Think ahead. Safety first.
MindPeace (patent pending, 10MD, Sweden) is specifically designed to minimize radiation exposure in the neck as well as the lower and middle section of the head. HeadPeace is designed to minimize radiation exposure in the upper section of the head. A recent study demonstrates that this novel combination of head and thyroid protection is effective at reducing brain exposure and, in cases of heavy radiation exposure, should be considered in order to minimize overall radiation exposure.
In X-ray guided interventions, medical practitioners are subjected to relatively high radiation exposure; in particular, the head and extremities may be exposed to high levels of ionizing radiation. According to the International Commission on Radiological Protection (ICRP) Publication 103, radiation-induced cancer sensitivity of the brain is low. However, ICRP Publication 118 highlights the need to increase awareness among medical practitioners that the absorbed dose threshold level for circulatory diseases might be as low as 0.5 Gy to the brain.
Endovascular surgical procedures are predominantly performed from the right side of the patient; therefore, the main scattered radiation is most often to the left side of the operator. The left side of the operator's head experiences twice the exposure levels of the right side. A study on brain and neck tumors occurring in physicians who have had exposure to ionizing radiation documented left-sided malignancy in 85% of participants. The disproportionate pattern of left-sided lesions has raised concerns among healthcare professionals.
1. Larsson M, Apell P, Jonasson P, Lundh C. Evaluation of a novel thyroid collar designed to reduce head and neck radiation exposure during X-ray guided interventions. Poster presentation at the LINC meeting, Leipzig, Germany, 2020.
2. Reeves RR, Ang L, Bahadorani J, Naghi J, Dominguez A, Palakodeti V, Tsimikas S, Patel MP, Mahmud E. Invasive Cardiologists Are Exposed to Greater Left Sided Cranial Radiation. JACC: Cardiovascular Interventions Vol. 8, No. 9, 2015.
3. Roguin A, Goldstein J, Bar O. Brain tumours among interventional cardiologists: a cause for alarm? Report of four new cases from two cities and a review of the literature. EuroIntervention 2012;7: 1081e1086.