TY  - JOUR
AU  - Ciraj-Bjelac, Olivera
AU  - Rehani, Madan M.
AU  - Sim, Kui Hian
AU  - Liew, Houng Bang
AU  - Vano, Eliseo
AU  - Kleiman, Norman J.
PY  - 2010
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/4157
AB  - Objectives: To examine the prevalence of radiation-associated lens opacities among interventional cardiologists and nurses and correlate with occupational radiation exposure. Background: Interventional cardiology personnel are exposed to relatively high levels of X-rays and based on recent findings of radiation-associated lens opacities in other cohorts, they may be at risk for cataract without use of ocular radiation protection. Methods: Eyes of interventional cardiologists, nurses, and age-and sex-matched unexposed controls were screened by dilated slit lamp examination and posterior lens changes graded using a modified Merriam-Focht technique. Individual cumulative lens X-ray exposure was calculated from responses to a questionnaire and personal interview. Results: The prevalence of radiation-associated posterior lens opacities was 52% (29/56, 95% CI: 35-73) for interventional cardiologists, 45% (5/11, 95% CI: 15-100) for nurses, and 9% (2/22, 95% CI: 1-33) for controls. Relative risks of lens opacity was 5.7 (95% CI: 1.5-22) for interventional cardiologists and 5.0 (95% CI: 1.2-21) for nurses. Estimated cumulative ocular doses ranged from 0.01 to 43 Gy with mean and median values of 3.4 and 1.0 Gy, respectively. A strong dose-response relationship was found between occupational exposure and the prevalence of radiation-associated posterior lens changes. Conclusions: These findings demonstrate a dose dependent increased risk of posterior lens opacities for interventional cardiologists and nurses when radiation protection tools are not used. While study of a larger cohort is needed to confirm these findings, the results suggest ocular radio-protection should be utilized. (C) 2010 Wiley-Liss, Inc.
T2  - Catheterization and Cardiovascular Interventions
T1  - Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?
VL  - 76
IS  - 6
SP  - 826
EP  - 834
DO  - 10.1002/ccd.22670
ER  - 

@article{
author = "Ciraj-Bjelac, Olivera and Rehani, Madan M. and Sim, Kui Hian and Liew, Houng Bang and Vano, Eliseo and Kleiman, Norman J.",
year = "2010",
abstract = "Objectives: To examine the prevalence of radiation-associated lens opacities among interventional cardiologists and nurses and correlate with occupational radiation exposure. Background: Interventional cardiology personnel are exposed to relatively high levels of X-rays and based on recent findings of radiation-associated lens opacities in other cohorts, they may be at risk for cataract without use of ocular radiation protection. Methods: Eyes of interventional cardiologists, nurses, and age-and sex-matched unexposed controls were screened by dilated slit lamp examination and posterior lens changes graded using a modified Merriam-Focht technique. Individual cumulative lens X-ray exposure was calculated from responses to a questionnaire and personal interview. Results: The prevalence of radiation-associated posterior lens opacities was 52% (29/56, 95% CI: 35-73) for interventional cardiologists, 45% (5/11, 95% CI: 15-100) for nurses, and 9% (2/22, 95% CI: 1-33) for controls. Relative risks of lens opacity was 5.7 (95% CI: 1.5-22) for interventional cardiologists and 5.0 (95% CI: 1.2-21) for nurses. Estimated cumulative ocular doses ranged from 0.01 to 43 Gy with mean and median values of 3.4 and 1.0 Gy, respectively. A strong dose-response relationship was found between occupational exposure and the prevalence of radiation-associated posterior lens changes. Conclusions: These findings demonstrate a dose dependent increased risk of posterior lens opacities for interventional cardiologists and nurses when radiation protection tools are not used. While study of a larger cohort is needed to confirm these findings, the results suggest ocular radio-protection should be utilized. (C) 2010 Wiley-Liss, Inc.",
journal = "Catheterization and Cardiovascular Interventions",
title = "Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?",
volume = "76",
number = "6",
pages = "826-834",
doi = "10.1002/ccd.22670"
}

Ciraj-Bjelac, O., Rehani, M. M., Sim, K. H., Liew, H. B., Vano, E.,& Kleiman, N. J.. (2010). Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?. in Catheterization and Cardiovascular Interventions, 76(6), 826-834.
https://doi.org/10.1002/ccd.22670

Ciraj-Bjelac O, Rehani MM, Sim KH, Liew HB, Vano E, Kleiman NJ. Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?. in Catheterization and Cardiovascular Interventions. 2010;76(6):826-834.
doi:10.1002/ccd.22670 .

Ciraj-Bjelac, Olivera, Rehani, Madan M., Sim, Kui Hian, Liew, Houng Bang, Vano, Eliseo, Kleiman, Norman J., "Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?" in Catheterization and Cardiovascular Interventions, 76, no. 6 (2010):826-834,
https://doi.org/10.1002/ccd.22670 . .