PMID- 36401940
OWN - NLM
STAT- MEDLINE
DCOM- 20221215
LR  - 20221215
IS  - 1724-191X (Electronic)
IS  - 1120-1797 (Linking)
VI  - 104
DP  - 2022 Dec
TI  - Surgeon eye lens dose monitoring in interventional neuroradiology, cardiovascular 
      and radiology procedures.
PG  - 123-128
LID - S1120-1797(22)02092-0 [pii]
LID - 10.1016/j.ejmp.2022.11.002 [doi]
AB  - PURPOSE: This study investigated the radiation dose to surgeon eye lens for 
      single procedure and normalised to exposure parameters for eight selected 
      neuroradiology, cardiovascular and radiology interventional procedures. METHODS: 
      The procedures investigated were diagnostic study, Arteriovenous Malformations 
      treatment (AVM) and aneurysm embolization for neuroradiology procedures, Coronary 
      Angiography and Percutaneous Transluminal Coronary Angioplasty (CA-PTCA), 
      Pacemaker and Implantable Cardioverter-Defibrillator implantation (PM-ICD), 
      Endovascular Aortic Repair (EVAR) and Fenestrated Endovascular Aortic Repair 
      (FEVAR) for cardiovascular and electrophysiology procedures. CT-guided lung 
      biopsy was also monitored. All procedures were performed with table-mounted and 
      ceiling-suspended shields (0.5 mm lead equivalent thickness), except for FEVAR 
      and PM-ICD where only a table mounted shield was present, and CT-guided lung 
      biopsy where no shield was used. Dose assessment was performed using a dosemeter 
      positioned close to the most exposed eye of the surgeon, outside the protective 
      eyewear. RESULTS: The surgeon most exposed eye lens median H(p)(3) equivalent 
      dose for a single procedure, without protective eyewear contribution, was 18 muSv 
      for neuroradiology diagnostic study, 62 muSv for AVM, 38 muSv for aneurysm 
      embolization, 33 muSv for CA-PTCA, 39 muSv for PM-ICD, 49 muSv for EVAR, 2500 muSv 
      for FEVAR, 153 muSv for CT-guided lung biopsy. CONCLUSIONS: In interventional 
      procedures, the 20 mSv/year dose limit for surgeon eye lens exposure might be 
      exceeded if shields or protective eyewear are not used. Surgeon eye lens doses, 
      normalised to single procedures and to exposure parameters, are a valuable tool 
      for determining appropriate radiation protection measures and dedicated eye lens 
      dosemeter assignment.
CI  - Copyright (c) 2022 Associazione Italiana di Fisica Medica e Sanitaria. Published by 
      Elsevier Ltd. All rights reserved.
FAU - Busoni, S
AU  - Busoni S
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy. Electronic 
      address: busonis@aou-careggi.toscana.it.
FAU - Bruzzi, M
AU  - Bruzzi M
AD  - Physics and Astronomy Department, University of Florence, Italy.
FAU - Giomi, S
AU  - Giomi S
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy; Physics 
      and Astronomy Department, University of Florence, Italy.
FAU - Poggiali, C
AU  - Poggiali C
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy; Physics 
      and Astronomy Department, University of Florence, Italy.
FAU - Quattrocchi, M
AU  - Quattrocchi M
AD  - Health Physics Unit, AUSL Toscana Nord-Ovest, Italy.
FAU - Betti, M
AU  - Betti M
AD  - Health Physics Unit, AUSL Toscana Centro, Italy.
FAU - D'Urso, D
AU  - D'Urso D
AD  - Health Physics Unit, AULSS 2 Marca Trevigiana, Italy.
FAU - Fedeli, L
AU  - Fedeli L
AD  - Health Physics Unit, AUSL Toscana Centro, Italy.
FAU - Mazzoni, L N
AU  - Mazzoni LN
AD  - Health Physics Unit, AUSL Toscana Centro, Italy.
FAU - Paolucci, M
AU  - Paolucci M
AD  - Health Physics Unit, AUSL Umbria 2, Italy.
FAU - Rossi, F
AU  - Rossi F
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy.
FAU - Taddeucci, A
AU  - Taddeucci A
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy.
FAU - Bettarini, S
AU  - Bettarini S
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy.
FAU - Tortoli, P
AU  - Tortoli P
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy.
FAU - Belli, G
AU  - Belli G
AD  - Health Physics Unit, AOU Careggi (Firenze University Hospital), Italy.
FAU - Bernardi, L
AU  - Bernardi L
AD  - Health Physics Unit, AUSL Toscana Centro, Italy.
FAU - Gasperi, C
AU  - Gasperi C
AD  - Health Physics Unit, AUSL Toscana Sud-Est, Italy.
FAU - Campanella, F
AU  - Campanella F
AD  - Department of Medicine, Epidemiology, Workplace and Environmental Hygiene, INAIL, 
      Italy.
LA  - eng
PT  - Journal Article
DEP - 20221116
PL  - Italy
TA  - Phys Med
JT  - Physica medica : PM : an international journal devoted to the applications of 
      physics to medicine and biology : official journal of the Italian Association of 
      Biomedical Physics (AIFB)
JID - 9302888
SB  - IM
MH  - Humans
MH  - Endovascular Aneurysm Repair
MH  - Lung
MH  - *Lens, Crystalline
MH  - *Aneurysm
OTO - NOTNLM
OT  - Eye lens dosimetry
OT  - ISO accredited dosimetry service
OT  - Interventional procedure
OT  - Radiation protection
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2022/11/20 06:00
MHDA- 2022/12/15 06:00
CRDT- 2022/11/19 18:17
PHST- 2022/02/04 00:00 [received]
PHST- 2022/10/27 00:00 [revised]
PHST- 2022/11/01 00:00 [accepted]
PHST- 2022/11/20 06:00 [pubmed]
PHST- 2022/12/15 06:00 [medline]
PHST- 2022/11/19 18:17 [entrez]
AID - S1120-1797(22)02092-0 [pii]
AID - 10.1016/j.ejmp.2022.11.002 [doi]
PST - ppublish
SO  - Phys Med. 2022 Dec;104:123-128. doi: 10.1016/j.ejmp.2022.11.002. Epub 2022 Nov 
      16.