Diagnosing and treating disease: how physicists keep you safe during healthcare procedures
Sep 19, 2024
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Mark Knight, chief healthcare scientist at NHS Kent and Medway, teams up with Fiammetta Fedele, head of non-ionizing radiation at Guy’s and St Thomas, to discuss the pivotal role of medical physicists in healthcare. They delve into how these experts ensure patient safety during radiotherapy and imaging procedures. The conversation also touches on the exciting potential of artificial intelligence in transforming medical technology while addressing ethical considerations. Innovations in patient treatment and safety protocols are highlighted, making the future of healthcare look promising.
Medical physicists ensure safe radiotherapy by using advanced imaging techniques and precise radiation planning to protect healthy tissue.
The integration of artificial intelligence in healthcare requires careful oversight from medical physicists to maintain ethical standards and patient safety.
Deep dives
Ensuring Safe Radiotherapy Treatments
Medical physicists play a crucial role in the safety of radiotherapy treatments by ensuring that ionizing radiation effectively targets tumors while protecting healthy tissue. The treatment process begins with precise imaging, such as combining CT and PET scans, to accurately locate and define the tumor's shape. After outlining the tumor, clinicians adjust the treatment margins to account for uncertainties, followed by a specialized radiation treatment plan that takes into consideration the individual characteristics of the tumor. Techniques like lead sheets and variable radiation intensity are utilized to meticulously shape the radiation dose, ensuring minimal exposure to sensitive organs while delivering the necessary therapeutic radiation accurately.
Optimizing X-Ray Imaging Safety
X-ray imaging, while relatively safe, does involve some risks that medical physicists meticulously manage through expert justification and quality assurance protocols. The everyday risks associated with radiation exposure are put into context, as patients encounter greater risks in daily life than from a typical chest X-ray, which is comparable to just a few days of natural background radiation exposure. To optimize patient safety, each imaging procedure must be justified by a professional, ensuring that the benefits outweigh any associated risks. Continuous quality control checks and training for medical personnel support the optimization of radiation doses while maintaining high image quality.
Managing Safety in Diagnostic Ultrasound
Although ultrasound utilizes sound waves and is generally considered safe, there are still potential effects on the body that require careful monitoring by medical physicists. These physicists ensure that the levels of sound waves and scanning times are kept well below thresholds that could produce harmful effects, maintaining patient safety throughout procedures. Regular testing of ultrasound equipment is crucial to confirm that they operate within the expected safety limits set by manufacturers. Such oversight protects both patients and practitioners, allowing ultrasound to remain a reliable method for diagnostic imaging.
The Role of Medical Physicists in New Technologies
As innovative medical techniques emerge, the role of medical physicists becomes vital in assessing and ensuring their safety before clinical implementation. Controlled clinical trials are necessary to evaluate new technologies, paralleling the rigor of drug trials, while receiving regulatory certifications to confirm their safety for patient use. Multidisciplinary collaboration among medical physicists, clinicians, and engineers is essential to identify and mitigate potential risks associated with these advances. Furthermore, the introduction of artificial intelligence in healthcare calls for careful oversight to prevent ethical concerns and implications for patient safety, ensuring that AI tools complement clinical practices without compromising care quality.
This episode of the Physics World Weekly podcast features two medical physicists working at the heart of the UK’s National Health Service (NHS). They are Mark Knight, who is chief healthcare scientist at the NHS Kent and Medway Integrated Care Board, and Fiammetta Fedele, who is head of non-ionizing radiation at Guy’s and St Thomas NHS Foundation Trust in London.
They explain how medical physicists keep people safe during healthcare procedures – while innovating new technologies and treatments. They also discuss the role that artificial intelligence could play in medical physics and take a look forward to the future of healthcare.
This episode was created in collaboration with IPEM, the Institute of Physics and Engineering in Medicine. IPEM owns the journal Physics in Medicine & Biology.