Yaxley J. Radiation safety in interventional nephrology. World J Nephrol 2025; 14(3): 105366 [DOI: 10.5527/wjn.v14.i3.105366]
Corresponding Author of This Article
Julian Yaxley, MBBS, Department of Nephrology, Logan Hospital, Loganlea Rd, Meadowbrook, QLD 4131, Australia. julian.yaxley@gmail.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Nephrol. Sep 25, 2025; 14(3): 105366 Published online Sep 25, 2025. doi: 10.5527/wjn.v14.i3.105366
Radiation safety in interventional nephrology
Julian Yaxley
Julian Yaxley, Department of Nephrology, Logan Hospital, Meadowbrook, QLD 4131, Australia
Author contributions: Yaxley J solely contributed to the manuscript, with conception, writing, and formatting.
Conflict-of-interest statement: There are no conflicts of interest to declare.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Julian Yaxley, MBBS, Department of Nephrology, Logan Hospital, Loganlea Rd, Meadowbrook, QLD 4131, Australia. julian.yaxley@gmail.com
Received: January 20, 2025 Revised: March 31, 2025 Accepted: May 7, 2025 Published online: September 25, 2025 Processing time: 240 Days and 22.2 Hours
Abstract
Fluoroscopic imaging is widely utilised for diagnostic and therapeutic procedures and is fundamental to the establishment and maintenance of dialysis vascular access. To optimise outcomes and avoid injury to patients and healthcare providers, radiation technology must be applied effectively and safely in clinical practice. Radiation safety may be overlooked by nephrology training curricula. This narrative review discusses the theoretical and practical principles of radiation management in fluoroscopy-guided procedures and is intended as a primer for trainees and nephrologists working in interventional settings.
Core Tip: Image-guided procedures are a core of interventional nephrology practice. Safe and appropriate utilisation of ionising radiation is essential. Radiation management is not widely incorporated into training curricula. This review summarises the principles and practice of procedural fluoroscopic-guidance for the nephrologist.
