Eagan John T, Jones Carolynn T, Roubin Gary S
Cardiovascular Associates of the Southeast, LLC, Birmingham, Alabama.
College of Nursing, The Ohio State University, Birmingham, Alabama.
Catheter Cardiovasc Interv. 2018 Feb 15;91(3):475-477. doi: 10.1002/ccd.27258. Epub 2017 Oct 16.
We describe 5 years of follow-up of a previously reported case of disabling ionizing radiation (IR)-related cutaneous cancer in a high-volume interventional cardiologist. This case illustrates the cycle of exposure, disease, remission, and re-exposure that demonstrates the cause-and-effect relationship between radiation exposure and cutaneous cancer. Prior cautions for working in environments with radiation exposure emphasized strict adherence to the ALARA principle and called for improved radiation protection equipment. New studies stress that radiation exposure should be as near to zero as possible and place a call for research and technologies that mitigate the use of IR for all interventionists.
我们报告了一位高工作量介入心脏病专家先前报道的因电离辐射（IR）导致的致残性皮肤癌病例的5年随访情况。该病例说明了暴露、疾病、缓解和再次暴露的循环，证实了辐射暴露与皮肤癌之间的因果关系。此前针对在有辐射暴露环境中工作的警示强调要严格遵守“尽可能低的合理可达到水平”（ALARA）原则，并呼吁改进辐射防护设备。新的研究强调辐射暴露应尽可能接近零，并呼吁开展研究和开发相关技术，以减少所有介入医生对电离辐射的使用。
