2016
DOI: 10.1016/j.mrrev.2016.08.005
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Cataractogenesis following high-LET radiation exposure

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Cited by 43 publications
(21 citation statements)
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“…In its latest 2007 basic recommendations, the International Commission on Radiological Protection (ICRP) writes that gonads, bone marrow and the crystalline lens of the eye are among the most radiosensitive tissues in the body [3]. ICRP has classified radiation cataracts as tissue reactions (formerly called nonstochastic or deterministic effects) with a dose threshold below which no effect would occur, and has recommended an equivalent dose limit for the ocular lens of workers and public to prevent radiation cataracts [4,5]. Consideration of recent epidemiological evidence led ICRP to recommend in 2011 a threshold of 0.5 Gy (independent of rate of dose delivery and assuming progression of detectable opacities into vision-impairing cataracts) and an occupational equivalent dose limit for the lens of 20 mSv/year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv): these are significant reductions from previously recommendations (i.e., a threshold for detectable opacities of 0.5–2 Gy for acute exposure and 5 Gy for highly fractionated or protracted exposures, a threshold for vision-impairing cataracts of 2–10 Gy for acute exposure and >8 Gy for highly fractionated or protracted exposures, and an occupational equivalent dose limit for the lens of 150 mSv/year) [6,7].…”
Section: Introductionmentioning
confidence: 99%
“…In its latest 2007 basic recommendations, the International Commission on Radiological Protection (ICRP) writes that gonads, bone marrow and the crystalline lens of the eye are among the most radiosensitive tissues in the body [3]. ICRP has classified radiation cataracts as tissue reactions (formerly called nonstochastic or deterministic effects) with a dose threshold below which no effect would occur, and has recommended an equivalent dose limit for the ocular lens of workers and public to prevent radiation cataracts [4,5]. Consideration of recent epidemiological evidence led ICRP to recommend in 2011 a threshold of 0.5 Gy (independent of rate of dose delivery and assuming progression of detectable opacities into vision-impairing cataracts) and an occupational equivalent dose limit for the lens of 20 mSv/year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv): these are significant reductions from previously recommendations (i.e., a threshold for detectable opacities of 0.5–2 Gy for acute exposure and 5 Gy for highly fractionated or protracted exposures, a threshold for vision-impairing cataracts of 2–10 Gy for acute exposure and >8 Gy for highly fractionated or protracted exposures, and an occupational equivalent dose limit for the lens of 150 mSv/year) [6,7].…”
Section: Introductionmentioning
confidence: 99%
“…Hladik and Tapio review the epidemiology and biology of brain effects [3]. Shore provides an overview of cataract epidemiology [4], whereas Ainsbury et al reviews the biology of cataractogenesis following low linear energy transfer (LET) radiation exposures [5]; Hamada and Sato also review high-LET radiation cataractogenesis [6]. Grubber and Dörr consider the radiobiology of the oral mucosa, which is important in light of the adverse reactions to radiotherapy [7].…”
Section: Introductionmentioning
confidence: 99%
“…whereas nuclear cataracts are considered non-radiogenic. These data suggested a threshold for radiation-induced cataractogenesis of 0. are needed [190], and there is a discussion whether cataractogenesis should be considered as a deterministic or stochastic phenomenon [187,191,192]. In fact, peripheral lens epithelial cells repair DSBs after 20 and 100 mGy more slowly than peripheral circulating blood lymphocytes [181].…”
Section: Lens Opacities Among Interventional Cardiologistsmentioning
confidence: 99%