Veille documentaire MTPH

Auteur     Sophie Jacob
Auteur     Laurent Donadille
Auteur     Carlo Maccia
Auteur     Olivier Bar
Auteur     Serge Boveda
Auteur     Dominique Laurier
Auteur     Marie-Odile Bernier
Volume     153
Numéro     3
Pages     282-293
Publication     Radiation protection dosimetry
Date     Mar 2013
Résumé     Radiation dose to the eye lens is a crucial issue for interventional cardiologists (ICs) who are exposed during the procedures they perform. This paper presents a retrospective assessment of the cumulative eye lens doses of ICs enrolled in the O’CLOC study for Occupational Cataracts and Lens Opacities in interventional Cardiology. Information on the workload in the catheterisation laboratory, radiation protection equipment, eye lens dose per procedure and dose reduction factors associated with eye-protective equipment were considered. For the 129 ICs at an average age of 51 who had worked for an average period of 22 years, the estimated cumulative eye lens dose ranged from 25 mSv to more than 1600 mSv; the mean ± SD was 423 ± 359 mSv. After several years of practice, without eye protection, ICs may exceed the new ICRP lifetime eye dose threshold of 500 mSv and be at high risk of developing early radiation-induced cataracts. Radiation protection equipment can reduce these doses and should be used routinely.