Radiation protection of the eye lens in medical workers-basis and impact of the ICRP recommendations

被引:42
作者
Barnard, Stephen G. R. [1 ,2 ]
Ainsbury, Elizabeth A. [1 ]
Quinlan, Roy A. [2 ]
Bouffler, Simon D. [1 ]
机构
[1] Publ Hlth England, Ctr Radiat Chem & Environm Hazards, Didcot, Oxon, England
[2] Univ Durham, Sch Biol & Biomed Sci, Durham, England
关键词
DOSE LIMIT; INTERVENTIONAL PROCEDURES; IONIZING-RADIATION; EXPOSURE; STAFF; RADIOLOGY; DOSIMETER; CATARACT;
D O I
10.1259/bjr.20151034
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The aim of this article was to explore the evidence for the revised European Union basic safety standard (BSS) radiation dose limits to the lens of the eye, in the context of medical occupational radiation exposures. Publications in the open literature have been reviewed in order to draw conclusions on the exposure profiles and doses received by medical radiation workers and to bring together the limited evidence for cataract development in medical occupationally exposed populations. The current status of relevant radiation-protection and monitoring practices and procedures is also considered. In conclusion, medical radiation workers do receive high doses in some circumstances, and thus working practices will be impacted by the new BSS. However, there is strong evidence to suggest that compliance with the new lower dose limits will be possible, although education and training of staff alongside effective use of personal protective equipment will be paramount. A number of suggested actions are given with the aim of assisting medical and associated radiation-protection professionals in understanding the requirements.
引用
收藏
页数:9
相关论文
共 39 条
[21]   Interventional cardiologists and risk of radiation-induced cataract: Results of a French multicenter observational study [J].
Jacob, Sophie ;
Boveda, Serge ;
Bar, Olivier ;
Brezin, Antoine ;
Maccia, Carlo ;
Laurier, Dominique ;
Bernier, Marie-Odile .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 167 (05) :1843-1847
[22]   RADIATION EXPOSURE TO PATIENTS AND MEDICAL STAFF IN HEPATIC CHEMOEMBOLISATION INTERVENTIONAL PROCEDURES IN RECIFE, BRAZIL [J].
Khoury, H. J. ;
Garzon, W. J. ;
Andrade, G. ;
Lunelli, N. ;
Kramer, R. ;
de Barros, V. S. M. ;
Huda, A. .
RADIATION PROTECTION DOSIMETRY, 2015, 165 (1-4) :263-267
[23]   Efficiency of radiation protection equipment in interventional radiology: a systematic Monte Carlo study of eye lens and whole body doses [J].
Koukorava, C. ;
Farah, J. ;
Struelens, L. ;
Clairand, I. ;
Donadille, L. ;
Vanhavere, F. ;
Dimitriou, P. .
JOURNAL OF RADIOLOGICAL PROTECTION, 2014, 34 (03) :509-528
[24]   Radiation protection of medical staff [J].
Le Heron, John ;
Padovani, Renato ;
Smith, Ian ;
Czarwinski, Renate .
EUROPEAN JOURNAL OF RADIOLOGY, 2010, 76 (01) :20-23
[25]   A 20 mSv dose limit for the eye: sense or no sense? [J].
Martin, C. J. .
JOURNAL OF RADIOLOGICAL PROTECTION, 2011, 31 (04) :385-387
[26]   An assessment of lead eyewear in interventional radiology [J].
McVey, S. ;
Sandison, A. ;
Sutton, D. G. .
JOURNAL OF RADIOLOGICAL PROTECTION, 2013, 33 (03) :647-659
[27]   THE INFLUENCE OF DOSE, DOSE-RATE AND PARTICLE FRAGMENTATION ON CATARACT INDUCTION BY ENERGETIC IRON IONS [J].
MEDVEDOVSKY, C ;
WORGUL, BV ;
HUANG, Y ;
BRENNER, DJ ;
TAO, F ;
MILLER, J ;
ZEITLIN, C ;
AINSWORTH, EJ .
LIFE SCIENCES AND SPACE RESEARCH XXV(2): RADIATION BIOLOGY, 1994, 14 (10) :475-482
[28]   Effective doses in radiology and diagnostic nuclear medicine: A catalog [J].
Mettler, Fred A., Jr. ;
Huda, Walter ;
Yoshizumi, Terry T. ;
Mahesh, Mahadevappa .
RADIOLOGY, 2008, 248 (01) :254-263
[29]   Occupational radiation dose to eyes from endoscopic retrograde cholangiopancreatography procedures in light of the revised eye lens dose limit from the International Commission on Radiological Protection [J].
O'Connor, U. ;
Gallagher, A. ;
Malone, L. ;
O'Reilly, G. .
BRITISH JOURNAL OF RADIOLOGY, 2013, 86 (1022)
[30]   On the feasibility of utilizing active personal dosimeters worn on the chest to estimate occupational eye lens dose in x-ray angiography [J].
Omar, Artur ;
Marteinsdottir, Maria ;
Kadesjo, Nils ;
Fransson, Annette .
JOURNAL OF RADIOLOGICAL PROTECTION, 2015, 35 (02) :271-284