2016
DOI: 10.1016/j.mrrev.2016.07.010
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Ionizing radiation induced cataracts: Recent biological and mechanistic developments and perspectives for future research

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Cited by 125 publications
(90 citation statements)
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References 255 publications
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“…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]. Thus, the lens is now considered much more radiosensitive than previously thought, but its mechanisms remain incompletely understood [8,9]. …”
Section: Introductionmentioning
confidence: 99%
“…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]. Thus, the lens is now considered much more radiosensitive than previously thought, but its mechanisms remain incompletely understood [8,9]. …”
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%
“…Recent epidemiologic studies have yielded new evidence of radiation-induced cataract at lower doses (16), leading the International Commission on Radiological Protection to lower the assumed threshold to 0.5 Gy (17). However, investigators in some literature reviews focused on more recent epidemiologic and biologic study findings (18,19) have questioned whether the data are still consistent with the theory that cataract is a tissue reaction and have described potential stochastic phenomena linked to DNA damage as an explanation for the increased risks at lower radiation…”
Section: Us Radiologic Technologist Cohortmentioning
confidence: 99%