Journal ArticleDOI
Brain and Neck Tumors Among Physicians Performing Interventional Procedures
TLDR
Findings of disproportionate reports of left-sided tumors suggest the possibility of a causal relation to occupational radiation exposure in physicians performing interventional procedures.Abstract:
Physicians performing interventional procedures are chronically exposed to ionizing radiation, which is known to pose increased cancer risks. We recently reported 9 cases of brain cancer in interventional cardiologists. Subsequently, we received 22 additional cases from around the world, comprising an expanded 31 case cohort. Data were transmitted to us during the past few months. For all cases, where possible, we endeavored to obtain the baseline data, including age, gender, tumor type, and side involved, specialty (cardiologist vs radiologist), and number of years in practice. These data were obtained from the medical records, interviews with patients, when possible, or with family members and/or colleagues. The present report documented brain and neck tumors occurring in 31 physicians: 23 interventional cardiologists, 2 electrophysiologists, and 6 interventional radiologists. All physicians had worked for prolonged periods (latency period 12 to 32 years, mean 23.5 ± 5.9) in active interventional practice with exposure to ionizing radiation in the catheterization laboratory. The tumors included 17 cases (55%) of glioblastoma multiforme (GBM), 2 astrocytomas (7%), and 5 meningiomas (16%). In 26 of 31 cases, data were available regarding the side of the brain involved. The malignancy was left sided in 22 (85%), midline in 1, and right sided in 3 operators. In conclusion, these results raise additional concerns regarding brain cancer developing in physicians performing interventional procedures. Given that the brain is relatively unprotected and the left side of the head is known to be more exposed to radiation than the right, these findings of disproportionate reports of left-sided tumors suggest the possibility of a causal relation to occupational radiation exposure.read more
Citations
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Journal ArticleDOI
Practical ways to reduce radiation dose for patients and staff during device implantations and electrophysiological procedures
Hein Heidbuchel,Fred H.M. Wittkampf,Eliseo Vano,Sabine Ernst,Richard J. Schilling,Eugenio Picano,Lluís Mont,Pierre Jaïs,Joseph de Bono,Christopher Piorkowski,EB Saad,Francisco Femenía +11 more
TL;DR: This position paper wants to offer some very practical advice on how to reduce exposure to patients and staff, and describes how customization of the X-ray system, workflow adaptations, and shielding measures can be implemented in the cath lab.
Journal ArticleDOI
ICRP Publication 139: Occupational Radiological Protection in Interventional Procedures.
P. Ortiz López,Lawrence T. Dauer,Reinhard Loose,Colin J. Martin,Donald L. Miller,Eliseo Vano,M Doruff,R. Padovani,G Massera,Craig Yoder +9 more
TL;DR: Advice is provided on specific issues, such as assessment of effective dose from dosimeter readings when an apron is worn, estimation of exposure of the lens of the eye (with and without protective eyewear), extremity monitoring, selection and testing of protective garments, and auditing the interventional procedures when occupational doses are unusually high or low.
Journal ArticleDOI
Cancer Risks in U.S. Radiologic Technologists Working With Fluoroscopically Guided Interventional Procedures, 1994-2008.
Preetha Rajaraman,Michele M. Doody,Chu-Ling Yu,Dale L. Preston,Jeremy S. Miller,Alice J. Sigurdson,D. Michal Freedman,Bruce H. Alexander,Mark P. Little,Donald L. Miller,Martha S. Linet +10 more
TL;DR: Elevated risks of brain cancer, breast cancer, and melanoma among technologists who performed fluoroscopically guided interventional procedures are observed, and exposure to low-dose radiation is one possible explanation for these increased risks, although these results may also be due to chance or unmeasured confounding by nonradiation risk factors.
Journal ArticleDOI
Occupational health hazards of interventional cardiologists in the current decade: Results of the 2014 SCAI membership survey.
Lloyd W. Klein,Yolande Tra,Kirk N. Garratt,Wayne Powell,Georgina Lopez‐Cruz,Charles E. Chambers,James A. Goldstein +6 more
TL;DR: Interventional cardiologists and staff are subject to unique physical demands that predispose them to distinct occupational health hazards not seen in other medical disciplines.
Journal ArticleDOI
Machine and deep learning for workflow recognition during surgery.
TL;DR: It is presented here how several recent techniques relying on machine and deep learning can be used to analyze the activities taking place during surgery, using videos captured from either endoscopic or ceiling-mounted cameras.
References
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Journal ArticleDOI
Brain tumor epidemiology: consensus from the Brain Tumor Epidemiology Consortium.
Melissa L. Bondy,Michael E. Scheurer,Beatrice Malmer,Jill S. Barnholtz-Sloan,Faith G. Davis,Dora Il'yasova,Carol Kruchko,Bridget J. McCarthy,Preetha Rajaraman,Judith A. Schwartzbaum,Siegal Sadetzki,Brigitte Schlehofer,Tarik Tihan,Joseph L. Wiemels,Margaret Wrensch,Patricia A. Buffler +15 more
TL;DR: In this report, BTEC epidemiologists reviewed the group's consensus on the current state of scientific findings, and they present a consensus on research priorities to identify which important areas the science should move to address.
Journal ArticleDOI
Radiation exposure to medical staff in interventional and cardiac radiology.
TL;DR: In this paper, the authors determined typical occupational dose levels in interventional radiology and cardiology installations and related doses to patient and occupational dosimetry through the dose-area product.
Journal ArticleDOI
Risk for radiation-induced cataract for staff in interventional cardiology: is there reason for concern?
Olivera Ciraj-Bjelac,Madan M. Rehani,Kui Hian Sim,Houng Bang Liew,Eliseo Vano,Norman J. Kleiman +5 more
TL;DR: A dose dependent increased risk of posterior lens opacities for interventional cardiologists and nurses when radiation protection tools are not used is demonstrated and ocular radio‐protection should be utilized.
Journal ArticleDOI
Occupational health hazards in the interventional laboratory: Time for a safer environment
Lloyd W. Klein,Donald L. Miller,Stephen Balter,Warren K. Laskey,David E. Haines,Alexander Norbash,Matthew A. Mauro,James A. Goldstein +7 more
TL;DR: This document is a consensus statement by the major American societies of physicians who work in the interventional laboratory environment affirm that the inter conventional laboratory poses workplace hazards that must be acknowledged, better understood, and mitigated to the greatest extent possible.
Journal ArticleDOI
Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: Insights from the National Research Council's Biological Effects of Ionizing Radiation VII Report
Lucia Venneri,Francesco Rossi,Nicoletta Botto,Maria Grazia Andreassi,Nicoletta Salcone,Ahmed Emad,Mauro Lazzeri,Cesare Gori,Eliseo Vano,Eugenio Picano +9 more
TL;DR: Cumulative professional radiological exposure is associated with a non-negligible Lifetime attributable risk of cancer for the most exposed contemporary cardiac catheterization laboratory staff.