FDA warning: CT perfusion scans

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Ross

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[UPDATED 12/07/2009] The FDA, working with state and local health authorities, has identified at least 50 additional patients who were exposed to excess radiation of up to eight times the expected level during their CT perfusion scans. These cases so far involve more than one manufacturer of CT scanners. Some of these patients reported hair loss or skin redness following their scans. High doses of radiation can cause cataracts and increase the risk of some forms of cancer.

On the basis of its investigation to date, the FDA is providing interim recommendations for imaging facilities, radiologists, and radiologic technologists to help prevent additional cases of excess exposure.

These recommendations include:

Facilities assess whether patients who underwent CT perfusion scans received excess radiation.
Facilities review their radiation dosing protocols for all CT perfusion studies to ensure that the correct dosing is planned for each study.
Facilities implement quality control procedures to ensure that dosing protocols are followed every time and the planned amount of radiation is administered.
Radiologic technologists check the CT scanner display panel before performing a study to make sure the amount of radiation to be delivered is at the appropriate level for the individual patient.
If more than one study is performed on a patient during one imaging session, practitioners should adjust the dose of radiation so it is appropriate for each study.
Read the MedWatch safety summary, including a link tlo the FDA News Release, at:

http://www.fda.gov/Safety/MedWatch/...tyAlertsforHumanMedicalProducts/ucm186105.htm
 
Where was the FDA before these excesses occurred? Asleep at the switch, it seems.

Jim

Jim if you read some of the stuff on their site, that is the only logical conclusion that one can come too. It's just as bad as the other branches of our Government that is supposed to be looking out for our safety.
 
Radiologists not FDA to blame.

Radiologists not FDA to blame.

Jim if you read some of the stuff on their site, that is the only logical conclusion that one can come too. It's just as bad as the other branches of our Government that is supposed to be looking out for our safety.
Frankly as still a working radiologist I never thought it was up to FDA to protect my patients from excess radiation. In private practise, and now with Kaiser it is up to me, the radiologist to see that competent radiologic physicists check all equipment at constant frequent intervals and inform the radiologist of the radiation dose for every test the patient receives.In my view the radiologists who presided over those high patient doses are liable and should be censured and probably sued. I like the FDA and commonly consult them. I don't blame them for this situation.
 
Frankly as still a working radiologist I never thought it was up to FDA to protect my patients from excess radiation. In private practise, and now with Kaiser it is up to me, the radiologist to see that competent radiologic physicists check all equipment at constant frequent intervals and inform the radiologist of the radiation dose for every test the patient receives.In my view the radiologists who presided over those high patient doses are liable and should be censured and probably sued. I like the FDA and commonly consult them. I don't blame them for this situation.

Sorry Marty, it's just my total lack of respect for how things are going at the current time. Everything Federal is evil to me right now.
 
Sorry Marty, it's just my total lack of respect for how things are going at the current time. Everything Federal is evil to me right now.
Ross, I know hou you feel. However, living in this area since 1955 I have come to know many dedicated wonderful government employees. Its like, we all hate the post office but love our mailman.
 
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