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Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern?
dc.creator | Ciraj-Bjelac, Olivera | |
dc.creator | Rehani, Madan M. | |
dc.creator | Sim, Kui Hian | |
dc.creator | Liew, Houng Bang | |
dc.creator | Vano, Eliseo | |
dc.creator | Kleiman, Norman J. | |
dc.date.accessioned | 2018-03-01T21:30:28Z | |
dc.date.available | 2018-03-01T21:30:28Z | |
dc.date.issued | 2010 | |
dc.identifier.issn | 1522-1946 | |
dc.identifier.issn | 1522-726X | |
dc.identifier.uri | https://vinar.vin.bg.ac.rs/handle/123456789/4157 | |
dc.description.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. | en |
dc.rights | restrictedAccess | en |
dc.source | Catheterization and Cardiovascular Interventions | en |
dc.subject | cardiac catheterization | en |
dc.subject | fluoroscopy | en |
dc.subject | occupational exposure | en |
dc.subject | posterior subcapsular cataract (psc) | en |
dc.subject | lens opacity | en |
dc.title | Risk for Radiation-Induced Cataract for Staff in Interventional Cardiology: Is There Reason for Concern? | en |
dc.type | article | en |
dcterms.abstract | Рехани, Мадан М.; Сим, Куи Хиан; Лиеw, Хоунг Банг; Цирај-Бјелац Оливера; Вано, Елисео; Клеиман, Норман Ј.; | |
dc.citation.volume | 76 | |
dc.citation.issue | 6 | |
dc.citation.spage | 826 | |
dc.citation.epage | 834 | |
dc.identifier.wos | 000284676100010 | |
dc.identifier.doi | 10.1002/ccd.22670 | |
dc.citation.rank | M22 | |
dc.identifier.pmid | 20549683 | |
dc.identifier.scopus | 2-s2.0-77957078918 |
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