Radiation eye dose to medical staff during respiratory endoscopy under X-ray fluoroscopy
| Autor: | Shinsuke Yamanda, Masahiro Sota, Taiichiro Meguro, Mitsuya Abe, Yoshihiro Haga, Masayuki Zuguchi, Yuji Kaga, Koichi Chida, Yuichiro Kimura |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Medical staff dosimeter Health Toxicology and Mutagenesis Nurses Eye Radiation Dosage 030218 nuclear medicine & medical imaging 03 medical and health sciences Dose limit Radiation Protection radiation disaster medicine 0302 clinical medicine Bronchoscopy Occupational Exposure Physicians Medical Staff Regular Paper Humans Medicine Fluoroscopy Radiology Nuclear Medicine and imaging Respiratory system Radiometry 3-mm dose-equivalent [Hp(3)] Radiation Dosimeter medicine.diagnostic_test business.industry X-Rays Dose-Response Relationship Radiation Radiation Exposure Endoscopy radiation safety eye lens dose 030220 oncology & carcinogenesis Radiological weapon AcademicSubjects/SCI00960 fluoroscopically guided respiratory endoscopy (bronchoscopy) Radiology x-ray fluoroscopy business Neck |
| Zdroj: | Journal of Radiation Research |
| ISSN: | 1349-9157 0449-3060 |
| Popis: | Although the clinical value of fluoroscopically guided respiratory endoscopy (bronchoscopy) is clear, there have been very few studies on the radiation dose received by staff during fluoroscopically guided bronchoscopy. The International Commission on Radiological Protection (ICRP) is suggesting reducing the occupational lens dose limit markedly from 150 to 20 mSv/year, averaged over defined periods of five years. The purpose of this study was to clarify the current occupational eye dose of bronchoscopy staff conducting fluoroscopically guided procedures. We measured the occupational eye doses (3-mm-dose equivalent, Hp(3)) of bronchoscopy staff (physicians and nurses) over a 6-month period. The eye doses of eight physicians and three nurses were recorded using a direct eye dosimeter, the DOSIRIS. We also estimated eye doses using personal dosimeters worn at the neck. The mean ± SD radiation eye doses (DOSIRIS) to physicians and nurses were 7.68 ± 5.27 and 2.41 ± 1.94 mSv/6 months, respectively. The new lens dose limit, 20 mSv/year, may be exceeded among bronchoscopy staff, especially physicians. The eye dose of bronchoscopy staff (both physicians and nurses) was underestimated when measured using a neck dosimeter. Hence, the occupational eye dose of bronchoscopy staff should be monitored. To reduce the occupational eye dose, we recommend that staff performing fluoroscopically guided bronchoscopy wear Pb glasses. correct evaluation of the lens dose [Hp(3)] using an eye dosimeter such as the DOSIRIS is necessary for bronchoscopy staff. |
| Databáze: | OpenAIRE |
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