ボトムシールド付きX線防護眼鏡の水晶体被ばく低減効果を解明 ―カテーテル手技中の医師水晶体被ばく量を明らかに―

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2026-11-09 東北大学

東北大学の研究グループは、カテーテル治療などのX線透視・撮影を伴う医療手技に従事する医師の水晶体被ばくを低減するため、ボトムシールド付きX線防護眼鏡の遮蔽効果を評価した。X線防護眼鏡は、顔面とレンズの間に隙間があると、下方から入射する散乱線が眼に到達する可能性がある。研究チームは、人体を精密に再現したメッシュ型計算ファントムとモンテカルロ・シミュレーションを用い、矯正眼鏡の上から防護眼鏡を着用する条件で水晶体被ばく量を解析した。その結果、レンズ下部を内側に曲げたボトムシールド付き眼鏡は、左眼の被ばくを49~77%低減した。さらに、鉛当量0.07 mmの軽量な防護眼鏡が、従来型の鉛当量0.75 mmの眼鏡より高い遮蔽効果を示す条件も確認された。レンズ形状の工夫によって、防護性能と軽量化を両立できる可能性を示す成果であり、医療従事者の放射線安全性向上につながる。

ボトムシールド付きX線防護眼鏡の水晶体被ばく低減効果を解明 ―カテーテル手技中の医師水晶体被ばく量を明らかに―
図1. 従来型防護眼鏡の前面レンズの下部を45°内側に曲げることでボトムシールドを作成した。本研究では、チタン製フレームとプラスチック製レンズで構成された矯正眼鏡の上に重ねて使用した。

<関連情報>

額の隙間の大きさが、度付き眼鏡の上に装着した鉛入り眼鏡による眼の保護効果に及ぼす影響:モンテカルロシミュレーションによる研究 Influence of forehead gap size on eye protection provided by lead eyewear worn over prescription glasses: A Monte Carlo study

Ryota Shindo, Masaki Fujisawa, Keisuke Yamamoto, Kodai Sagehashi, Yohei Inaba, Koichi Chida
Medical Physics  Published: 25 October 2026
DOI:https://doi.org/10.1002/mp.70734

Abstract

Background
Due to exposure to high levels of scattered ionizing radiation, interventional radiology (IR) physicians have an elevated risk of radiation-induced eye injuries and cataracts. Previous studies have evaluated the protective effects of regular lead glasses and recommended measures to improve radiation protection for the eyes. However, the protective effects of fit-over eyewear—lead eyewear worn over prescription glasses—have not been thoroughly examined. Importantly, a previous study noted that the space required to accommodate prescription glasses may reduce eye protection.

Purpose
Monte Carlo (MC) simulations were performed to quantify the protective effects of fit-over eyewear and assess the relative effectiveness of adding bottom shields to conventional lead eyewear to improve eye protection.

Methods
Conventional lead glasses comprising front and side lenses and prescription glasses with plastic lenses and titanium frames were modeled. Lead glasses with bottom shields were created by bending the lower edges of the front lenses of conventional eyewear without increasing the total lens area. Three lead lens thickness values were tested: 0.07, 0.5, and 0.75 mm. Using a mesh-type reference computational phantom representing an adult male to simulate an IR physician, MC simulations were performed with a transcatheter arterial chemoembolization setup. The Particle and Heavy Ion Transport code system was used to calculate the radiation dose deposited in each eye-sensitive volume. The distance (d) between the forehead and front lead lens varied systematically. Protective effects were evaluated using the shielding rate (%) calculated as: (1-Dpr/D0) × 100, where D0 is the radiation dose without protection and Dpr is the dose with eye protection.

Results
For the eye near the X-ray source (left eye), the conventional models showed shielding rates >50% when the lead thickness was 0.5 or 0.75 mm and d was ≤0.5 cm. The conventional 0.07-mm lead eyewear exhibited shielding rates <50% when d was 0.5 cm, and <26% when d was ≥0.8 cm. However, 0.07-mm lead eyewear with bottom shields maintained approximately 50% shielding when d increased to 1.0 cm. The models using 0.5- or 0.75-mm lead lenses with bottom shields exhibited shielding rates >76% at d = 1.0 cm. Notably, the shielding rates for the right eye were <12% regardless of introducing bottom shields. The right eye doses were 45–48% of the left eye lens dose without protection.

Conclusion
By quantifying the relationship between the size of the lens gap and shielding rates, this study estimates the protective effects of fit-over eyewear and can help IR physicians select suitable eyewear. Our findings show that fit-over eyewear with bottom shields effectively protects the left eye during posterior-anterior projection. Although introducing bottom shields can improve conventional side-shield models in terms of increased shielding rate for the left eye, the shielding rates for the right eye remained low because of the gap around the nose. Further study of new designs with a shielded covering over the nose may be warranted.

医療・健康
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