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CARE+CLEAR: Standard with Every Artis System You Can’t Haggle Over Radiation Protection It has been known for over 80 years that high doses of ionizing radiation can cause tissue damage. An increasingly harder line has been taken when weighing the benefits and risks associated with radiation. The International Commission on Radiological Protection (ICRP) has been dealing with all aspects of radiological protection since 1928. It now recommends that all radiological exposure over and above natural background radiation levels must be kept as low as possible and must lie below an individual radiation threshold, which has been set at 1 mSv per year for the general population. An Ongoing Challenge for Manufacturers We know that very high radiation doses in excess of 5,000 mSv1, acting on the body within a short period of time, will lead to death in just a few days. Doses of over 100 mSv1 can be harmful to the human organism and may contribute to an increased risk of cancer. One guide for the development of low-radiation procedures is the statutory guidelines on the maximum permitted dose of radiation as approved by the International Commission on Radiological Protection. In an industrial context there are also agreements such as those of the Medical Imaging and Technology Alliance (MITA) in the US, in which manufacturers have agreed to develop their devices on the basis of established radiological protection requirements, to ensure that radiation exposure complies with the “ALARA” principle (“As Low As Reasonably Achievable”, also known in some parts of the world as ALARP, i.e. “As Low As Reasonably Practicable”). In recent years, many interventional procedures have become longer, more frequent, and more complex. That’s why the need to reduce dose is increasingly important for both patients and clinical staff. In many cases, however, image quality is the key for successful procedures. A dilemma? Not with CARE+CLEAR, a comprehensive portfolio of image-quality and dose-saving tools. Because every patient and every case is different, only interventionalists can decide on the image quality they need – and then determine the lowest possible dose. AXIOM Innovations spoke with representatives from three different disciplines about their experiences with the CARE+CLEAR features. “We should be concerned about everyone’s well-being. And if we can generate better images using less radiation, then it makes sense for us to do so.” Prof. Ansgar Berlis, MD Chief Physician Diagnostic and Interventional Neuroradiology at the Klinikum Augsburg 1 http://www.medicalradiation.com Customer Care CARE+CLEAR 78  AXIOM Innovations | December 2013 | www.siemens.com/angiography


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