Cervical spine imaging using standard C-arm fluoroscopy: Patient and surgeon exposure to ionizing radiation

Spine

Volumn 33, Issue 18, 2008, Pages 1970-1976

  Giordano, Brian D ^a   Baumhauer, Judith F ^a   Morgan, Thomas L ^a   Rechtine, Glenn R ^a,b  

^a UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

^b Box 665 ^*  (United States)

Author keywords

C arm fluoroscope; Cervical spine imaging; Minimal access techniques; Patient radiation exposure; Practitioner radiation exposure

Indexed keywords

ARTICLE; CADAVER; CERVICAL SPINE; DEVICE; DOSIMETER; FLUOROSCOPY; HUMAN; HUMAN TISSUE; IMAGE INTENSIFIER; IONIZING RADIATION; LUMBAR SPINE; OCCUPATIONAL HAZARD; PELVIS; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION SCATTERING; SIMULATION; SURGEON; THORACIC SPINE; COMPARATIVE STUDY; FILM DOSIMETER; INSTRUMENTATION; METHODOLOGY; OCCUPATIONAL EXPOSURE; PATIENT; PHYSICIAN; RADIATION PROTECTION;

CERVICAL VERTEBRAE; FILM DOSIMETRY; FLUOROSCOPY; HUMANS; OCCUPATIONAL EXPOSURE; PATIENTS; PHYSICIANS; RADIATION DOSAGE; RADIATION PROTECTION; RADIATION, IONIZING;

EID: 60549098114     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e31817e69b7     Document Type: Article

References (47)

1. Röntgen WC. Über eine neue Art von Strahlen (Vorläufige Mittheilung). Sber Phys-Med Ges Würzb 1895;137:132-41.
2. Giachino AA, Cheng M. Irradiation of the surgeon during pinning of femoral fractures. J Bone Joint Surg 1980;62:227-9.
3. Ho P, Cheng SW, Wu PM, et al. Ionizing radiation absorption of vascular surgeons during endovascular procedures. J Vasc Surg 2007;46:455-9.
4. Den Boer A, deFeyter PJ, Hummel WA, et al. Reduction of radiation exposure while maintaining high-quality fluoroscopic images during interventional cardiology using novel x-ray tube technology with extra beam filtering. Circulation 1994;89:2710-4.
5. Giblin JG, Rubenstein J, Taylor A, et al. Radiation risk to the urologist during endourologic procedures, and a new shield that reduces exposure. Urology 1996;48:624-7.
6. Lange HW, Boetticher H. Randomized comparison of operator radiation exposure during coronary angiography and intervention by radial or femoral approach. Catheter Cardiovasc Interv 2006;67:12-16.
7. McKetty MH. Study of radiation doses to personnel in a cardiac catheterization laboratory. Health Phys 1996;70:563-7.
8. Vano E, Gonzalez L, Fernandez JM, et al. Occupational radiation doses in interventional cardiology: a 15-year follow-up. Br J Radiol 2006;79:383-8.
9. Vano E, Gonzalez L, Fernandez JM, et al. Radiation exposure to medical staff in interventional and cardiac radiology. Br J Radiol 1998;71:954-60.
10. Lopez KA, Waziri AE, Granville R, et al. Clinical usefulness and safety of routine intraoperative angiography for patients and personnel. Neurosurgery 2007;61:724-30.
11. Deleted in proof.
12. Badman BL, Rill LR, Butkovich B, et al. Radiation exposure with use of the mini C-arm for routine orthopaedic imaging procedures. J Bone Joint Surg 2005;87:13-7.
13. Fitousi N, Efstathopoulos EP, Delis H, et al. Patient and staff dosimetry in vertebroplasty. Spine 2006;31:884-9.
14. Giannoudis PV, McGuigan J, Shaw DL. Ionising radiation during internal fixation of extracapsular neck of femur fractures. Injury 1998;29:469-72.
15. Levin PE, Schoen RW, Browner BD. Radiation exposure to the surgeon during closed interlocking intramedullary nailing. J Bone Joint Surg 1987;69:761-6.
16. Mehlman CT, DiPasquale TO Radiation exposure to the orthopaedic surgical team during fluoroscopy: "How far away is far enough?" J Orthop Trauma 1997;11:392-8.
17. Parisinakis K, Theocharopoulos N, Damilakis J, et al. Estimation of patient dose and associated radiogenic risk from fluoroscopically guided pedicle screw insertion. Spine 2004;29:1555-60.
18. Sanders R, Koval K, DiPasquale T, et al. Exposure of the orthopaedic surgeon to radiation. J Bone Joint Surg 1993;75:326-30.
19. Singer G. Radiation exposure to the hands from mini C-arm fluoroscopy. J Hand Surg Am 2005;30:795-7.
20. Theocharopoulos N, Perisinakis K, Damilakis J, et al. Occupational exposure from common fluoroscopic projections used in orthopaedic surgery. J Bone Joint Surg 2003;85:1698-703.
21. Tsalafoutas IA, Tsapaki T, Kaliakmanis A, et al. Estimation of radiation doses to patients and surgeons from various fluoroscopically guided orthopaedic surgeries. Radiat Prot Dosimetry 2008;128:112-19.
22. Boice JD, Mandel, Doody M. Breast cancer among radiologic technologists. JAMA 1995;274:394-401.
23. Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci USA 2003;100:13761-6.
24. Doody MM, Lonstein JE, Stovall M, et al. Breast cancer mortality after diagnostic radiography. Spine 2000;25:2052-63.
25. 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.
26. Mastrangelo G, Fedeli U, Fadda E. Increased cancer risk among surgeons in an orthopaedic hospital. Occup Med 2005;55:498-500.
27. Okladnikova ND, Pesternikova VS, Sumina MV, et al. Occupational diseases from radiation exposure at the first nuclear plant in the USSR. Sci Total Environ 1994;142:9-17.
28. Preston DL, Ron E, Tokuoka S. Solic cancer incidence in atomic bomb survivors: 1958-1998. Radiat Res 2007;168:l-64.
29. Rampersaud YR, Foley K, Shen A, et al. Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion. Spine 2000;25:2637-45.
30. Saku T, Hayashi Y, Takahara O, et al. Salivary gland tumors among atomic bomb survivors, 1950-1987. Cancer 1997;79:1465-75.
31. Slomczykowski M, Roberto M, Schneeberger P, et al. Radiation dose for pedicle screw insertion: fluoroscopic method versus computer-assisted surgery. Spine 1999;24:975-83.
32. Singer G. Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg 2005;13:69-76.
33. Policy issue notation vote [United States Nuclear Regulatory Commission]. Available at: http://www.nrc.gov/reading-rm/doc-collections/secys/2001. Accessed on August 2, 2001.
34. Berrington de Gonzalez A, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet 2004;364:345-51.
35. Land CE. Estimated cancer risks from low doses of ionizing radiation. Science 1980;209:1197-203.
36. Baiter S. An overview of radiation safety regulatory recommendations and requirements. Catheter Cardiovasc Interv 1999;47:469-74.
37. White SP. Effect of introduction of mini C-arm image intensifier in orthopaedic theatre. Ann R Coll Surg Engl 2007;89:368-271.
38. Jayasekera N, Roach R. Mini C-arm and radiation exposure in theatre. J Bone Joint Surg 2007;89:2552.
39. Boone JM, Levin DC. Radiation exposure to angiographers under different fluoroscopic imaging conditions. Radiology 1991;180:861-5.
40. Richards PJ, Summerfield R, George J, et al. Major trauma and cervical clearance radiation doses and cancer induction. Injury 2007;10:1016.
41. Giordano BD, Ryder S, Baumhauer JF, et al. Exposure to direct and scatter radiation with use of mini C-arm fluoroscopy. J Bone Joint Surg 2007;89:948-52.
42. Deleted in proof.
43. Deleted in proof.
44. Report No. 16-Limitation of exposure to ionizing radiation [National Council on Radiation Protection and Measurements]. Available at: http://ncrppublications.org/index. cfm?fm=Product.AddToCart∼pid= 9143114606. Accessed 1/1/08.
45. Oddy MJ, Aldam CH. Ionising radiation exposure to orthopaedic trainees: the effect of sub-specialty training. Ann R Coll Surg Engl 2006;297-301.
46. Hafez MA, Smith RM, Matthews SJ, et al. Radiation exposure to the hands of orthopaedic surgeons: are we underestimating the risk? Arch Orthop Trauma Surg 2005;125:575-6.
47. Devalia KL, Peter VK, Madanur MA, et al. Exposure of the thyroid to radiation during routine orthopaedic procedures. Acta Orthop Belg 2006;72:615-20.