Trends in radiation practices for female ocular oncologists in North America: A collaborative study of the International Society of Ocular Oncology Journal Article


Authors: Shah, S. N.; Kogachi, K.; Correa, Z. M.; Schefler, A. C.; Aronow, M. E.; Callejo, S. A.; Cebulla, C. M.; Day-Ghafoori, S.; Francis, J. H.; Lally, S.; McCannel, T. A.; Paton, K. E.; Phan, I. T.; Pointdujour-Lim, R.; Ramasubramanian, A.; Rath, P.; Shields, C. L.; Skalet, A. H.; Wells, J. R.; Jennelle, R. L.; Berry, J. L.; for the Women in Ocular Oncology Consortium
Article Title: Trends in radiation practices for female ocular oncologists in North America: A collaborative study of the International Society of Ocular Oncology
Abstract: Background: The aim of this study was to determine the known radiation exposure, attitudes, and consequent risk modifications among female ocular oncologists in North America who routinely administer radioactive plaque brachytherapy treatment and are members of the International Society of Ocular Oncology. Methods: Nineteen female ocular oncologists completed an anonymous 17-question radiation exposure survey. Results: Eleven of the participants chose to routinely wear lead protection during surgery; 8 did not. Fifteen of 19 participants reported using an unloaded "nonactive" template to prepare for plaque implantation. During pregnancy, 11 of 13 participants continued to perform plaque brachytherapy. Eight of these 11 undertook measures to decrease radiation exposure self-reported as lead wear and other. The average reported anxiety regarding fertility was 2.1 (SD, 2.2) on a scale from 1 to 10. Conclusion: This study corroborates prior literature that surgeons' exposure to radiation during plaque brachytherapy is minimal. Nonetheless, there remains some anxiety regarding exposure risk to women, due to potential effects on fertility and fetal health. We found variability in exposure monitoring, required training, and precautions during pregnancy amongst this group of surgeons. Improved education and clearer pregnancy guidelines may equip female ocular oncologists with optimal knowledge regarding risk of radiation exposure. © 2018 S. Karger AG, Basel. All rights reserved.
Keywords: melanoma; radiation exposure; plaque brachytherapy; choroidal neoplasms; female surgeons; women surgeons
Journal Title: Ocular Oncology and Pathology
Volume: 5
Issue: 1
ISSN: 2296-4681
Publisher: Karger  
Date Published: 2019-01-01
Start Page: 54
End Page: 59
Language: English
DOI: 10.1159/000489219
PROVIDER: scopus
PMCID: PMC6341326
PUBMED: 30675478
DOI/URL:
Notes: Export Date: 1 February 2019 -- Source: Scopus
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  1. Jasmine Helen Francis
    97 Francis