Document Type
Article
Publication Date
6-1-2026
Abstract
Occupational radiation exposure has a clear association with long-term health effects and has a particular impact on women, trainees, and supporting staff. There is a reliance on limited, traditional radiation protection and nonergonomic equipment, which carries associated orthopedic injury rates with adverse impacts on both individual career trajectories and health systems, and with significant challenges to widespread implementation of enhanced radiation protection devices. During the 2025 Society for Cardiovascular Angiography & Interventions Scientific Sessions in Washington, DC, a multidisciplinary Think Tank summit was convened and included representatives from multiple stakeholders, including other professional societies, advocacy groups, and industry partners. The focus of discussion was on the dual dangers of both ionizing radiation and the musculoskeletal injuries associated with current-generation protection equipment. This document summarizes the main points of discussion and outlines actionable next steps to advocate for more widespread implementation of enhanced radiation protection technologies and imaging systems in order to achieve ALARA+ (as low and as light as reasonably achievable).
Recommended Citation
Salavitabar, Arash; Vora, Amit N.; Altschul, Dorothea; Angle, J. Fritz; Ballinger, Chelsea; Bojanowski, Andrew; Bortnick, Anna E.; Bugg, Kyle; Carpenter, Emily; Foster, Robert E.; Ghobrial, Joanna; Glogoza, Matthew; Gupta, Atul; Hermiller, James B.; Jones, A. Kyle; Kaplan, Summer L.; Kraus, Steven J.; Khalique, Omar; Klein, Andrea; Morse, Nick; Ramchand, Preethi; Rizik, David G.; Safi, Lucy M.; Schultz, Cheryl C.; Tamirisa, Kamala P.; Widmer, R. Jay; Wilson, Kristi; Fang, Jonathan X.; Seto, Arnold; and Riley, Robert F., "ALARA+: Summit on Radiation and Orthopedic Risks in Fluoroscopic Laboratories: Endorsed by ACC, ACVP, ASE, HRS, SCAI, SIR, SNIS, SVIN, and SVS" (2026). Department of Neurosurgery Faculty Papers. Paper 305.
https://jdc.jefferson.edu/neurosurgeryfp/305
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
PubMed ID
41874495
Language
English
Comments
This article is the author’s final published version in Journal of Vascular and Interventional Radiology, Volume 37, Issue 6, 2026, Article number 108689.
The published version is available at https://doi.org/10.1016/j.jvir.2026.108689. Copyright © 2026 Society for Cardiovascular Angiography and Interventions Foundation, Society of Interventional Radiology, Society for Vascular Surgery and Heart Rhythm Society.