Fluoroscopically assisted surgical treatments of spinal disorders: Conceptus radiation doses and risks

Spine

Volumn 31, Issue 2, 2006, Pages 239-244

  Theocharopoulos, Nicholas ^a,b   Damilakis, John ^a   Perisinakis, Kostas ^a   Papadokostakis, George ^c   Hadjipavlou, Alexander ^c   Gourtsoyiannis, Nicholas ^a  

^a UNIVERSITY OF CRETE   (Greece)

^b TECHNOLOGICAL EDUCATIONAL INSTITUTE OF CRETE   (Greece)

^c UNIVERSITY HOSPITAL OF IRAKLION   (Greece)

Author keywords

Dose; Embryo; Fetus; Fluoroscopy; Kyphoplasty; Pedicle screw; Pregnancy; Radiation

Indexed keywords

ANTHROPOMETRY; ARTICLE; CANCER RISK; CONGENITAL MALFORMATION; DOSIMETRY; FLUOROSCOPY; GESTATIONAL AGE; KYPHOPLASTY; NORMAL VALUE; PHANTOM; PREGNANCY; PRIORITY JOURNAL; PROGENY; RADIATION CARCINOGENESIS; RADIATION HAZARD; RISK ASSESSMENT; SIMULATION; SPINE DISEASE; SPINE SURGERY; STATISTICAL SIGNIFICANCE; THERMOLUMINESCENCE DOSIMETRY;

COMPUTER SIMULATION; DOSE-RESPONSE RELATIONSHIP, RADIATION; FEMALE; FETUS; FLUOROSCOPY; HUMANS; PREGNANCY; RADIATION DOSAGE; RISK FACTORS; SPINAL DISEASES; SURGERY, COMPUTER-ASSISTED;

EID: 30944462416     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/01.brs.0000194787.92563.80     Document Type: Article

References (30)

1. Gangi A, Guth S, Imbert JP, et al. Percutaneous vertebroplasty: Indications, technique, and results. Radiographics 2003;23:e10.
2. Holmes JF, Miller PQ, Panacek EA, et al. Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med 2001;8:866-72.
3. Hennrikus WL, Shaw BA, Joseph A, et al. Prevalence of positive preoperative pregnancy testing in teenagers scheduled for orthopedic surgery. J Pediatr Orthop 2001;21:677-9.
4. Fehlings MG, Tator CH. An evidence-based review of decompressive surgery in acute spinal cord injury: Rationale, indications, and timing based on experimental and clinical studies. J Neurosurg 1999;91(suppl):1-11.
5. Espositio TJ, Gens DR, Smith LG, et al. Evaluation of blunt abdominal trauma occurring during pregnancy. J Trauma 1989;29:1628-32.
6. Lavery JP, Staten-McCormick M. Management of moderate to severe trauma in pregnancy. Obstet Gynecol Clin North Am 1995;22:69-90.
7. Mazze RI, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: A registry study of 5405 cases. Am J Obstet Gynecol 1989;161:1178-85.
8. Mazze RI, Kallen B. Appendectomy during pregnancy: A Swedish registry study of 778 cases. Obstet Gynecol 1991;161:835-40.
9. International Commission on Radiological Protection. Pregnancy and Medical Radiation. Pergamon; 2000. Publication No. 84.
10. National Radiological Protection Board, College of Radiographers, Royal College of Radiologists: Diagnostic Medical Exposures: Advice on Exposure to Ionizing Radiation During Pregnancy. Doc. NRPB, Chilton, UK: NRPB,1998.
11. Ragozzino M, Breckle R, Hill L, et al. Average fetal depth in utero: Data for estimation of fetal absorbed radiation dose. Radiology 1985;158:513-5.
12. Felmlee JP, Gray JE, Leetzow ML, et al. Estimated fetal radiation dose from multislice CT studies. AJR Am J Roentgenol 1989;154:185-90.
13. Damilakis J, Perisinakis K, Grammatikakis J, et al. Accidental embryo irradiation during barium enema examinations. Invest Radiol 1996;31:242-5.
14. Damilakis J, Perisinakis K, Vrahoriti H, et al. Embryo/fetus radiation dose and risk from dual X-ray absorptiometry examinations. Osteoporos Int 2002;13:716-22.
15. Damilakis J, Perisinakis K, Voloudaki A, et al. Estimation of fetal radiation dose from computed tomography scanning in late pregnancy: Depth-dose data from routine examinations. Invest Radiol 2000;35:527-33.
16. Damilakis J, Theocharopoulos N, Perisinakis K, et al. Conceptus radiation dose and risk from cardiac catheter ablation procedures. Circulation 2001;104:893-7.
17. Damilakis J, Tzedakis A, Sideri L, et al. Normalized conceptus doses for abdominal radiographic examinations calculated using a Monte Carlo technique. Med Phys 2002;29:2641-8.
18. Damilakis J, Theocharopoulos N, Perisinakis K, et al. Conceptus radiation dose assessment from fluoroscopically assisted surgical treatment of hip fractures. Med Phys 2003;30:2594-601.
19. Theocharopoulos N, Perisinakis K, Damilakis J, et al. Occupational exposure from common fluoroscopic projections used in orthopaedic surgery. J Bone Joint Surg Am 2003;85:1698-703.
20. Perisinakis K, Damilakis J, Theocharopoulos N, et al. Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty. Radiology 2004;232:701-7.
21. Perisinakis K, Theocharopoulos N, Damilakis J, et al. Estimation of patient dose and associated radiogenic risks from fluoroscopically guided pedicle screw insertion. Spine 2004;29:1555-60.
22. Perisinakis K, Theocharopoulos N, Karkavitsas N, et al. Patient effective radiation dose and associated risk from transmission scans using 153Gd line sources in cardiac SPECT studies. Health Phys 2002;83:66-74.
23. Perisinakis K, Damilakis J, Vagios E, et al. Embryo depth during the first trimester. Data required for embryo dosimetry. Invest Radiol 1999;34:449-54.
24. National Council on Radiation Protection and Measurements (NCRP). Considerations Regarding the Unintended Radiation Exposure of the Embryo, Fetus or Nursing Child. NCRP Commentary No. 9. Bethesda, MD: NRCP Publications; 1994.
25. National Research Council. Health Effects Exposure to Low Levels of Ionizing Radiation, BEIR V. Washington, DC: National Academy Press; 1990.
26. Hall EJ. Radiobiology for the Radiologist. Philadelphia, PA: Lippincott; 1994:363-78.
27. National Radiological Protection Board. Board Statement on Diagnostic Medical Exposures to Ionising Radiation During Pregnancy and Estimates of Late Radiation Risks to the UK Population. Chilton, UK: HMSO Publications Centre; 1993.
28. European Commission. Guidance for Protection of Unborn Children and Infants Irradiated Due to Parental Medical Exposures. Radiation Protection 100, Official Publications of the European Communities; 1998.
29. Damilakis J, Perisinakis K, Prassopoulos P, et al. Conceptus radiation dose and risk from chest screen-film radiography. Eur Radiol 2003;13:406-12.
30. Aufrichtig R, Xue P, Thomas CW, et al. Perceptual comparison of pulsed and continuous fluoroscopy. Med Phys 1994;21:245-56.