Literature DB >> 25761211

Occupational radiation dose to eyes from interventional radiology procedures in light of the new eye lens dose limit from the International Commission on Radiological Protection.

U O'Connor1, C Walsh, A Gallagher, A Dowling, M Guiney, J M Ryan, N McEniff, G O'Reilly.   

Abstract

OBJECTIVE: In 2011, the International Commission on Radiological Protection (ICRP) recommended a substantial reduction in the equivalent dose limit for the lens of the eye, in line with a reduced threshold of absorbed dose for radiation-induced cataracts. This is of particular relevance in interventional radiology (IR) where it is well established that staff doses can be significant, however, there is a lack of data on IR eye doses in terms of Hp(3). Hp(3) is the personal dose equivalent at a depth of 3 mm in soft tissue and is used for measuring lens dose. We aimed to obtain a reliable estimate of eye dose to IR operators.
METHODS: Lens doses were measured for four interventional radiologists over a 3-month period using dosemeters specifically designed to measure Hp(3).
RESULTS: Based on their typical workloads, two of the four interventional radiologists would exceed the new ICRP dose limit with annual estimated doses of 31 and 45 mSv to their left eye. These results are for an "unprotected" eye, and for IR staff who routinely wear lead glasses, the dose beneath the glasses is likely to be significantly lower. Staff eye dose normalized to patient kerma-area product and eye dose per procedure have been included in the analysis.
CONCLUSION: Eye doses to IR operators have been established using a dedicated Hp(3) dosemeter. Estimated annual doses have the potential to exceed the new ICRP limit. ADVANCES IN KNOWLEDGE: We have estimated lens dose to interventional radiologists in terms of Hp(3) for the first time in an Irish hospital setting.

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Year:  2015        PMID: 25761211      PMCID: PMC4628470          DOI: 10.1259/bjr.20140627

Source DB:  PubMed          Journal:  Br J Radiol        ISSN: 0007-1285            Impact factor:   3.039


  28 in total

1.  A 20 mSv dose limit for the eye: sense or no sense?

Authors:  C J Martin
Journal:  J Radiol Prot       Date:  2011-11-17       Impact factor: 1.394

2.  Is the new ICRP eye dose limit justified?

Authors:  Chris Englefield
Journal:  J Radiol Prot       Date:  2011-11-17       Impact factor: 1.394

3.  What are the implications of the proposed revision of the eye dose limit for interventional operators?

Authors:  C J Martin
Journal:  Br J Radiol       Date:  2011-10       Impact factor: 3.039

Review 4.  Personal dosimetry for interventional operators: when and how should monitoring be done?

Authors:  C J Martin
Journal:  Br J Radiol       Date:  2010-12-15       Impact factor: 3.039

5.  Extremity and eye lens doses in interventional radiology and cardiology procedures: first results of the ORAMED project.

Authors:  J Domienik; M Brodecki; E Carinou; L Donadille; J Jankowski; C Koukorava; S Krim; D Nikodemova; N Ruiz-Lopez; M Sans-Mercé; L Struelens; F Vanhavere
Journal:  Radiat Prot Dosimetry       Date:  2010-12-23       Impact factor: 0.972

Review 6.  Occupational radiation doses to operators performing fluoroscopically-guided procedures.

Authors:  Kwang Pyo Kim; Donald L Miller; Amy Berrington de Gonzalez; Stephen Balter; Ruth A Kleinerman; Evgenia Ostroumova; Steven L Simon; Martha S Linet
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7.  Unprotected operator eye lens doses in oncologic interventional radiology are clinically significant: estimation from patient kerma-area-product data.

Authors:  Lawrence T Dauer; Raymond H Thornton; Stephen B Solomon; Jean St Germain
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8.  [Medical electrical equipment - part 2-43: particular requirements for the basic safety and essential performance of X-ray equipment for interventional procedures].

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9.  Principles for the design and calibration of radiation protection dosemeters for operational and protection quantities for eye lens dosimetry.

Authors:  J M Bordy; G Gualdrini; J Daures; F Mariotti
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Review 10.  Radiation and cataract.

Authors:  Madan M Rehani; Eliseo Vano; Olivera Ciraj-Bjelac; Norman J Kleiman
Journal:  Radiat Prot Dosimetry       Date:  2011-07-14       Impact factor: 0.972

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  9 in total

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2.  Angular dependence of shielding effect of radiation protective eyewear for radiation protection of crystalline lens.

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3.  Occupational Doses to Medical Staff Performing or Assisting with Fluoroscopically Guided Interventional Procedures.

Authors:  David Borrego; Cari M Kitahara; Stephen Balter; Craig Yoder
Journal:  Radiology       Date:  2019-11-26       Impact factor: 11.105

4.  Occupational radiation exposure and risk of cataract incidence in a cohort of US radiologic technologists.

Authors:  Mark P Little; Cari M Kitahara; Elizabeth K Cahoon; Marie-Odile Bernier; Raquel Velazquez-Kronen; Michele M Doody; David Borrego; Jeremy S Miller; Bruce H Alexander; Steven L Simon; Dale L Preston; Nobuyuki Hamada; Martha S Linet; Craig Meyer
Journal:  Eur J Epidemiol       Date:  2018-08-27       Impact factor: 8.082

5.  Occupational radiation exposure in doctors: an analysis of exposure rates over 25 years.

Authors:  Amy R Sharkey; Parthivi Gambhir; Sepas Saraskani; Ross Walker; Ashcaan Hajilou; Paul Bassett; Navneet Sandhu; Peter Croasdale; Ian Honey; Athanasios Diamantopoulos; Vicky Goh
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6.  Occupational eye dose correlation with neck dose and patient-related quantities in interventional cardiology procedures.

Authors:  Hiroki Ishii; Koichi Chida; Ko Satsurai; Yoshihiro Haga; Yuji Kaga; Mitsuya Abe; Yohei Inaba; Masayuki Zuguchi
Journal:  Radiol Phys Technol       Date:  2022-01-23

7.  Impact of Allura Clarity Technology on Radiation Dose Exposure During Left Atrial Appendage Closure.

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Journal:  Pol J Radiol       Date:  2017-10-20

8.  Occupational radiation dose to the lens of the eye of medical staff who assist in diagnostic CT scans.

Authors:  Keisuke Nagamoto; Takashi Moritake; Koichi Nakagami; Koichi Morota; Satoru Matsuzaki; Shun-Ichi Nihei; Masayuki Kamochi; Naoki Kunugita
Journal:  Heliyon       Date:  2021-01-30

9.  A multicenter study of radiation doses to the eye lenses of clinical physicians performing radiology procedures in Japan.

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  9 in total

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