Thrapsanioti Zoi, Askounis Panagiotis, Datseris Ioannis, Diamanti Ramza Anastasia, Papathanasiou Miltiadis, Carinou Eleftheria
Greek Atomic Energy Commission, Patriarchou Grigoriou & Neapoleos, Agia Paraskevi 15341, Athens, Greece.
'OMMA' Ophthalmological Institute of Athens, Katechaki 74, Athens 11525, Greece.
Radiat Prot Dosimetry. 2017 Jul 1;175(3):344-356. doi: 10.1093/rpd/ncw356.
The lens of the eye is one of the radiosensitive tissues of the human body; if exposed to ionizing radiation can develop radiation-induced cataract at early ages. This study was held in Greece and included 44 Interventional Cardiologists (ICs) and an unexposed to radiation control group of 22 persons. Of the note, 26 ICs and the unexposed individuals underwent special eye examinations. The detected lens opacities were classified according to LOCS III protocol. Additionally, the lens doses of the ICs were measured using eye lens dosemeters. The mean dose to the lenses of the ICs per month was 0.83 ± 0.59 mSv for the left and 0.35 ± 0.38 mSv for the right eye, while the annual doses ranged between 0.7 and 11 mSv. Regarding the lens opacities, the two groups did not differ significantly in the prevalence of either nuclear or cortical lens opacities, whereas four ICs were detected with early stage subcapsular sclerosis. Though no statistically difference was observed in the cohort, the measured doses indicate that the eye doses received from the ICs can be significant. To minimize the radiation-induced risk at the eye lenses, the use of protective equipment and appropriate training on this issue is highly recommended.
眼睛晶状体是人体对辐射敏感的组织之一;如果暴露于电离辐射下,在早年就可能患上辐射性白内障。本研究在希腊进行,纳入了44名介入心脏病学家(ICs)以及一个由22人组成的未受辐射的对照组。值得注意的是,26名ICs和未受辐射的个体接受了特殊的眼部检查。检测到的晶状体混浊根据LOCS III方案进行分类。此外,使用眼晶状体剂量仪测量了ICs的晶状体剂量。ICs晶状体每月的平均剂量,左眼为0.83±0.59 mSv,右眼为0.35±0.38 mSv,而年剂量范围在0.7至11 mSv之间。关于晶状体混浊,两组在核性或皮质性晶状体混浊的患病率上没有显著差异,而有4名ICs被检测出有早期囊下硬化。尽管在该队列中未观察到统计学差异,但测量的剂量表明ICs所接受的眼部剂量可能很大。为了将眼晶状体的辐射诱导风险降至最低,强烈建议使用防护设备并就此问题进行适当培训。