Efficacy of radiation attenuating caps in reducing radiation doses received at the cerebral level in interventional physicians: a systematic review.

IF 1.4 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES
Sergio Ramos-Avasola, Lusin Ponce, Karla Leon, Claudio Cuellar-Fritis, Marvin Querales
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Abstract

Background.Anecdotal reports are appearing in the scientific literature about cases of brain tumors in interventional physicians who are exposed to ionizing radiation. In response to this alarm, several designs of leaded caps have been made commercially available. However, the results reported on their efficacy are discordant.Objective.To synthesize, by means of a systematic review of the literature, the capacity of decreasing radiation levels conferred by radiation attenuating devices (RADs) at the cerebral level of interventional physicians.Methodology.A systematic review was performed including the following databases: MEDLINE, SCOPUS, EBSCO, Science Direct, Cochrane Controlled Trials Register (CENTRAL), WOS, WHO International Clinical Trials Register, Scielo and Google Scholar, considering original studies that evaluated the efficacy of RAD in experimental or clinical contexts from January 1990 to May 2023. Data selection and extraction were performed in triplicate, with a fourth author resolving discrepancies.Results.Twenty articles were included in the review from a total of 373 studies initially selected from the databases. From these, twelve studies were performed under clinical conditions encompassing 3801 fluoroscopically guided procedures, ten studies were performed under experimental conditions with phantoms, with a total of 88 procedures, four studies were performed using numerical calculations with a total of 63 procedures. The attenuation and effectiveness of provided by the caps analyzed in the present review varying from 12.3% to 99.9%, and 4.9% to 91% respectively.Conclusion.RAD were found to potentially provide radiation protection, but a high heterogeneity in the shielding afforded was found. This indicates the need for local assessment of cap efficiency according to the practice.

辐射衰减帽在减少介入医生脑部接受的辐射剂量方面的功效:系统综述。
背景:科学文献中出现了关于暴露于电离辐射的介入医生患脑肿瘤的传闻。为了应对这一警报,市场上出现了多种设计的铅帽。然而,有关其功效的报告结果却不一致:目的:通过对文献进行系统回顾,总结辐射衰减装置(RAD)在降低介入医生脑部辐射水平方面的能力:方法:对以下数据库进行了系统综述:MEDLINE、SCOPUS、EBSCO、Science Direct、Cochrane对照试验登记(CENTRAL)、WOS、WHO国际临床试验登记、Scielo和Google Scholar,考虑了1990年1月至2022年5月期间在实验或临床环境中评估RAD疗效的原始研究。数据筛选和提取工作一式三份,由第四位作者解决差异:从数据库中初步筛选出的总共 373 项研究中,有 20 篇文章被纳入综述。其中,12 项研究是在临床条件下进行的,包括 3801 例透视引导手术;10 项研究是在实验条件下使用模型进行的,共有 88 例手术;4 项研究是通过数字计算进行的,共有 63 例手术。本综述分析的辐射帽的衰减率和有效性分别为 12.3% 至 99.9%,4.9% 至 91%:结论:研究发现 RAD 有可能提供辐射防护,但屏蔽效果差异很大。这表明有必要根据实际情况对防护帽的效率进行局部评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Radiological Protection
Journal of Radiological Protection 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
26.70%
发文量
137
审稿时长
18-36 weeks
期刊介绍: Journal of Radiological Protection publishes articles on all aspects of radiological protection, including non-ionising as well as ionising radiations. Fields of interest range from research, development and theory to operational matters, education and training. The very wide spectrum of its topics includes: dosimetry, instrument development, specialized measuring techniques, epidemiology, biological effects (in vivo and in vitro) and risk and environmental impact assessments. The journal encourages publication of data and code as well as results.
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