Montefiore Medical Center, Bronx, NY.
Semin Nucl Med. 2014 May;44(3):215-28. doi: 10.1053/j.semnuclmed.2014.03.005.
As authorized users of radioactive material, nuclear medicine (NM) physicians play a leading role in the use and management of these agents. Regarding patient management, NM physicians are responsible for ensuring both the appropriateness of exams and the associated patient doses. Along with radiologists, NM physicians are the ones developing and implementing processes that provide guidance to and dialog with referring physicians to ensure that patients receive the most appropriate type of imaging exams. Regarding regulatory compliance, in collaboration with radiation safety officers, NM physicians are the ones educating their staff about principles of radiation protection and radiation safety with adherence to regulations from agencies such as the Nuclear Regulatory Commission, the Department of Transportation, the Environmental Protection Agency, and the Food and Drug Administration. On occasion, these regulations and standards can be difficult to comprehend. This article is intended to serve as a condensed guide for NM physicians who are in the process of applying for a radioactive materials license, establishing a new radiation protection program, or want to ensure continued compliance and maintenance of safety and security of licensed materials in the clinical or research settings.
作为放射性物质的授权使用者，核医学（NM）医师在这些药物的使用和管理中发挥着主导作用。在患者管理方面，NM 医师负责确保检查的适当性和相关的患者剂量。NM 医师与放射科医师一起，制定并实施流程，为转诊医师提供指导和对话，以确保患者接受最合适的成像检查类型。关于法规遵从性，NM 医师与辐射安全官员合作，对其工作人员进行有关辐射防护和辐射安全原则的教育，以遵守核管理委员会、美国运输部、美国环保署和美国食品和药物管理局等机构的规定。有时，这些法规和标准可能难以理解。本文旨在为正在申请放射性物质许可证、建立新的辐射防护计划或希望确保在临床或研究环境中继续遵守许可证材料的安全和安保规定的 NM 医师提供一份简明指南。
