Table 4.
Items investigated with in-depth survey among the medical staff of intervention radiology department
Survey contents | Components | Detailed item |
Detailed questionnaire | Demographics | Same as baseline survey questionnaire |
Work history | Same as baseline survey questionnaire | |
Work practices | Frequency of interventional procedures, badge wearing, wearing of protective equipment and use of shielding devices (by decade*) | |
Experience of high radiation exposure | Exposure to >5 milliSievert a quarter, low WCC and radiation work in other job | |
Management of radiation exposure | Regular health check-up, knowledge of dose limits and personal dose and risk perception items | |
Personal medical examination | X-ray (by site†), mammography, dental radiography, CT (by site‡), fluoroscopy (by site§), interventional radiography, PET-CT, nuclear medicine imaging, radiation therapy and MRI | |
Lifestyle | Smoking, alcohol consumption, physical exercise and night shifts | |
Medical history | Cataract, skin diseases, thyroid diseases, neck/back pain, cardiovascular diseases, cancer and so on Medication history, family history of cataract, cardiovascular diseases and cancer |
|
Clinical examination | Anthropometry | Height, weight and waist circumference |
Blood pressure | Systolic and diastolic blood pressure | |
Blood analysis | For haematologic disease WCC, differential count, RBC, Hb, Hct, MCV, MCH, MCHC, RDW, platelet, MPV, PDW and reticulocyte count |
|
For diabetes HbA1c |
||
For dyslipidaemia Total cholesterol, TG, HDL cholesterol and LDL cholesterol |
||
For thyroid disease TSH, thyroid hormones T3, T4 and free T4 |
||
For cardiovascular risk factors Homocysteine, hs-CRP |
||
Ophthalmological examination | Visual acuity Lens opacities |
|
Ultrasonography examination | Thyroid gland Common and internal carotid artery CMIT |
|
Badge monitoring | Dosimetry Work diary |
Inside/outside of lead apron at chest and outside of thyroid shield Interventional procedures (type, frequency and time) |
Biodosimetry | Stable and unstable chromosomal aberrations | Dicentric assay 1,2,4-FISH translocation assay |
Past health check-up records | Haematology Blood pressure |
WCC, differential count, RBC, Hb and platelet |
Systolic and diastolic blood pressure |
*1980–1989, 1990–1999, 2000–2009 and 2010–present.
†Head and neck, chest, abdomen and extremity.
‡Head and neck, chest, abdomen, pelvis and extremity.
§Stomach, intestine, hepatobiliary, kidney and others.
CIMT, carotid intima–media thickness; FISH, fluorescent in situ hybridisation; Hb, haemoglobin; HbA1c, glycated haemoglobin; Hct, haematocrit; HDL, high-density lipoprotein; hs-CRP, high-sensitivity C reactive protein; LDL, low-density lipoprotein; MCH, mean corpuscular haemoglobin; MCHC, mean corpuscular haemoglobin concentration; MCV, mean corpuscular volume; MPV, mean platelet volume; PDW, platelet distribution width; PET, positron emission tomography; RBC, red blood cell; RDW, red cell distribution width; T3, tri-iodothyronine; T4, thyroxine; TG, triglyceride; TSH, thyroid-stimulating hormone; WCC, white cell count.