Top

Published in:

01-03-2019

Risk of radiation-induced lens opacities among surgeons and interventional medical staff

Authors: Luca Coppeta, Antonio Pietroiusti, Anna Neri, Agostino Spataro, Elisabetta De Angelis, Stefano Perrone, Andrea Magrini

Published in: Radiological Physics and Technology | Issue 1/2019

Abstract

The main effect of ionizing radiation on the eyes is the onset of posterior cortical and subcapsular cataracts. Recent studies have raised questions about the mechanism of ocular damage and the threshold dose for the onset of such effects. Currently, operators may be exposed to ionizing radiation during surgical procedures. It has been estimated that urologists can be exposed to an annual dose close to or above 20 mSv/year. The aim of our study was to evaluate the frequency of cataracts in a group of professional radiological operators to verify their possible association with the radiation dose to the crystalline lens and the tasks performed. The records of 73 health workers exposed to ionizing radiation were reviewed. The average annual dose to the crystalline lens, the number of years of exposure, and the presence of radiation-compatible opacities were assessed for all operators. Lenticular opacities were observed in 16.4% of subjects. The presence of alterations was associated with exposure doses below 10 mSv and > 10 years’ experience in fluoroscopically guided procedures. Based on our results, protection of the crystalline lens against exposure to ionizing radiation by means of goggles is recommended. In addition, examination of the lens via slit lamp examination is recommended for all operators involved in interventional procedures with the current levels of radiation exposure.

Minamoto TH, Yokoyama NS, Yoshitani Kumagami Mukai T, et al. Cataract in atomic bomb survivors. Int J Radiat Biol. 2004;80(5):339–45. https://doi.org/10.1080/09553000410001680332.CrossRef

Nakashima E, Neriishi K, Minamoto. A reanalysis of atomic-bomb cataract data, 2000–2002. Health Phys. 2006;90(2):154–60.CrossRefPubMed

Blakely EA, Kleiman NJ, Chodick G, Neriishi K, Chylack LT, Cucinotta FA, Kumgami T, Kitaoka T, Kanamoto T, Kiuche Y, Chang P, Fujii N, King S. Radiation cataractogenesis: epidemiology and biology. Radiat Res. 2010;173(5):709–17.CrossRefPubMed

Blakely EA, Lauriston S. Taylor lecture on radiation protection and measurements: what makes particle radiation so effective? Health Phys. 2012;103(5):508–28.CrossRefPubMedPubMedCentral

Ainsbury EA, Boeffler SD, Dorr W, Graw J, Muirhead CR, Edwards AA, Cooper J. Radiation cataractogenesis: a review of recent studies. Radiat Res. 2009;172(1):1–9.CrossRefPubMed

Dauer A, Dynlacht EA, Lt J, et al. Status of NCRP scientific committee 1–23 commentary on guidance on radiation dose limits for the lens of the eye. Health Phys. 2016;110(2):182–4. https://doi.org/10.1097/HP.0000000000000412.CrossRefPubMedPubMedCentral

Cousins C, Miller DL, Bernards G, Rehani MM, Schofield P, Vañó A, Einstein AJ, Geiger B, Heintz PR, Sim KH. ICRP publication 120: radiological protection in cardiology; international commission on radiological protection. Ann ICRP. 2013; 42(1):1–125. https://doi.org/10.1016/j.icrp.2012.09.001.CrossRefPubMed

Auvinen A, Kivelä T, Heinävaara S, Gertrude S. Eye lens opacities among physicians occupationally exposed to ionizing radiation. Ann Occup Hyg. 2015; 59(7): annhyg. https://doi.org/10.1093/945-8./mev022 (EPUB 2015 Apr 13).

Vano E, Kleiman NJ, Duran A, Romano-Miller M, Rehani MM. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. J Vasc Interv Radiol. 2013;24(2):197–204. https://doi.org/10.1016/j.jvir.2012.10.016. (EPUB 2013 Jan 28).CrossRefPubMed

10.

Elmaraezy A, Ebraheem Morra M, Tarek Mohammed A, Elgebaly A, Abdelmotaleb Al-Ghazy Habaa A, Khalil A, Tien Huy AM, Hirayama N. K. Risk of cataract among cardiologists and interventional catheterization lab staff: a systematic review and meta-analysis. Catheter Cardiovasc Interv. 2017;90(1):1–9. https://doi.org/10.1002/ccd.27114 (EPUB 2017 May 13).CrossRefPubMed

11.

Haga Y, Chida K, Kaga Y, Sota M, Meguro T, Zuguchi M. Occupational eye dose in interventional cardiology procedures. Sci Rep. 2017;7(1): s41598. https://doi.org/10.1038/569.-017-00556-3.CrossRef

12.

Taylor ER1, Kramer B, Frye TP, Wang S, Schwartz BF, Köhler TS. Ocular radiation exposure in modern urological practice. J Urol. 2013;190 (1):139–43. https://doi.org/10.1016/j.juro.2013.01.081 (EPUB 2013 Jan 30).CrossRef

13.

Stewart DOES, Akleyev AV, Hauer-Jensen M, Hendry JH, Kleiman NJ, Macvittie TJ, Aleman BM, Edgar AB, Mabuchi K, Muirhead CR, Shore KING, Wallace WH.. ICRP publication 118: ICRP statement on tissue reactions and early and late effects of radiation in normal tissues and organs–threshold doses for tissue reactions in a radiation protection context. Ann ICRP. 2012; 41 (1–2): 1–322. https://doi.org/10.1016/j.icrp.2012.02.001.CrossRefPubMed

14.

Bencić G, Zorić-Geber M, Sarić D, Corak M, Mandić Z. Clinical importance of the lens opacities classification system III (LOCS III) in phacoemulsification. Coll Antropol. 2005;29(Suppl 1):91–4.PubMed

15.

Ciraj-Bjelac OR, Galina M, Minamoto IN, Sim KH, Liew HB. Compartment and radiation-induced eye lens changes and risk for cataract in interventional cardiology. Cardiology. 2012;123(3):168–71. https://doi.org/10.1159/000342458 (EPUB 2012 Oct 31).CrossRefPubMed

16.

Jacob S, Boveda S, Or B, Brézin T, Ati MC, Laurier D, Bernier MO. Interventional cardiologists and risk of radiation-induced cataract: results of a multicenter observational study French. Int J Cardiol. 2013;167(5):1843–7. https://doi.org/10.1016/j.ijcard.2012.04.124. (EPUB 2012 May 18).CrossRefPubMed

17.

Vano E, Kleiman NJ, Duran A, Rehani MM, Echeverri D, Cabrera M. Radiation cataract risk in interventional cardiology. Radiat Res. 2010; 174 (4):490–5. https://doi.org/10.1667/RR2207.1.CrossRefPubMed

18.

Hamada N. Ionizing radiation response of primary normal human lens epithelial cells. PLoS One 2017;12(7):e0181530. https://doi.org/10.1371/journal.0181530.CrossRefPubMedPubMedCentral

Title: Risk of radiation-induced lens opacities among surgeons and interventional medical staff
Authors: Luca Coppeta
Antonio Pietroiusti
Anna Neri
Agostino Spataro
Elisabetta De Angelis
Stefano Perrone
Andrea Magrini
Publication date: 01-03-2019
Publisher: Springer Singapore
Published in: Radiological Physics and Technology / Issue 1/2019
Print ISSN: 1865-0333
Electronic ISSN: 1865-0341
DOI: https://doi.org/10.1007/s12194-018-0487-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Risk of radiation-induced lens opacities among surgeons and interventional medical staff

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2019

Use of bismuth shield for protection of superficial radiosensitive organs in patients undergoing computed tomography: a literature review and meta-analysis

Evaluation of the depiction ability of similar subtraction images using digital chest radiographs of different patients

Application of a pixel-shifted linear interpolation technique for reducing the projection number in tomosynthesis imaging

Computerized evaluation scheme to detect metastasis in sentinel lymph nodes using contrast-enhanced computed tomography before breast cancer surgery

Charles Edgar Metz, Ph.D. (1942–2012): pioneer in receiver operating characteristic (ROC) analysis

Influence of field-of-view and section thickness of diagnostic imaging on thermal neutron flux estimation in dose-planning for boron neutron capture therapy