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University of Alabama at Birmingham

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Dosimetry

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Growing Need For A Standardized Response To Radiopharmaceutical Extravasations, Michael Richard Drelich Jan 2024

Growing Need For A Standardized Response To Radiopharmaceutical Extravasations, Michael Richard Drelich

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Extravasations are medical occurrences where an injected or infused pharmaceutical is unintentionally deposited into the soft tissue near the injection site, rather than into the bloodstream. With radiopharmaceuticals, extravasations can result in potentially large radiation doses to skin and tissue. The current rate of extravasations in clinical settings is estimated to be between 3-23%. In the interest of patient safety, a clearer understanding of the dosimetry and differences in extravasation scenarios to simplify dose estimation is needed. Similarly, the NRC is considering modifying regulations to include extravasations as reportable medical events rather than to continue considering them as patient interventions. …