Koolik Isabel M, Bock Megan E, Antonelli Jodi A
Duke University Medical Center, DUMC 3707, Durham, NC, 27710, USA.
Curr Urol Rep. 2025 Aug 1;26(1):59. doi: 10.1007/s11934-025-01287-z.
This manuscript provides a comprehensive review of the risks of radiation exposure in endourology and highlights strategies to ensure the health and safety of endourologists during pregnancy.
Recent studies have measured radiation exposure to endourologists during fluoroscopic procedures, underscoring the role of protective measures such as lead shielding, low-dose fluoroscopy, and pulsed imaging to significantly reduce radiation doses. Adherence to these strategies enables endourologists to safely perform fluoroscopic procedures throughout pregnancy while staying within recommended exposure limits. This review outlines the latest research on radiation exposure in endourology with a focus on exposure risks during pregnancy. Major findings include insights into potential stochastic and dose-dependent effects of radiation exposure on pregnant endourologists and their fetuses as well as effective dose-reduction strategies to mitigate these risks. Further research is needed to improve individual understanding of exposure risks and establish standardized institutional and policy frameworks for radiation safety during pregnancy.
本文全面回顾了腔内泌尿外科手术中辐射暴露的风险,并强调了确保腔内泌尿外科医生孕期健康与安全的策略。
近期研究测量了腔内泌尿外科医生在荧光镜检查过程中的辐射暴露情况,强调了诸如铅屏蔽、低剂量荧光镜检查和脉冲成像等防护措施在显著降低辐射剂量方面的作用。坚持这些策略可使腔内泌尿外科医生在整个孕期安全地进行荧光镜检查,同时保持在推荐的暴露限值范围内。本综述概述了腔内泌尿外科领域辐射暴露的最新研究,重点关注孕期的暴露风险。主要研究结果包括对辐射暴露对怀孕的腔内泌尿外科医生及其胎儿潜在的随机和剂量依赖性影响的见解,以及减轻这些风险的有效剂量降低策略。需要进一步研究以增进个人对暴露风险的理解,并建立孕期辐射安全的标准化机构和政策框架。