Eye lens radiation exposure to interventional cardiologists: a retrospective assessment of cumulative doses

被引:67
作者
Jacob, Sophie [1 ]
Donadille, Laurent [2 ]
Maccia, Carlo [3 ]
Bar, Olivier [4 ,5 ]
Boveda, Serge [6 ,7 ]
Laurier, Dominique [1 ]
Bernier, Marie-Odile [1 ]
机构
[1] Inst Radioprotect & Surete Nucl, PRP HOM, SRBE, Lab Epidemiol,LEPID, F-92262 Fontenay Aux Roses, France
[2] Inst Radioprotect & Surete Nucl, PRP HOM, SRBE, Lab Dosimetrie Rayonnements Ionisants, F-92262 Fontenay Aux Roses, France
[3] Ctr Assurance Qualite Applicat Technol Domaine Sa, Bourg La Reine, France
[4] Clin St Gatien, Serv Cardiol Intervent, Tours, France
[5] Soc Francaise Cardiol, Grp Atherome Cardiol Intervent, Tours, France
[6] Clin Pasteur, Dept Rythmol, Toulouse, France
[7] Soc Francaise Cardiol, Grp Rythmol Stimulat Cardiaque, Toulouse, France
关键词
RADIOFREQUENCY CATHETER ABLATION; CONTROLLED MECHANICAL PUMP; CARDIAC-CATHETERIZATION; CORONARY-ANGIOGRAPHY; PERSONNEL EXPOSURE; PATIENT; STAFF; IMPLANTATION; PHYSICIAN; ARTERIOGRAPHY;
D O I
10.1093/rpd/ncs116
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Radiation dose to the eye lens is a crucial issue for interventional cardiologists (ICs) who are exposed during the procedures they perform. This paper presents a retrospective assessment of the cumulative eye lens doses of ICs enrolled in the OCLOC study for Occupational Cataracts and Lens Opacities in interventional Cardiology. Information on the workload in the catheterisation laboratory, radiation protection equipment, eye lens dose per procedure and dose reduction factors associated with eye-protective equipment were considered. For the 129 ICs at an average age of 51 who had worked for an average period of 22 years, the estimated cumulative eye lens dose ranged from 25 mSv to more than 1600 mSv; the meanSD was 423359 mSv. After several years of practice, without eye protection, ICs may exceed the new ICRP lifetime eye dose threshold of 500 mSv and be at high risk of developing early radiation-induced cataracts. Radiation protection equipment can reduce these doses and should be used routinely.
引用
收藏
页码:282 / 293
页数:12
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