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British Journal of Radiology (1993) 66, 346-350
© 1993 British Institute of Radiology
doi: 10.1259/0007-1285-66-784-346

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Factors affecting the radiation dose to the lens of the eye during cardiac catheterization procedures

T A Pratt, MSc * and A J Shaw, MSc

North Western Medical Physics Department, Christie Hospital, Withington, Manchester M20 9BX, UK

Concern has been expressed about the relatively high radiation doses to the lens of the eye received by the operator during cardiac catheterization studies. A study was undertaken to assess the occupational doses received by cardiologists and to examine the factors that affect the individual's eye dose. Eighteen cardiologists working in five catheterization laboratories at three centres were included in the study. Their eye doses, workload and individual study details were monitored at each centre. Operating dose rates and scattered radiation were also measured for each unit to compare equipment performance. The study demonstrated that the relationships between the cardiologist's eye dose and factors such as the dose efficiency of the X-ray equipment, scattered dose rates, examination protocols and workload are complex and vary from centre to centre. Because of these variations general workload limits may be inaccurate and should only be used for general guidance when no direct measurements are available. Such limits should be verified by local measurements as soon as is practical.

* Present address: Department of Medical Physics and Biomedical Engineering, Plymouth General Hospital, Freedom Fields, Plymouth, PL4 7JJ, UK.

Received for publication July 6, 1992. Revision received November 12, 1992. Accepted for publication December 11, 1992.




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