EURADOS intercomparison IC2020ph on whole body dosemeters for photons.

The European Dosimetry Group has been organising international intercomparisons (ICs) for personal dosemeters on a regular basis. The IC announced in 2020 was postponed to the end of 2020 and the beginning of 2021 due to coronavirus (COVID-19) restrictions. The irradiation plan consisted of nine irradiation setups with five different photon radiation qualities (S-Cs, S-Co, N-150, W-60, W-80) and two different angles of irradiation incidence (0o and 60o). A total of 112 monitoring services from 50 countries with 132 dosimetry systems participated. The present work describes and analyses the individual results for the personal dose equivalent quantities Hp(10) and, if submitted, Hp(0.07) for all participating systems. It also presents the organisational details and the difficulties arising from the COVID-19 crisis during the IC. The statistical results showed a satisfactory performance with the medians of all Hp(10) and Hp(0.07) response values very close to unity. However, there are few individual monitoring services with significant large variations.

Practical guidelines for personal monitoring and estimation of effective dose and dose to the lens of the eye in interventional procedures.

Estimation of effective dose and dose to the lens of the eye for workers involved in interventional procedures is challenging. The interventional procedures in question involve high doses and, due to this, workers need to wear protective garments. As a result, various methodologies have been developed to assess the effective dose and dose to the lens of the eye. In the present study, measurements from four European dosimetry services, over and under protective garments, have been collected and analysed in order to provide practical guidelines based on the routine use of personal dosemeters from staff in interventional workplaces. The advantages and limitations of using one or two dosemeters are discussed.

UNCERTAINTY EVALUATION IN MEASUREMENT OF THE PERSONAL DOSE EQUIVALENT AT NINE INDIVIDUAL MONITORING SERVICES IN ASIA AND THE PACIFIC REGION.

This paper presents the results of the evaluation of the uncertainty in measurement of the personal dose equivalent, Hp(10), at nine individual monitoring services (IMSs) in Asia and the Pacific region. Different types of passive dosemeters were type-tested according to the International Electrotechnical Commission 62387 requirements. The uncertainty in measurement was calculated using the Guide to the Expression of Uncertainty in Measurement approach. Expanded uncertainties ranged between 24 and 86% (average = 38%) for Hp(10) values around 1 mSv and between 14 and 40% (average = 27%) for doses around the annual dose limit, Hp(10) = 20 mSv. The expanded uncertainties were lower than the 1.5 factor in either direction proposed by the International Commission on Radiological Protection for doses near the relevant dose limits. This indicates an acceptable level of uncertainty for all participating IMSs. Uncertainty evaluation will help the IMSs to acknowledge the accuracy of their measurements.

Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens-results of the EURALOC study.

This paper investigates over five decades of work practices in interventional cardiology, with an emphasis on radiation protection. The analysis is based on data from more than 400 cardiologists from various European countries recruited for a EURALOC study and collected in the period from 2014 to 2016. Information on the types of procedures performed and their annual mean number, fluoroscopy time, access site choice, x-ray units and radiation protection means used was collected using an occupational questionnaire. Based on the specific European data, changes in each parameter have been analysed over decades, while country-specific data analysis has allowed us to determine the differences in local practices. In particular, based on the collected data, the typical workload of a European cardiologist working in a haemodynamic room and an electrophysiology room was specified for various types of procedures. The results showed that when working in a haemodynamic room, a transparent ceiling-suspended lead shield or lead glasses are necessary in order to remain below the recommended eye lens dose limit of 20 mSv. Moreover, the analysis revealed that new, more complex cardiac procedures such as chronic total occlusion, valvuloplasty and pulmonary vein isolation for atrial fibrillation ablation might contribute substantially to annual doses, although they are relatively rarely performed. The results revealed that considerable progress has been made in the use of radiation protection tools. While their use in electrophysiology procedures is not generic, the situation in haemodynamic procedures is rather encouraging, as ceiling-suspended shields are used in 90% of cases, while the combination of ceiling shield and lead glasses is noted in more than 40% of the procedures. However, we find that still 7% of haemodynamic procedures are performed without any radiation protection tools.

Eye Lens Radiation Exposure in Greek Interventional Cardiology Article.

The lens of the eye is one of the radiosensitive tissues of the human body; if exposed to ionizing radiation can develop radiation-induced cataract at early ages. This study was held in Greece and included 44 Interventional Cardiologists (ICs) and an unexposed to radiation control group of 22 persons. Of the note, 26 ICs and the unexposed individuals underwent special eye examinations. The detected lens opacities were classified according to LOCS III protocol. Additionally, the lens doses of the ICs were measured using eye lens dosemeters. The mean dose to the lenses of the ICs per month was 0.83 ± 0.59 mSv for the left and 0.35 ± 0.38 mSv for the right eye, while the annual doses ranged between 0.7 and 11 mSv. Regarding the lens opacities, the two groups did not differ significantly in the prevalence of either nuclear or cortical lens opacities, whereas four ICs were detected with early stage subcapsular sclerosis. Though no statistically difference was observed in the cohort, the measured doses indicate that the eye doses received from the ICs can be significant. To minimize the radiation-induced risk at the eye lenses, the use of protective equipment and appropriate training on this issue is highly recommended.