Occupational Eye Lens Dose in Medical Imaging in Saudi Arabia: A systematic Review

Maysoon Albahiti, Anas Aboalsamh

 
For citation: Albahiti M, Aboalsamh A. Occupational Eye Lens Dose in Medical Imaging in Saudi Arabia: A systematic Review. International Journal of Biomedicine. 2024;14(3):386-391. doi:10.21103/Article14(3)_RA3
 
Originally published September 6, 2024

Abstract: 

This review examines and summarizes all published work on occupational eye lens doses among medical imaging and interventional staff in Saudi Arabia to ensure their safety. Multiple databases were used, such as PubMed/MEDLINE, SCOPUS, and Google Scholar. Articles between 2013 and 2023 that met the inclusion criteria were analyzed. Sixty-two publications were initially identified for screening, of which 5 articles met the inclusion criteria and were included in this review. After extensive review, it was concluded that although none of the studies reported doses to the eye lens that exceeded the annual limit set by the regulations, there is room for optimization. This review also reveals a dearth of research on this topic in Saudi Arabia.

Keywords: 
eye lens dose • occupational doses • radiation exposure • imaging modalities
References: 
  1. Geber T, Gunnarsson M, Mattsson S. Eye lens dosimetry for interventional procedures – Relation between the absorbed dose to the lens and dose at measurement positions. Radiation Measurements. 2011 Nov 1;46(11):1248–51. doi: 10.1016/j.radmeas.2011.07.028
  2. Loganovsky KN, Marazziti D, Fedirko PA, Kuts KV, Antypchuk KY, Perchuk IV, Babenko TF, Loganovska TK, Kolosynska OO, Kreinis GY, Gresko MV, Masiuk SV, Mucci F, Zdorenko LL, Della Vecchia A, Zdanevich NA, Garkava NA, Dorichevska RY, Vasilenko ZL, Kravchenko VI, Drosdova NV. Radiation-Induced Cerebro-Ophthalmic Effects in Humans. Life (Basel). 2020 Apr 16;10(4):41. doi: 10.3390/life10040041. PMID: 32316206; PMCID: PMC7235763.
  3. Ainsbury EA, Bouffler SD, Dörr W, Graw J, Muirhead CR, Edwards AA, Cooper J. Radiation cataractogenesis: a review of recent studies. Radiat Res. 2009 Jul;172(1):1-9. doi: 10.1667/RR1688.1. PMID: 19580502.
  4. Authors on behalf of ICRP; Stewart FA, Akleyev AV, Hauer-Jensen M, Hendry JH, Kleiman NJ, Macvittie TJ, Aleman BM, Edgar AB, Mabuchi K, Muirhead CR, Shore RE, Wallace WH. ICRP publication 118: ICRP statement on tissue reactions and early and late effects of radiation in normal tissues and organs--threshold doses for tissue reactions in a radiation protection context. Ann ICRP. 2012 Feb;41(1-2):1-322. doi: 10.1016/j.icrp.2012.02.001. PMID: 22925378.
  5. Saudi Food and Drug Authority [Internet]. Executive Management of Radiation Protection and Safety. [Accessed 2024 May 4]. Available from: https://beta.sfda.gov.sa/en/medicaldevices-executive-management-radiation-protection-safety
  6. Nuclear and Radiological Regulatory Commission NRRC [Internet]. Radiation Practies. [Accessed 2024 May 24]. Available from: https://nrrc.gov.sa/en/Pages/Radiological__Practices.aspx
  7. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71. PMID: 33782057; PMCID: PMC8005924.
  8. Khafaji M, Ashour TM, Mozahim NF, Tashkandi A, Alqarni B, Malaikah AA, Bagabas AK, Alwasabi AA, Albahiti SK. Measurement of Occupational Eye and Thyroid Radiation Doses in Pediatric Interventional Cardiologists at a Tertiary Hospital. Cureus. 2023 Sep 8;15(9):e44894. doi: 10.7759/cureus.44894. PMID: 37814769; PMCID: PMC10560443.
  9. Mattar E, Alsafi K, Sulieman A, Suliman II. Occupational exposure of the operator eye lens in digital coronary angiography and interventions. Radiat Phys Chem. 2019 Dec;165(108400).
  10. Sulieman A, Yousif E, Alkhorayef M, Mattar E, Babikir E, Bradley D. Lens dose and radiogenic risk from .sup.99mTc nuclear medicine examinations. J Radioanal Nucl Chem. 2018 Oct 1;318(1):797–802.
  11. Saeed MK, Almalki Y. Assessment of the occupational dose and radiogenic risk in diagnostic radiology and nuclear medicine examinations. Int J Radiat Res. 2021 Apr 1;19(2):365–72.
  12. Al-Haj AN, Lobriguito AM, Al-Gain I. Staff eye doses in a large medical centre in Saudi Arabia: are they meeting the new ICRP recommendations? Radiat Prot Dosimetry. 2015 Jul;165(1-4):294-8. doi: 10.1093/rpd/ncv073. Epub 2015 Apr 5. PMID: 25848104.
  13. NRRC Technical Regulations. Radiation Safety. NRRC-R-01, 2022   King Fahd National Library Cataloging-in-Publication Data L.D. no. 1443/12861 ISBN: 978-603-04-1951.
  14. Saudi Food and Drug Authority. Requirements on Radiation Protection and Safety for Healthcare Providers 2019. Report version 2.0. [Accessed 2024 May 4]: https://beta.sfda.gov.sa/sites/default/files/2021-03/RequirementRadiatio...
  15. Rehani MM. Eye dose assessment and management: overview. Radiat Prot Dosimetry. 2015 Jul;165(1-4):276-8. doi: 10.1093/rpd/ncv048. Epub 2015 Mar 25. PMID: 25813481.
  16. Suzuki A, Matsubara K, Chusin T, Sasa Y. EYE LENS DOSES OF RADIOLOGY TECHNOLOGISTS WHO ASSIST PATIENTS DURING RADIOGRAPHY. Radiat Prot Dosimetry. 2019 Dec 31;185(3):275-281. doi: 10.1093/rpd/ncz007. PMID: 30753707.
  17. O'Connor U, Gallagher A, Malone L, O'Reilly G. Occupational radiation dose to eyes from endoscopic retrograde cholangiopancreatography procedures in light of the revised eye lens dose limit from the International Commission on Radiological Protection. Br J Radiol. 2013 Feb;86(1022):20120289. doi: 10.1259/bjr.20120289. PMID: 23385992; PMCID: PMC3608047.
  18. Martin CJ. What are the implications of the proposed revision of the eye dose limit for interventional operators? Br J Radiol. 2011 Oct;84(1006):961-2. doi: 10.1259/bjr/17012242. PMID: 21933983; PMCID: PMC3473759.
  19. Ciraj-Bjelac O, Carinou E, Ferrari P, Gingaume M, Merce MS, O'Connor U. Occupational Exposure of the Eye Lens in Interventional Procedures: How to Assess and Manage Radiation Dose. J Am Coll Radiol. 2016 Nov;13(11):1347-1353. doi: 10.1016/j.jacr.2016.06.015. Epub 2016 Sep 15. PMID: 27640926.

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Received May 29, 2024.
Accepted July10, 2024.
©2024 International Medical Research and Development Corporation.