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应对介入性超声心动图不断发展领域中的辐射暴露职业风险。

Addressing the Occupational Risk of Radiation Exposure in the Evolving Field of Interventional Echocardiography.

作者信息

Lauten Philipp, Lapp Harald, Goebel Björn

机构信息

Heart Valve Unit, Department of Cardiology, Heart Center, Zentralklinik Bad Berka, Bad Berka, Germany.

出版信息

Struct Heart. 2024 Jun 21;8(5):100328. doi: 10.1016/j.shj.2024.100328. eCollection 2024 Sep.

DOI:10.1016/j.shj.2024.100328
PMID:39290673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11403041/
Abstract

Interventional echocardiography (IE) is a relatively new subspecialty in the field of cardiology that has rapidly evolved to occupy a critical role in the treatment of structural heart disease. Despite this, clear competency guidelines are only now being issued, and, of pressing importance, the health risks associated with the profession, particularly occupational radiation exposure, still need to be recognized and appropriately addressed for both specialists and trainees in IE as well as for supporting sonographers. This review will briefly discuss the extensive training interventional echocardiographers need in advanced imaging modalities and will then present standard measures as well as possible innovative devices that can be implemented to reduce ionizing radiation exposure for those working in the field of IE.

摘要

介入性超声心动图(IE)是心脏病学领域中一个相对较新的亚专业,它已迅速发展并在结构性心脏病的治疗中占据关键地位。尽管如此,明确的能力指南直到现在才发布,而且至关重要的是,与该专业相关的健康风险,特别是职业辐射暴露,仍需要被认识到,并为介入性超声心动图领域的专家、学员以及辅助超声检查技师妥善解决。本综述将简要讨论介入性超声心动图医生在先进成像模式方面所需的广泛培训,然后介绍可用于减少介入性超声心动图领域工作人员电离辐射暴露的标准措施以及可能的创新设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e4b/11403041/93e887e74720/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e4b/11403041/93e887e74720/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e4b/11403041/93e887e74720/gr1.jpg

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本文引用的文献

1
EACVI survey on radiation exposure in interventional echocardiography.EACVI 关于介入性超声心动图辐射暴露的调查。
Eur Heart J Cardiovasc Imaging. 2024 May 31;25(6):727-734. doi: 10.1093/ehjci/jeae086.
2
Radiation Exposure to the Interventional Echocardiographers and Sonographers: A Call to Action.介入心脏病超声医师和超声技师的辐射暴露:行动呼吁。
J Am Soc Echocardiogr. 2024 Jul;37(7):698-705. doi: 10.1016/j.echo.2024.03.002. Epub 2024 Mar 13.
3
Echocardiographic Imaging in Transcatheter Structural Intervention: An AAE Review Paper.
经导管结构介入治疗中的超声心动图成像:美国超声心动图学会综述文章
JACC Asia. 2023 Jul 25;3(4):556-579. doi: 10.1016/j.jacasi.2023.05.012. eCollection 2023 Aug.
4
Lead Cap Use in Interventional Cardiology: Time to Protect Our Head in the Cardiac Catheterisation Laboratory?铅帽在介入心脏病学中的应用:是时候在心脏导管实验室保护我们的头部了吗?
Interv Cardiol. 2023 May 26;18:e18. doi: 10.15420/icr.2023.10. eCollection 2023.
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Radioprotection for the imaging specialist during structural heart interventions: Not an option!结构性心脏介入治疗期间成像专家的辐射防护:别无选择!
Arch Cardiovasc Dis. 2023 Jun-Jul;116(6-7):352-356. doi: 10.1016/j.acvd.2023.03.004. Epub 2023 Jun 17.
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Interventional Echocardiography: The Emergence of a New Imaging Specialty.介入性超声心动图:一个新兴成像专业的崛起。
J Am Soc Echocardiogr. 2023 Apr;36(4):A13-A14. doi: 10.1016/j.echo.2023.02.003.
7
Recommendations for Special Competency in Echocardiographic Guidance of Structural Heart Disease Interventions: From the American Society of Echocardiography.结构性心脏病介入治疗超声心动图引导特殊能力的建议:来自美国超声心动图学会。
J Am Soc Echocardiogr. 2023 Apr;36(4):350-365. doi: 10.1016/j.echo.2023.01.014. Epub 2023 Feb 24.
8
Effectiveness of staff radiation protection devices for interventional cardiology procedures.介入心脏病学程序中工作人员辐射防护设备的有效性。
Phys Med. 2023 Mar;107:102543. doi: 10.1016/j.ejmp.2023.102543. Epub 2023 Feb 11.
9
Comparison of Radiation Exposure Among Interventional Echocardiographers, Interventional Cardiologists, and Sonographers During Percutaneous Structural Heart Interventions.经皮结构性心脏病介入治疗期间介入超声心动图医师、介入心脏病学家和超声技师的辐射暴露比较。
JAMA Netw Open. 2022 Jul 1;5(7):e2220597. doi: 10.1001/jamanetworkopen.2022.20597.
10
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EuroIntervention. 2022 Feb 18;17(15):1205-1226. doi: 10.4244/EIJ-D-21-00582.