Estimation of patient dose and associated radiogenic risks from fluoroscopically guided pedicle screw insertion

Spine

Volumn 29, Issue 14, 2004, Pages 1555-1560

  Perisinakis, Kostas ^a   Theocharopoulos, Nicholas ^a   Damilakis, John ^a   Katonis, Pavlos ^a   Papadokostakis, George ^a   Hadjipavlou, Alexandros ^a   Gourtsoyiannis, Nicholas ^a  

^a UNIVERSITY OF CRETE   (Greece)

Author keywords

Effective dose; Fluoroscopy; Gonadal dose; Pedicle screw insertion; Radiation risks

Indexed keywords

ADULT; ARTICLE; BONE SCREW; CANCER; CANCER RISK; CLINICAL ARTICLE; DOSIMETRY; EXPERIMENTAL MODEL; FEMALE; FLUOROSCOPY; GENDER; GONAD; HUMAN; HUMAN TISSUE; MALE; MEASUREMENT; OPERATION DURATION; OSTEOSYNTHESIS; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION INJURY; RADIOSENSITIVITY; SAFETY; SKIN INJURY; SPINE DISEASE; SURGICAL TECHNIQUE; TISSUE LEVEL;

ADULT; AGE FACTORS; BONE SCREWS; ERYTHEMA; FEMALE; FLUOROSCOPY; HUMANS; INTERNAL FIXATORS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; NEOPLASMS, RADIATION-INDUCED; ORGAN SPECIFICITY; OVARY; PHANTOMS, IMAGING; RADIATION DOSAGE; RADIOGRAPHY, INTERVENTIONAL; RISK; SKIN; STOCHASTIC PROCESSES; TESTIS; THERMOLUMINESCENT DOSIMETRY; THORACIC VERTEBRAE;

EID: 3242676907     PISSN: 03622436     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.BRS.0000131214.57597.21     Document Type: Article

References (26)

1. Gaines RW. The use of Pedicle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am 2000;82:1458-76.
2. Carbone JJ, Tortolani PJ, LG Quartararo. Fluoroscopically assisted pedicle screw fixation for thoracic and thoracolumbar injuries: Technique and short-term complications. Spine 2003;28:91-7.
3. Slomczykowski M, Mini R, Schneeberger P, et al. Radiation dose for pedicle screw insertion: fluoroscopic method versus computer-assisted surgery. Spine 1999;24:975-83.
4. Brown CA, Lenke LG, Bridwell KH, et al. Complications of pediatric thoracolumbar and lumbar pedicle screws. Spine 1998;23:1566-71.
5. International Commission on Radiological Protection. Recommendations of the International Commission on Radiological Protection. Ann ICRP 1990;21.
6. Mc Parland BJ. A study of patient radiation doses in interventional radiological procedures. Br J Radiol 1998;71:175-85.
7. Geise RA, O'Dea TJ. Radiation dose in interventional fluoroscopic procedures. Appl Radiat Isot 1999;50:173-84.
8. Mahesh M. Fluoroscopy. Patient radiation exposure issues. Radiographics 2001;21:1033-45.
9. Miller DL, Balter S, Cole PE, et al. Radiation doses in interventional radiology procedures: the RAD-IR study: part I: overall measures of dose. J Vasc Interv Radiol 2003;14:711-27.
10. Food and Drug Administration. Public Health Advisory. Avoidance of Serious X-ray Induced Skin Injuries to Patients During Fluoroscopically Guided Procedures. Rockville, MD: Center for Devices and Radiological Health, FDA; 1994.
11. Food and Drug Administration. Important Information for Physicians and Other Healthcare Professionals: Recording Information in the Patient's Medical Record That Identifies the Potential for Serious X-ray-induced Skin Injuries Following Fluoroscopically Guided Procedures. Rockville, MD: Center for Devices and Radiological Health, FDA; 1995.
12. Valentin J. Avoidance of radiation injuries from medical interventional procedures. Ann ICRP 2000;30:7-67.
13. Shope B. Radiation skin injuries from fluoroscopy. Radiographics 1996;16:1195-9.
14. Koenig TR, Wolff D, Mettler FA, Wagner LK. Skin injuries from fluoroscopically guided procedures: part 1, characteristics of radiation injury. Am J Roentgenol 2001;177:3-11.
15. Mettler FA, Koenig TR, Wagner LK, et al. Radiation injuries after fluoroscopic procedures. Semin Ultrasound CT MR 2002;23:428-42.
16. Miller DL, Balter S, Noonan PT, et al. Minimizing radiation-induced skin injury in interventional radiology procedures. Radiology 2002;225:329-36.
17. 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.
18. Weinstein JN, Spratt KF, Spengler D, et al. Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine 1988;13:1012-8.
19. Perisinakis K, Theocharopoulos N, Karkavitsas N, et al. Patient effective radiation dose and associated risk from transmission scans using Gd-153 line sources in cardiac SPECT studies. Health Phys 2002;83:847-53.
20. National Research Council. Health Effects Exposure to Low Levels of Ionizing Radiation. Washington, D.C.: National Academy Press; 1990.
21. National Radiological Protection Board. Estimates of Radiation Detriment in a UK Population. NRPB R260. Chilton: Didcot; 1994.
22. Wagner LK. Biological effects of high x-ray doses. In: Balter S, Shope T, eds. Syllabus: A Categorical Course in Physics. Oak Brook, IL: Radiological Society of North America; 1995:167-70.
23. Jones DP, Robertson PA, Lunt B, et al. Radiation exposure during fluoroscopically assisted pedicle screw insertion in the lumbar spine. Spine 2000;25:1538-41.
24. Hall EJ. Hereditary effects of radiation. In: Hall EJ, ed. Radiobiology for the Radiologist. Philadelphia, PA: J.B. Lippincott Co; 1994.
25. Korovessis PG, Stamatakis MV. Prediction of scoliotic Cobb angle with the use of the scoliometer. Spine 1996;21:1661-6.
26. Korovessis P, Petsinis G, Papazisis, et al. Prediction of thoracic kyphosis using the Debrunner kyphometer. J Spinal Disord 2001;14:67-72.