Feature | March 02, 2015

Working in an Interventional Laboratory May Lead to Health Problems

Occupational hazards highest for technicians and nurses

interventional radiology, Mayo Clinic, aprons, dose, cath lab

March 2, 2015 — Frequent use of lead aprons in the interventional lab and radiology departments to protect against radiation exposure is associated with increased musculoskeletal pain, according to a study published in the Journal of the American College of Cardiology.

Fluoroscopy, or X-ray guided, interventional procedures performed by cardiologists and radiologists have become increasingly complex. As a result, these specialists spend more time being exposed to radiation and wearing heavy protective lead aprons. Researchers at the Mayo Clinic in Rochester, Minn., surveyed employees to determine whether musculoskeletal pain, cancer and other medical conditions occurred more often among interventional lab and radiology employees compared to other healthcare workers.

An e-mail survey was sent to 2,682 employees of the cardiology and radiology departments of the Mayo Clinic Health System facilities. Employees were asked questions about their work environment such as the use of protective equipment as well as questions about specific medical conditions including pain, cancer and cataracts.

Responses were received from 1,543 cardiology and radiology employees, and 1,042 of the respondents reported participating in procedures that involved radiation. The 501 employees who did not report being exposed to radiation made up the control group. Employees who were required to wear a lead apron reported more work-related pain and reported seeking medical care for pain more often than the control group. Those who reported more pain were more likely to be female, were exposed to radiation more times each week and wore a lead apron more frequently. Pain was reported most often among technicians (62 percent) and nurses (60 percent), followed by attending physicians (44 percent) and trainees (19 percent).  

“More attention and effort needs to be directed toward improving the physical stresses that interventional lab employees endure,” said Mandeep Singh, M.D., professor of medicine, interventional cardiologist, Mayo Clinic and a study author. “Efforts should be made to limit procedure times and for regular ergonomic evaluations. Technicians and nurses may benefit from periodic rotation out of the lab.”

“Most of the focus of safety procedures and policies in interventional laboratories have been directed to the patient and the physicians performing the procedure, with good reason, but not necessarily geared toward to the supportive personnel who are integral to these procedures,” said Valentin Fuster, M.D., Ph.D., editor-in-chief of the Journal of the American College of Cardiology. “In creating hospital standards and policies for cardiac catheterization labs, we need to be equally focused on the physical toll to these allied health professionals.”

The survey showed no difference in the rate of cancer, cataracts, hypothyroidism or nephrolithiasis, which are all associated with exposure to radiation; researchers caution that the study would need additional screening and longer follow-up to accurately assess risks for these conditions from radiation exposure.  

In an accompanying editorial comment, James Goldstein, M.D., director of research and education, department of cardiovascular medicine, Beaumont Health System, Royal Oak, Mich., said the findings in this study advance the fields of cardiology and radiology in two ways:

  • They further confirm previous findings that working in the field of X-ray interventional procedures poses a significant risk for orthopedic injury and
  • They do so using a much larger number of respondents, employee age-matched controls, and both physician and non-physician allied health personnel.

 

“In training, we are taught the hazards of radiation exposure and methods for alleviating it,” he said. “However, it is only human and practical for us to care for our patients without further thought of the risk of injury to ourselves.”

Goldstein also said that growing technology, such as ceiling-suspended individual lead aprons, shielded gloves and shielded scrub caps, is facilitating less radiation exposure and less pain, and he remains hopeful that this trend will continue.

For more information: www.acc.org

Related Content

Mirion Technologies Introduces Instadose Radiation Dosimeter
Technology | Radiation Dose Management | February 08, 2018
The Instadose + dosimeter, the latest by Mirion Technologies, transforms...
FDA Releases New Guidance on Children's X-ray Exams
Feature | Pediatric Imaging | January 26, 2018
Most people have had an X-ray taken at some time during their lives — perhaps checking for a possible broken bone or...
Philips Introduces Technology Maximizer Program for Imaging Equipment Upgrades
Technology | Imaging | January 17, 2018
January 17, 2018 — Philips recently announced the launch of Technology Maximizer, a cross-modality program designed t
Videos | RSNA 2017 | December 20, 2017
ITN and DAIC Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies on the
Sectra Offers Gadolinium Tracking Functionality in DoseTrack Software
Technology | Contrast Media | December 11, 2017
December 11, 2017 — Sectra recently announced the global introduction of gadolinium tracking in its dose monitoring s
Philips Azurion Platform Improves Clinical Workflow and Staff Experience Benefits
News | Angiography | December 04, 2017
Philips recently announced the results of a comprehensive, independent, two-year study demonstrating the clinical...
Philips Azurion Image-Guided Therapy Platform Improves Clinical Workflow for Interventional Procedures
News | Angiography | November 15, 2017
Philips announced the results of a comprehensive, independent, two-year study demonstrating the clinical workflow...
Siemens Healthineers Introduces Share360 Tailored Service Portfolio
News | Imaging | November 10, 2017
November 10, 2017 — To address the specific needs of...
GE Healthcare and Medis Collaborate to Expand Availability of Quantitative Flow Ratio Software
News | Angiography | November 10, 2017
GE Healthcare and Dutch-based cardiovascular imaging software provider Medis announced at the 2017 Transcatheter...
UnityPoint Health Installs Infinix-i 4-D CT System for Interventional Procedures
News | Interventional Radiology | November 08, 2017
November 8, 2017 — Physicians at UnityPoint Health Methodist, Peoria, Ill., are now offering fast, safe and accurate
Overlay Init