Occupational eye dose correlation with neck dose and patient-related quantities in interventional cardiology procedures
Occupational eye dose correlation with neck dose and patient-related quantities in interventional cardiology procedures
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DOI：
10.1007/s12194-022-00650-w
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发表时间：
2022-01-23
影响因子：
1.6
通讯作者：
Zuguchi, Masayuki
中科院分区：
文献类型：
--
作者：
Ishii, Hiroki;Chida, Koichi;Zuguchi, Masayuki
介入放射学和介入心脏病学期间的职业眼剂量监测对于避免辐射诱发的白内障非常重要。本研究的目的是评估介入心脏病学医生和护士的眼睛剂量与颈部剂量和患者相关量的相关性。这项研究的原创性在于获得不同程序和从业者之间剂量计位置和眼睛剂量辐射读数之间的相关性。使用主动个人剂量计测量每次手术的剂量（18 例冠状动脉造影术和 16 例经皮冠状动脉介入治疗）。医生眼部剂量与颈部剂量不相关。在冠状动脉造影（R-2 = 0.91）和经皮冠状动脉介入治疗（R-2 = 0.93）期间，护士的眼睛剂量与颈部剂量具有良好的相关性。比释动面积乘积值可用于医生在常规冠状动脉造影过程中粗略估计眼睛剂量（R-2 = 0.76）。对于护士来说，在冠状动脉造影和经皮冠状动脉介入治疗过程中，颈部剂量可以很好地替代眼睛剂量。
Occupational eye dose monitoring during interventional radiology and interventional cardiology is important to avoid radiation-induced cataracts. The aim of this study was to assess the eye dose correlation with neck dose and patient-related quantities for interventional cardiology physicians and nurses. The originality of this study lies in obtaining correlations between the location of the dosimeter and eye dose radiation readings among different procedures and practitioners. The doses were measured for each procedure (18 procedures of coronary angiography and 16 procedures of percutaneous coronary intervention) using an active personal dosimeter. The eye dose for physicians was not correlated with the neck dose. The eye dose for nurses had a good correlation with the neck dose during both coronary angiography (R-2 = 0.91) and percutaneous coronary intervention (R-2 = 0.93). Kerma-area product values may be used for a rough estimation of the eye dose for physicians during routine coronary angiography procedures (R-2 = 0.76). For nurses, the neck dose is a good proxy for the eye dose during coronary angiography and percutaneous coronary intervention procedures.