Occupational exposure of the eye lens in interventional procedures: how to assess and manage radiation dose

Occupational exposure from interventional x-ray procedures is one of the areas in which increased eye lens exposure may occur. Accurate dosimetry is an important element to investigate the correlation of observed radiation effects with radiation dose, to verify the compliance with regulatory dose li...

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Detalles Bibliográficos
Autores: Ciraj Bjelac, Olivera, Carinou, Eleftheria, Ferrari, Paolo, Ginjaume Egido, Mercè|||0000-0002-6767-2624, Sans Merce, Marta, O'Connor, Una
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/128700
Acceso en línea:https://hdl.handle.net/2117/128700
https://dx.doi.org/10.1016/j.jacr.2016.06.015
Access Level:acceso abierto
Palabra clave:Radiation dosimetry
Ophthalmic lenses
Eye lens
Radiation dose
Interventional procedures
Occupational exposure
Fluoroscopy
Radiació--Dosimetria
Lents oftàlmiques
Àrees temàtiques de la UPC::Física::Electromagnetisme
Àrees temàtiques de la UPC::Ciències de la visió
Àrees temàtiques de la UPC::Ciències de la visió::Òptica física
Descripción
Sumario:Occupational exposure from interventional x-ray procedures is one of the areas in which increased eye lens exposure may occur. Accurate dosimetry is an important element to investigate the correlation of observed radiation effects with radiation dose, to verify the compliance with regulatory dose limits, and to optimize radiation protection practice. The objective of this work is to review eye lens dose levels in clinical practice that may occur from the use of ionizing radiation. The use of a dedicated eye lens dosimeter is the recommended methodology; however, in practice it cannot always be easily implemented. Alternatively, the eye lens dose could be assessed from measurements of other dosimetric quantities or other indirect parameters, such as patient dose. The practical implementation of monitoring eye lens doses and the use of adequate protective equipment still remains a challenge. The use of lead glasses with a good fit to the face, appropriate lateral coverage, and/or ceiling-suspended screens is recommended in workplaces with potential high eye lens doses.