiologists, Paediatricians, Medical Physicists) with the aim to assist healthcare practitioners in taking choices involving radiation exposures of new-born infants and to provide practical recommendations about justification and optimization in Neonatal Inte…

ConsensusRadioprotectionPaediatric exposureStandardizationReviewPatient Positioning030218 nuclear medicine & medical imaginglaw.invention03 medical and health sciencesPatient safety0302 clinical medicineRadiation ProtectionlawIntensive careIntensive Care Units NeonatalHealth caremedicineHumansIntensive care unitSocieties MedicalModalitiesbusiness.industrylcsh:RJ1-570Infant Newbornlcsh:PediatricsGuidelineIntensive care unit Paediatric exposure Radiology RadioprotectionRadiation Exposuremedicine.diseaseIntensive care unitItaly030220 oncology & carcinogenesisRadiological weaponMedical emergencybusinessRadiologyInfant PrematureItalian journal of pediatrics
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