北美女性眼科肿瘤学家的放射治疗实践趋势：国际眼科肿瘤学会的一项合作研究
Trends in Radiation Practices for Female Ocular Oncologists in North America: A Collaborative Study of the International Society of Ocular Oncology.
作者信息
Shah Sona N, Kogachi Kaitlin, Correa Zelia M, Schefler Amy C, Aronow Mary E, Callejo Sonia A, Cebulla Colleen M, Day-Ghafoori Shelley, Francis Jasmine H, Lally Sara, McCannel Tara A, Paton Katherine E, Phan Isabella T, Pointdujour-Lim Renelle, Ramasubramanian Aparna, Rath Pamela, Shields Carol L, Skalet Alison H, Wells Jill R, Jennelle Richard L, Berry Jesse L
机构信息
USC Roski Eye Institute, University of Southern California, Los Angeles, California, USA.
Children's Hospital Los Angeles, Los Angeles, California, USA.
出版信息
Ocul Oncol Pathol. 2019 Jan;5(1):54-59. doi: 10.1159/000489219. Epub 2018 Jun 12.
BACKGROUND
The aim of this study was to determine the known radiation exposure, attitudes, and consequent risk modifications among female ocular oncologists in North America who routinely administer radioactive plaque brachytherapy treatment and are members of the International Society of Ocular Oncology.
METHODS
Nineteen female ocular oncologists completed an anonymous 17-question radiation exposure survey.
RESULTS
Eleven of the participants chose to routinely wear lead protection during surgery; 8 did not. Fifteen of 19 participants reported using an unloaded "nonactive" template to prepare for plaque implantation. During pregnancy, 11 of 13 participants continued to perform plaque brachytherapy. Eight of these 11 undertook measures to decrease radiation exposure self-reported as lead wear and other. The average reported anxiety regarding fertility was 2.1 (SD, 2.2) on a scale from 1 to 10.
CONCLUSION
This study corroborates prior literature that surgeons' exposure to radiation during plaque brachytherapy is minimal. Nonetheless, there remains some anxiety regarding exposure risk to women, due to potential effects on fertility and fetal health. We found variability in exposure monitoring, required training, and precautions during pregnancy amongst this group of surgeons. Improved education and clearer pregnancy guidelines may equip female ocular oncologists with optimal knowledge regarding risk of radiation exposure.
背景
本研究的目的是确定北美地区常规进行放射性敷贴近距离放射治疗且为国际眼肿瘤学会成员的女性眼肿瘤学家的已知辐射暴露情况、态度以及由此导致的风险调整情况。
方法
19名女性眼肿瘤学家完成了一项包含17个问题的匿名辐射暴露调查。
结果
11名参与者选择在手术期间常规佩戴铅防护装备；8名未佩戴。19名参与者中有15名报告使用未加载的“非活性”模板来准备敷贴植入。在怀孕期间，13名参与者中有11名继续进行敷贴近距离放射治疗。这11名中的8名采取措施减少自我报告的辐射暴露，如佩戴铅防护装备及其他措施。在1至10的量表上，报告的平均生育焦虑评分为2.1（标准差为2.2）。
结论
本研究证实了先前文献的观点，即外科医生在敷贴近距离放射治疗期间的辐射暴露极小。尽管如此，由于对生育和胎儿健康的潜在影响，女性对暴露风险仍存在一些焦虑。我们发现这组外科医生在暴露监测、所需培训以及怀孕期间的预防措施方面存在差异。加强教育和制定更明确的怀孕指南可能会让女性眼肿瘤学家获得关于辐射暴露风险的最佳知识。
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