» Articles » PMID: 36004878

Development of a New Radiation Shield for the Face and Neck of IVR Physicians

Overview
Date 2022 Aug 25
PMID 36004878
Authors
Affiliations
Soon will be listed here.
Abstract

Interventional radiology (IVR) procedures are associated with increased radiation exposure and injury risk. Furthermore, radiation eye injury (i.e., cataract) in IVR staff have also been reported. It is crucial to protect the eyes of IVR physicians from X-ray radiation exposure. Many IVR physicians use protective Pb eyeglasses to reduce occupational eye exposure. However, the shielding effects of Pb eyeglasses are inadequate. We developed a novel shield for the face (including eyes) of IVR physicians. The novel shield consists of a neck and face guard (0.25 mm Pb-equivalent rubber sheet, nonlead protective sheet). The face shield is positioned on the left side of the IVR physician. We assessed the shielding effects of the novel shield using a phantom in the IVR X-ray system; a radiophotoluminescence dosimeter was used to measure the radiation exposure. In this phantom study, the effectiveness of the novel device for protecting against radiation was greater than 80% in almost all measurement situations, including in terms of eye lens exposure. A large amount of scattered radiation reaches the left side of IVR physicians. The novel radiation shield effectively protects the left side of the physician from this scattered radiation. Thus, the device can be used to protect the face and eyes of IVR physicians from occupational radiation exposure. The novel device will be useful for protecting the face (including eyes) of IVR physicians from radiation, and thus could reduce the rate of radiation injury. Based on the positive results of this phantom study, we plan to perform a clinical experiment to further test the utility of this novel radiation shield for IVR physicians.

Citing Articles

Radiation Exposure to the Brains of Interventional Radiology Staff: A Phantom Study.

Ohno S, Shindo R, Konta S, Yamamoto K, Inaba Y, Chida K Bioengineering (Basel). 2024; 11(11).

PMID: 39593743 PMC: 11591093. DOI: 10.3390/bioengineering11111083.


Radiation dose to the eye of physicians during radio frequency catheter ablation: a small-scale study.

Morishima Y, Chida K, Chiba H, Kumagai K Ir J Med Sci. 2024; 193(6):2745-2751.

PMID: 39367959 PMC: 11666769. DOI: 10.1007/s11845-024-03802-6.


Effect of backscatter radiation on the occupational eye-lens dose.

Ohno S, Konta S, Shindo R, Yamamoto K, Isobe R, Inaba Y J Radiat Res. 2024; 65(4):450-458.

PMID: 38818635 PMC: 11262866. DOI: 10.1093/jrr/rrae034.


Occupational radiation exposure among medical personnel in university and general hospitals in Japan.

Nessipkhan A, Matsuda N, Takamura N, Oriuchi N, Ito H, Kiguchi M Jpn J Radiol. 2024; 42(9):1067-1079.

PMID: 38705937 DOI: 10.1007/s11604-024-01579-3.


Eye Lens Radiation Dose to Nurses during Cardiac Interventional Radiology: An Initial Study.

Yamada A, Haga Y, Sota M, Abe M, Kaga Y, Inaba Y Diagnostics (Basel). 2023; 13(18).

PMID: 37761370 PMC: 10528633. DOI: 10.3390/diagnostics13183003.


References
1.
Reeves R, Ang L, Bahadorani J, Naghi J, Dominguez A, Palakodeti V . Invasive Cardiologists Are Exposed to Greater Left Sided Cranial Radiation: The BRAIN Study (Brain Radiation Exposure and Attenuation During Invasive Cardiology Procedures). JACC Cardiovasc Interv. 2015; 8(9):1197-1206. DOI: 10.1016/j.jcin.2015.03.027. View

2.
Chida K, Kato M, Saito H, Ishibashi T, Takahashi S, Kohzuki M . Optimizing patient radiation dose in intervention procedures. Acta Radiol. 2009; 51(1):33-9. DOI: 10.3109/02841850903229141. View

3.
Matsunaga Y, Chida K, Kondo Y, Kobayashi K, Kobayashi M, Minami K . Diagnostic reference levels and achievable doses for common computed tomography examinations: Results from the Japanese nationwide dose survey. Br J Radiol. 2018; 92(1094):20180290. PMC: 6404832. DOI: 10.1259/bjr.20180290. View

4.
Kato M, Chida K, Sato T, Oosaka H, Tosa T, Munehisa M . The necessity of follow-up for radiation skin injuries in patients after percutaneous coronary interventions: radiation skin injuries will often be overlooked clinically. Acta Radiol. 2012; 53(9):1040-4. DOI: 10.1258/ar.2012.120192. View

5.
Kato M, Chida K, Ishida T, Sasaki F, Toyoshima H, Oosaka H . OCCUPATIONAL RADIATION EXPOSURE DOSE OF THE EYE IN DEPARTMENT OF CARDIAC ARRHYTHMIA PHYSICIAN. Radiat Prot Dosimetry. 2019; 187(3):361-368. DOI: 10.1093/rpd/ncz175. View