Estimation of radiation doses to patients and surgeons from various fluoroscopically guided orthopaedic surgeries

Radiation Protection Dosimetry

Volumn 128, Issue 1, 2008, Pages 112-119

  Tsalafoutas, Ioannis A ^a   Tsapaki, Virginia ^b   Kaliakmanis, Alkiviadis ^c   Pneumaticos, Spiridon ^c   Tsoronis, Fotis ^b   Koulentianos, Elias D ^b   Papachristou, George ^c  

^a Agios Savvas Cancer Hospital   (Greece)

^b AGIA OLGA HOSPITAL   (Greece)

^c UNIVERSITY OF ATHENS   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DOSIMETRY; EYE; FLUOROSCOPY; GONAD; HAND; HUMAN; INTRAMEDULLARY NAILING; LEG; MAJOR CLINICAL STUDY; MATHEMATICAL MODEL; MEDICAL STAFF; OCCUPATIONAL EXPOSURE; OPEN REDUCTION; ORTHOPEDIC SURGERY; OSTEOSYNTHESIS; RADIATION DOSE; RADIATION DOSE DISTRIBUTION; RADIATION HAZARD; RADIATION PROTECTION; RADIATION SCATTERING; SURGEON; THORAX;

FLUOROSCOPY; HUMANS; MODELS, STATISTICAL; OCCUPATIONAL EXPOSURE; ORTHOPEDICS; RADIATION DOSAGE; RADIATION MONITORING; RISK; SCATTERING, RADIATION; TIME FACTORS;

EID: 45149100920     PISSN: 01448420     EISSN: None     Source Type: Journal    
DOI: 10.1093/rpd/ncm234     Document Type: Article

References (20)

1. EU Council Directive. Health protection of individuals against the dangers of ionising radiation in relation to medical exposure. EU Directive 1997/43/Euratom (1997).
2. Department of Health. The Ionising Radiation (Medical Exposure) Regulations 2000, with supplementary guidance on good practice. Available on http://www.doh.gov.uk/irmer.htm (2000).
3. Institute of Physical Sciences in Medicine, National Radiological Protection Board and College of Radiographers. National Protocol for patient dose measurements in diagnostic radiology. National Radiological Protection Board. Chilton, England (1997).
4. Hart, D., Jones, D. G. and Wall, B. F. Estimation of effective dose in diagnostic radiology from entrance surface dose and dose-area product measurements. National Radiological Protection Board. HMSO, London, NRPB-R262 (1994).
5. Miller, D. L. et al. Radiation doses in interventional radiology prOcedures: The RAD-IR study: Part I: overall measures of dose. J. Vasc. Interv. Radiol. 14, 711-727 (2003).
6. Miller, D. L. et al. Radiation doses in interventional radiology proSedures: The RAD-IR study: Part II: skin dose. J. Vasc. Interv. Radiol. 14, 977-990 (2003).
7. National Council on Radiation Protection and Measurements. Use of personal monitors to estimate effective dose equivalent and effective dose to workers for external exposure to low-LET radiation. NCRP Report 142 (Bethesda, MD) (1995).
8. Marx, V. M. and Ellis, J. H. Radiation protection of the hand in interventional radiology: Should it fit like a glove? Radiology 200, 24-25 (2003).
9. Simpkin, D. J. and Dixon, R. L. Secondary shielding barriers for diagnostic X-ray facilities: Scatter and leakage revisited. Health Phys. 74, 350-365 (1998).
10. Sutton, D. G. and Williams, J. R. (Eds). Radiation shielding for diagnostic X-rays. Report of a joint BIR/IPEM working party. (London: The British Institute of Radiology) (2000).
11. Williams, J. R. Scatter dose estimation based on dose area product and the specification of radiation barriers. Br. J. Radiol. 69, 1032-1037 (1996).
12. Tsalafoutas, I. A., Yakoumakis, E. and Sandilos, P. A model for calculating shielding requirements in diagnostic X-ray facilities. Br. J. Radiol. 76, 731-737 (2003).
13. Hart, D., Hillier, M. C. and Wall, B. F. Doses to patients from medical X-ray examinations in the UK-2000 review. National Radiological Protection Board. Chilton, England, NRPB-W14 (2002).
14. Blattert, T. R., Fill, U. A., Kunz, E., Panzer, W., Weckbach, A. and Regulla, D. F. Skill dependence of radiation exposure for the orthopaedic surgeon during interlocking nailing of long-bone shaft fractures: A clinical study. Arch, Orthop. Trauma. Surg. 124, 659-664 (2004).
15. Rampersaud, Y. R., Foley, K. T., Shen, A. C., Williams, S. and Solomito, M. Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion. Spine 25, 2637-2645 (2000).
16. Müller, L. P., Suffner. J., Wenda, K., Mohr, W. and Rommens, P. M. Radiation exposure to the hands and the thyroid of the surgeon during intramedullary nailing. Injury 29, 461-468 (1998).
17. Mehlamn, C. T. and DiPasquale, T. G. Radiation exposure to the orthopaedic surgical team during fluoroscopy: How far away is far enough? J. Orthop. Trauma. 11, 392-398 (1997).
18. Levin, P. E., Schoen, R. W. and Browner, B. D. Radiation exposure to the surgeon during closed interlocking intramedullary nailing. J. Bone Joint Surg. 69, 761-765 (1987).
19. Miller, M. E., Davis, M. L., MacClean, C. R., Davis, J. G., Smith, B. L. and Humphries, J. R. Radiation exposure and associated risk to operating-room personnel during use of fluoroscopic guidance for selected orthopaedic procedures. J. Bone Joint Surg. 65, 1-4 (1983).
20. Seibert, J. A. Vertebroplasty and kyphoplasty: Do fluoroscopy operators know about dose, and should the want to know? Radiology 232, 633-634 (2004).