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Title: Will X-ray Safety Glasses Become Mandatory for Radiological Vascular Interventions?

Abstract

PurposeThe annual permissible radiation ocular lens dose has been reduced to 20 millisieverts (mSv) in the current European directive 2013/59/Euratom. The aim of this study was to evaluate the personal radiation dose for vascular interventions with special focus on ocular lens dose.Materials and MethodsFrom May 2016 to October 2016, the personal radiation doses of two interventionists and four technicians were prospectively recorded during 206 vascular interventions. The position of personnel, intervention type and fluoroscopy time were recorded. Parameters evaluated were total body dose measured by film dosimeter, hand dose measured by ring thermoluminescent dosimeter (TLD) and ocular lens dose measured by TLD placed in front of the safety glasses. Linear regression analysis was used to estimate the dose at 2 and 5 years.ResultsThe ocular lens dose, hand and total body dose of the two interventionists were 11/5, 56/47 and 0.6 mSv each, respectively. The estimated 5-year ocular dose was 113.08 mSv (95% CI 38.2–187.97)/40.95 (95% CI 16.9–64.7). Similarly, hand dose was 608.4 mSv (95% CI 442.78–774.38)/514.47 (95% CI 329.83–699.10) and body dose 6.07 mSv (95% CI 4.70–8.22)/5.12 (95% CI 3.65–6.59), respectively. Amongst four technicians, only the first assistant showed recordings of 0.3 mSv body dose, 2 mSv ocular lens dose and 5 mSv hand dose.ConclusionThe yearly ocular lensmore » dose, particularly for interventionists dealing with complex interventions, could cross the permitted yearly limit set by the new Euratom directive. Therefore, X-ray safety glasses would become mandatory for complex radiological vascular interventions.Level of EvidenceLevel III, non-randomized controlled cohort/follow-up study.« less

Authors:
; ; ; ;  [1];  [2];  [1]
  1. Klinikum Oldenburg AöR, Institute of Diagnostic and Interventional Radiology (Germany)
  2. Klinikum Oldenburg AöR, Department of Cardiac Surgery, University Hospital (Germany)
Publication Date:
OSTI Identifier:
22749907
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 41; Journal Issue: 7; Other Information: Copyright (c) 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; FILM DOSIMETRY; GLASS; LENSES; RADIATION DOSES; REGRESSION ANALYSIS; THERMOLUMINESCENT DOSEMETERS; X RADIATION

Citation Formats

Thomas, Rohit Philip, E-mail: rohit0904@gmail.com, Grau, Mathias, Eldergash, Osama, Kowald, Tobias, Schnabel, Johannes, Szczechowicz, Marcin, and Chavan, Ajay. Will X-ray Safety Glasses Become Mandatory for Radiological Vascular Interventions?. United States: N. p., 2018. Web. doi:10.1007/S00270-018-1960-X.
Thomas, Rohit Philip, E-mail: rohit0904@gmail.com, Grau, Mathias, Eldergash, Osama, Kowald, Tobias, Schnabel, Johannes, Szczechowicz, Marcin, & Chavan, Ajay. Will X-ray Safety Glasses Become Mandatory for Radiological Vascular Interventions?. United States. doi:10.1007/S00270-018-1960-X.
Thomas, Rohit Philip, E-mail: rohit0904@gmail.com, Grau, Mathias, Eldergash, Osama, Kowald, Tobias, Schnabel, Johannes, Szczechowicz, Marcin, and Chavan, Ajay. Sun . "Will X-ray Safety Glasses Become Mandatory for Radiological Vascular Interventions?". United States. doi:10.1007/S00270-018-1960-X.
@article{osti_22749907,
title = {Will X-ray Safety Glasses Become Mandatory for Radiological Vascular Interventions?},
author = {Thomas, Rohit Philip, E-mail: rohit0904@gmail.com and Grau, Mathias and Eldergash, Osama and Kowald, Tobias and Schnabel, Johannes and Szczechowicz, Marcin and Chavan, Ajay},
abstractNote = {PurposeThe annual permissible radiation ocular lens dose has been reduced to 20 millisieverts (mSv) in the current European directive 2013/59/Euratom. The aim of this study was to evaluate the personal radiation dose for vascular interventions with special focus on ocular lens dose.Materials and MethodsFrom May 2016 to October 2016, the personal radiation doses of two interventionists and four technicians were prospectively recorded during 206 vascular interventions. The position of personnel, intervention type and fluoroscopy time were recorded. Parameters evaluated were total body dose measured by film dosimeter, hand dose measured by ring thermoluminescent dosimeter (TLD) and ocular lens dose measured by TLD placed in front of the safety glasses. Linear regression analysis was used to estimate the dose at 2 and 5 years.ResultsThe ocular lens dose, hand and total body dose of the two interventionists were 11/5, 56/47 and 0.6 mSv each, respectively. The estimated 5-year ocular dose was 113.08 mSv (95% CI 38.2–187.97)/40.95 (95% CI 16.9–64.7). Similarly, hand dose was 608.4 mSv (95% CI 442.78–774.38)/514.47 (95% CI 329.83–699.10) and body dose 6.07 mSv (95% CI 4.70–8.22)/5.12 (95% CI 3.65–6.59), respectively. Amongst four technicians, only the first assistant showed recordings of 0.3 mSv body dose, 2 mSv ocular lens dose and 5 mSv hand dose.ConclusionThe yearly ocular lens dose, particularly for interventionists dealing with complex interventions, could cross the permitted yearly limit set by the new Euratom directive. Therefore, X-ray safety glasses would become mandatory for complex radiological vascular interventions.Level of EvidenceLevel III, non-randomized controlled cohort/follow-up study.},
doi = {10.1007/S00270-018-1960-X},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 7,
volume = 41,
place = {United States},
year = {2018},
month = {7}
}