scholarly journals Eye lens radiation exposure to interventional cardiologists: a retrospective assessment of cumulativedoses

2012 ◽  
Vol 153 (3) ◽  
pp. 282-293 ◽  
Author(s):  
S. Jacob ◽  
L. Donadille ◽  
C. Maccia ◽  
O. Bar ◽  
S. Boveda ◽  
...  
2018 ◽  
Vol 32 (10) ◽  
pp. 905-906
Author(s):  
Florian Distler ◽  
Josefin Hartmann ◽  
Sascha Pahernik ◽  
Michael Wucherer

Author(s):  
Apelmann ◽  
Kowald ◽  
Weinrich ◽  
Dischinger ◽  
Nienhaus ◽  
...  

Background: Due to the drastic reduction of the eye lens dose limit from 150 mSv per year to 20 mSv per year since 2018, the prospective investigation of the estimated dose of the eye lens by radiological imaging procedures at the surgical site during trauma surgery in the daily work process was carried out. This was also necessary because, as experience shows, with changes in surgical techniques, there are also changes in the use of radiological procedures, and thus an up-to-date inventory can provide valuable information for the assessment of occupationally induced radiation exposure of surgical personnel under the current conditions. Methods: The eye lens radiation exposure was measured over three months for five trauma surgeons, four hand surgeons and four surgical assistants with personalized LPS-TLD-TD 07 partial body dosimeters Hp (0.07). A reference dosimeter was deposited at the surgery changing room. The dosimeters were sent to the LPS (Landesanstalt für Personendosimetrie und Strahlenschutzausbildung) measuring institute (National Institute for Personal Dosimetry and Radiation Protection Training, Berlin) for evaluation after 3 months. The duration of the operation, occupation (assistant, surgeon, etc.), type of surgery (procedure, diagnosis), designation of the X-ray unit, total duration of radiation exposure per operation and dose area product per operation were recorded. Results: Both the evaluation of the dosimeters by the trauma surgeons and the evaluation of the dosimeters by the hand surgeons and the surgical assistants revealed no significant radiation exposure of the eye lens in comparison to the respective measured reference dosimeters. Conclusions: Despite the drastic reduction of the eye lens dose limit from 150 mSv per year to 20 mSv per year, the limit for orthopedic, trauma and hand surgery operations is well below the limit in this setting.


2020 ◽  
Vol 189 (3) ◽  
pp. 271-278
Author(s):  
Joanna Domienik-Andrzejewska ◽  
Marcin Brodecki ◽  
Marek Zmyślony

Abstract Coefficients converting the readings of the whole body dosemeter worn on the left arm to eye lens doses were determined by analysing the correlations between Hp(10) and Hp(3) values. Doses were measured on a phantom for specific C-arm projections typically used during CA/PCI procedures. In order to estimate the cumulative eye lens doses, conversion coefficients were then applied to the dose records of interventional cardiologists collected in the database of dosimetry service between the years 1995 and 2009. The Hp(10) to Hp(3) conversion coefficients are 0.29 (CV = 34%) and 0.17 (CV = 42%) for left and right eye lens, respectively. However, they can vary from one laboratory to another depending on working technique. From among 61 interventional cardiologists, none exceeded the threshold dose of 0.5 Gy for eye lens opacities. However, 44% of interventional cardiologists were likely to exceed the annual limit of 20 mSv for the most exposed eye at least once in the analysed time period.


2012 ◽  
Vol 81 (8) ◽  
pp. 1896-1900 ◽  
Author(s):  
Morgane Michel ◽  
Sophie Jacob ◽  
Gilles Roger ◽  
Béatrice Pelosse ◽  
Dominique Laurier ◽  
...  
Keyword(s):  
Ct Scans ◽  
Eye Lens ◽  

Author(s):  
Zoi Thrapsanioti ◽  
Panagiotis Askounis ◽  
Ioannis Datseris ◽  
Ramza Anastasia Diamanti ◽  
Miltiadis Papathanasiou ◽  
...  

2015 ◽  
Vol 168 (1) ◽  
pp. 11-18
Author(s):  
M.-A. Chevallier ◽  
A. Rannou ◽  
C. Villagrasa ◽  
I. Clairand

2019 ◽  
Vol 61 (1) ◽  
pp. 110-116
Author(s):  
Fabian Henry Jürgen Elsholtz ◽  
Janis Lucas Vahldiek ◽  
Sebastian Wyschkon ◽  
Maximilian De Bucourt ◽  
Gerd Koletzko ◽  
...  

Background Computed tomography (CT) is widely used not only for diagnostic purposes but also for image guidance during different types of interventions. Therefore, radiation exposure of both patients and interventional radiologists remains a much-discussed topic. Purpose To quantify radiation exposure of interventional radiologists during multiple CT-guided interventions using dosimeters placed under and outside standard protective lead clothing. Material and Methods A total of 113 consecutive interventions covering three different types of procedures (grouped as periradicular infiltration therapy, biopsies, and drain placement) and performed using routine clinical protocols were prospectively analyzed. The interventions were performed by two radiologists of different experience levels with identically placed dosimeters outside and underneath their protective clothing. Personal doses (right hand, eye lens, thyroid gland, thorax, gonads) were cumulatively measured for each type of intervention and separately for the two radiologists. Results Personal dose was below the detection limit of the dosimeters during periradicular infiltration therapy. In the biopsy and drain placement groups, the highest dose was found for the right hand (maximum cumulative dose = 1.84 ± 1.30 mSv in 19 consecutive drain placements). Under the protective gear, exposure was only observed for drain placements performed by the less experienced radiologist (maximum = 0.05 ± 0.04 mSv for the eye lens). Conclusion Personal doses measured here were far below annual thresholds published by the International Commission on Radiological Protection. Therefore, performing multiple CT-guided interventions appears to be safe for interventional radiologists in terms of radiation exposure.


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