Linear model without trigger value, radiation visualization in pediatric oncology and related radiophobia and doubt
https://doi.org/10.17650/2311-1267-2017-4-2-114-116
Abstract
Personal opinion concerning ideas of Jeffry A. Siegel et al which were published in previous issue of the Russian Journal of Pediatric Hematology, Oncology and Immunology, presented in this article. The essence of the judgment of Dr. Siegel and co-authors is that the linear model with trigger values and ALARA (As Low As Reasonably Achievable) principle can bring more harm than benefits in case of diagnostics in the limits of low dose irradiation.
Authors tend to agree with opinion proposed by Jeffry A. Siegel that blind following of ALARA principle without estimation of dose sizes could block the therapy process and increase the radiophobia both at physician prescribing diagnostics, and relatives of children with a history of long treatment. Herewith, there can be situations when radiophobia can led to limitation of required diagnostic procedures. Taking into account high severity of oncological patients, consequences can be very negative.
Meanwhile authors think that performing of evaluation studies on structure pf dose load in pediatric hematology-oncology required. It is important to observe and foresee the situations in which the excess of low doses possible and to limit the following dose accumulation in this case if clinically possible.
About the Authors
A. S. Krasnov
Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology Ministry of Health of Russia
Russian Federation
1 Samory Mashela St., Moscow, 117997
Russian Federation
1 Samory Mashela St., Moscow, 117997
G. V. Tereshchenko
Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology Ministry of Health of Russia
Russian Federation
1 Samory Mashela St., Moscow, 117997
Russian Federation
1 Samory Mashela St., Moscow, 117997
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Review
For citations:
Krasnov A.S., Tereshchenko G.V. Linear model without trigger value, radiation visualization in pediatric oncology and related radiophobia and doubt. Russian Journal of Pediatric Hematology and Oncology. 2017;4(2):114-116. (In Russ.) https://doi.org/10.17650/2311-1267-2017-4-2-114-116
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