Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T04:30:04.075Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of personal radiation protection tools and individualdosimetric monitoring in a sample of interventional cardiologists in France,2005–2009

Published online by Cambridge University Press:  30 September 2014

S. Jacob ,
P. Scanff ,
A. Bertrand ,
D. Laurier  and
M.-O. Bernier
S. Jacob*
Affiliation:
IRSN, PRP-HOM, SRBE, Laboratoire d’Epidémiologie, 92262 Fontenay-aux-Roses Cedex, France.
P. Scanff
Affiliation:
IRSN, PRP-HOM, SER, Unité de Suivi et d’analyses des Expositions Professionnelles, 92262 Fontenay-aux-Roses Cedex, France.
A. Bertrand
Affiliation:
IRSN, PRP-HOM, SRBE, Laboratoire d’Epidémiologie, 92262 Fontenay-aux-Roses Cedex, France.
D. Laurier
Affiliation:
IRSN, PRP-HOM, SRBE, Laboratoire d’Epidémiologie, 92262 Fontenay-aux-Roses Cedex, France.
M.-O. Bernier
Affiliation:
IRSN, PRP-HOM, SRBE, Laboratoire d’Epidémiologie, 92262 Fontenay-aux-Roses Cedex, France.
*
a[email protected]
Get access

Abstract

Interventional cardiologists (ICs) are repeatedly exposed to scattered ionising radiationduring the cardiac procedures they perform, and radiation protection is an important issuefor these medical professionals. The use of radiation protection tools is particularlyrelevant to this population. SISERI (Système d’Information de la Surveillance del’Exposition aux Rayonnement Ionisants, that is, an information system for monitoringexposure to ionising radiation) is a register that stores personal dosimeter readings fordosimetric monitoring. This paper, based on data for a sample of French ICs from theO’CLOC epidemiological study, aims to provide an overview of the use of radiationprotection equipment and dosimetric devices reported by ICs in a specific questionnaire aswell as the dosimetric information found in the SISERI database for this population.Material and Methods − Annual information on interventional cardiology activity for theperiod from 01/01/2005 to 31/12/2009 was collected in an occupational questionnaire. ICswere asked to report the frequency in which they used individual dosimeter and radiationprotection tools (lead apron, thyroid shield, eyewear or face shield, ceiling-suspendedshield) as follows: never (0% of the time), occasionally (<50%), regularly (>50%), always (100%). We retrieved theirmedical radiation exposure information (monitored status and monthly effective doses) fromthe SISERI database for the period 2005−2009. Results – Information for 132 ICs (mean age in2005 = 46 ± 7 years) wasavailable. All ICs reported routine use of lead aprons, in contrast to their occasionaluse of lead eyewear or face shields. During the study period, 49% reported systematic useof personal dosimeters, and 21% more regular use. On the other hand, 18% never used adosimeter during this period. The SISTERI database included 92% of our population, 73% ofwhom had complete annual dose monitoring in SISERI (corresponding to at least 11 monthsper year of recorded data). Conclusion − ICs must improve their regular use ofradiation protection tools and systematic use of personal dosimeters. The SISERI databaseis an appropriate tool for flagging those medical professionals exposed to ionisingradiation. Better awareness of the importance of radiation protection rules in thispopulation, in particular, systematic dosimeter use, remains an important issue.

Keywords

medical radiationoccupational exposureradiation protectionradiation monitor
Type
Article
Information
Radioprotection , Volume 49 , Issue 4 , October 2014 , pp. 257 - 260
Copyright
© EDP Sciences, 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ciraj-Bjelac, O., Rehani, M.M., Sim, K.H., Liew, H.B., Vano, E., Kleiman, N.J. (2010) Risk for radiation induced cataract for staff in interventional cardiology: Is there reason for concern?, Catheter. Cardiovasc. Interv. 76, 826-834. Google ScholarPubMed
Farah, J., Struelens, L., Dabin, J., Koukorava, C., Donadille, L., Jacob, S., Schnelzer, M., Auvinen, A., Vanhavere, F., Clairand, I. (2013) A Correlation Study of Eye Lens Dose and Personal Dose Equivalent for Interventional Cardiologists, Radiat. Prot. Dosim. 157 (4), 561-569. Google Scholar
Gualdrini, G., Mariotti, F., Wach, S., Bilski, P., Denoziere, M., Daures, J., Bordy, J.M., Ferrari, M., Monteventi, F., Fantuzzi, E. (2011) Eye lens dosimetry: task 2 within the ORAMED project, Radiat. Prot. Dosim. 144, 515-520. Google ScholarPubMed
ICRP Publication 103 (2007) The 2007 Recommendations of International Commission on Radiological Protection. Elsevier, Oxford.
ICRP Publication 113 (2009) Recommendations of International Commission on Radiological Protection – Education and Training in Radiological Protection for Diagnostic and Interventional Procedures, Ann. ICRP 39 (5).
ICRP (2011) Draft report: Early and late effects of radiation in normal tissues and organs: threshold doses for tissue reactions and other non-cancer effects of radiation in a radiation protection context ICRP ref 4844-6029-7736, January 20, 2011.
Jacob, S., Michel, M., Spaulding, C., Boveda, S., Bar, O., Brezin, A.P., Streho, M., Maccia, C., Scanff, P., Laurier, D., Bernier, M.O. (2010) Occupational cataracts and lens opacities in interventional cardiology (O’CLOC study): are X-Rays involved? Radiation-induced cataracts and lens opacities, BMC Public Health 10, 537. Google ScholarPubMed
Jacob, S., Boveda, S., Bar, O., Brezin, A., Maccia, C., Laurier, D., Bernier, M. (2012) Interventional cardiologists and risk of radiation-induced cataract: Results of a French multicenter observational study, Int. J. Cardiol. 167 (5), 1843-1847. Google ScholarPubMed
Jacob, S., Donadille, L., Maccia, C., Bar, O., Boveda, S., Laurier, D., Bernier, M.O. (2013) Eye lens radiation exposure to interventional cardiologists: a retrospective assessment of cumulative doses, Radiat. Prot. Dosim. 153, 282-293. Google ScholarPubMed
Lie, O.O., Paulsen, G.U., Wohni, T. (2008) Assessment of effective dose and dose to the lens of the eye for the interventional cardiologist, Radiat. Prot. Dosim. 132, 313-318. Google ScholarPubMed
Mrena, S., Kivela, T., Kurttio, P., Auvinen, A. (2011) Lens opacities among physicians occupationally exposed to ionizing radiation – a pilot study in Finland, Scand. J. Work Environ. Health 3 (3), 237-243. Google Scholar
Sanchez, R.M., Vano, E., Fernandez, J.M., Rosales, F., Sotil, J., Carrera, F., Garcia, M.A., Soler, M.M., Hernandez-Armas, J., Martinez, L.C., Verdu, J.F. (2012) Staff doses in interventional radiology: a national survey, Journal of vascular and interventional radiology 23, 1496-1501. Google ScholarPubMed
Vano, E., Gonzalez, L., Fernandez, J.M., Alfonso, F., Macaya, C. (2006) Occupational radiation doses in interventional cardiology: a 15-year follow-up, Br. J. Radiol. 79, 383-388. Google ScholarPubMed
Vano, E., Kleiman, N.J., Duran, A., Rehani, M.M., Echeverri, D., Cabrera, M. (2010) Radiation cataract risk in interventional cardiology personnel, Radiat. Res. 174, 490-495. Google Scholar