Radiation exposure in percutaneous spinal cord stimulation mapping: A preliminary report

Pain Physician

Volumn 13, Issue 1, 2010, Pages 7-18

  Wininger, Kevin L ^a   Deshpande, Kedar K ^a   Deshpande, Keshav K ^b  

^a Orthopaedic and Spine Center   (United States)

^b LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE   (United States)

Author keywords

Dose reduction; Dosimetry; Fluoroscopy; Health physics; Neuromodulation; Radiation safety

Indexed keywords

ARTICLE; DOSIMETRY; FEMALE; FLUOROSCOPY; HUMAN; INCIDENT AIR KERMA; MAJOR CLINICAL STUDY; MALE; RADIATION EXPOSURE; SPINAL CORD STIMULATION;

DOSE-RESPONSE RELATIONSHIP, RADIATION; ELECTRIC STIMULATION THERAPY; ELECTRODES; FEMALE; FLUOROSCOPY; HUMANS; MALE; PAIN, INTRACTABLE; PREOPERATIVE CARE; RADIATION DOSAGE; RADIATION INJURIES; RADIATION MONITORING; RETROSPECTIVE STUDIES; SPINAL CORD; TIME FACTORS; TRANSCUTANEOUS ELECTRIC NERVE STIMULATION;

EID: 76149126759     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (95)

1. Simpson BA. Introduction. In: Simpson BA (ed). Electrical Stimulation and the Relief of Pain. Pain Research and Clinical Management. Vol 15. Elsevier B.V., Amsterdam, The Netherlands, 2003, pps.1-2.
2. DiMarco AF, Kowalski KE, Geertman RT, Hromyak DR. Spinal cord stimulation: A new method to produce an effective cough in patients with spinal cord injury. Am J Respir Crit Care Med 2006; 173:1386-1389.
3. Petropoulou KB, Panourias IG, Rapidi CA, Saka DE. The importance of neurorehabilitation to the outcome of neuromodulation in spasticity. Acta Neurochir Suppl 2007; 97:243-250.
4. Herman R, He J, D'Luzansky S, Willis W, Dilli S. Spinal cord stimulation facilitates functional walking in a chronic, incomplete spinal cord injured. Spinal Cord 2002; 40:65-68.
5. Sagher O, Huang DL. Mechanisms of spinal cord stimulation in ischemia. Neurosurg Focus 2006; 21:E2.
6. Robaina F, Clavo B. Spinal cord stimulation in the treatment of post-stroke patients: Current state and future directions. Acta Neurochir Suppl 2007; 97:277-282.
7. Clavo B, Robaina F, Catalá L, Valcárcel B, Morera J, Caramés MA, Ruizegea E, Panero F, Floret M, Hernández MA. Increased locoregional blood flow in brain tumors after cervical spinal cord stimulation. J Neurosurg 2003; 98:1263-1270.
8. Robaina F, Clavo B, Catalá L, Caramés MA, Morera J. Blood flow increase by cervical spinal cord stimulation in middle cerebral and common carotid arteries. Neuromodulation 2004; 7:26-31.
9. Mannheimer C, Camici P, Chester MR, Collins A, DeJongste M, Eliasson T, Follath F, Hellemans I, Herlitz J, Lüscher T, Pasic M, Thelle D. The problem of chronic refractory angina: Report from the ESC Joint Study Group on the treatment of refractory angina. Eur Heart J 2002; 23:355-370.
10. Shealy CN, Mortimer JT, Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: Preliminary clinical report. Anest Analg 1967:46:489-491.
11. Boswell MV, Shah RV, Everett CR, Sehgal N, McKenzie-Brown AM, Abdi S, Bowman RC, Deer TR, Datta S, Colson JD, Spillane WF, Smith HS, Lucas-Levin LF, Burton AW, Chopra P, Staats PS, Wasserman RA, Manchikanti L. Interventional techniques in the management of chronic spinal pain: Evidencebased practice guidelines. Pain Physician 2005; 8:1-47.
12. Frey ME, Manchikanti L, Benyamin RM, Schultz DM, Smith HS, Cohen SP. Spinal cord stimulation for patients with failed back surgery syndrome: A systematic review. Pain Physician 2009; 12:379-397.
13. Buenaventura RM, Datta S, Abdi S, Smith HS. Systematic review of therapeutic lumbar transforaminal epidural steroid injections. Pain Physician 2009; 12:233-251
14. Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, Sehgal N, Shah RV, Singh V, Benyamin RM, Patel VB, Buenaventura RM, Colson JD, Cordner HJ, Epter RS, Jasper JF, Dunbar EE, Atluri SL, Bowman RC, Deer TR, Swicegood JR, Staats PS, Smith HS, Burton AW, Kloth DS, Giordano J, Manchikanti L. Interventional techniques: Evidencebased practice guidelines in the management of chronic spinal pain. Pain Physician 2007; 10:7-111.
15. Manchikanti L, Helm S, Singh V, Benyamin RM, Datta S, Hayek S, Fellows B, Boswell MV. An Algorithmic Approach for Clinical Management of Chronic Spinal Pain. Pain Physician 2009: 12:E225-264
16. Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, O'Callaghan J, Eisenberg E, Milbouw G, Buchser E, Fortini G, Richardson J, North RB. The effects of spinal cord stimulation in neuropathic pain are sustained: A 24-month follow-up of the prospective randomized controlled multicenter trial of the effectiveness of spinal cord stimulation. Neurosurgery 2008; 63:762-770.
17. North RB, Kidd DH, Farrokhi F, Piantadosi SA. Spinal cord stimulation versus repeated lumbosacral spine surgery for chronic pain: A randomized, controlled trial. Neurosurgery 2005; 56:98-107.
18. Falco FJ, Berger J, Vrable A, Onyewu O, Zhu J. Cross talk: a new method for peripheral nerve stimulation. An observational report with cadaveric verification. Pain Physician 2009; 12:965-983.
19. Manchikanti L, Singh V, Derby R, Schultz DM, Benyamin RM, Prager JP, Hirsch JA. Reassessment of evidence synthesis of occupational medicine practice guidelines for interventional pain management. Pain Physician 2008; 11:393-482.
20. Manchikanti L, Singh V, Derby R, Helm S, Trescot AM, Staats PS, Prager JP, Hirsch JA. Review of occupational medicine practice guidelines for interventional pain management and potential implications. Pain Physician 2008; 11:271-289.
21. Manchikanti L, Singh V, Helm S, Trescot AM, Hirsch JA. A critical appraisal of 2007 American College of Occupational and Environmental Medicine (ACOEM) practice guidelines for interventional pain management: An independent review utilizing AGREE, AMA, IOM, and other criteria. Pain Physician 2008; 11:291-310.
22. Manchikanti L, Singh V, Pampati V, Smith HS, Hirsch J. Analysis of growth of interventional techniques in managing chronic pain in the medicare population: A 10-year evaluation from 1997 to 2006. Pain Physician 2009; 12:9-34.
23. Manchikanti L, Hirsch JA. Obama health care for all Americans: Practical implications. Pain Physician 2009; 12:289-304.
24. Manchikanti L, Boswell MV. Interventional techniques in ambulatory surgical centers: A look at the new payment system. Pain Physician 2007; 10:627-650.
25. Manchikanti L, Giordano J. Physician payment 2008 for interventionalists: Current state of health care policy. Pain Physician 2007; 10:607-626.
26. Taylor RS, Taylor RJ, Van Buyten JP, Buchser E, North R, Bayliss S. The cost effectiveness of spinal cord stimulation in the treatment of pain: A systematic review of the literature. J Pain Symptom Manage 2004; 27:370-378.
27. Kemler MA, Barendse GA, van Kleef M, de Vet HC, Rijks CP, Furnée CA, van den Wildenberg FA. Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy. N Engl J Med 2000; 343:618-624.
28. Kemler M, Furnee C. Economic evaluation of spinal cord stimulation for chronic reflex sympathetic dystrophy. Neurology 2002; 59:1203-1209.
29. Feirabend HKP, Choufoer H, Ploeger S, Holsheimer J, van Gool JD. Morphometric of human superficial dorsal and dorsolateral column fibres: Significance to spinal cord stimulation. Brain 2002; 125:1137-1149.
30. Holsheimer J. Does dual lead stimulation favor stimulation of the axial lower back? Neuromodulation 2000; 3:55-57.
31. Barolat G, Massaro F, He J, Zeme S, Ketcik B. Mapping of sensory responses to epidural stimulation of the intraspinal neural structures in man. J Neurosurg 1993; 78:233-239.
32. Melzack R, Wall PD. Pain mechanisms: A new theory. Science 1965; 150:971-978.
33. Kiriakopoulos ET, Tasker RR, Nicosia S, Wood ML, Mikulis DJ. Functional magnetic resonance imaging: A potential tool for the evaluation of spinal cord stimulation: technical case report. Neurosurgery 1997; 41:501-504.
34. Rasche D, Siebert S, Stippich C, Kress B, Nennig E, Sartor K, Tronnier VM. Spinal cord stimulation in failed-back surgery syndrome. Preliminary study for the evaluation of therapy by functional magnetic resonance imaging (fMRI) [abstract]. Schmerz 2005; 19:497-500.
35. Stancák A, Kozák J, Vrba I, Tintera J, Vrána J, Polácek H, Stancák M. Functional magnetic resonance imaging of cerebral activation during spinal cord stimulation in failed back surgery syndrome. Eur J Pain 2008; 12:137-148.
36. Manchikanti L, Boswell MV, Giordano J. Evidence-based interventional pain management: Principles, problems, potential, and applications. Pain Physician 2007; 10:329-356.
37. Manchikanti L. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 1: Introduction and general considerations. Pain Physician 2008; 11:161-186.
38. Manchikanti L, Hirsch JA, Smith HS. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 2: Randomized controlled trials. Pain Physician 2008; 11:717-773.
39. Manchikanti L, Benyamin RM, Helm S, Hirsch JA. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 3: Systematic reviews and meta-analysis of randomized trials. Pain Physician 2009; 12:35-72.
40. Manchikanti L, Singh V, Smith HS, Hirsch JA. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 4: Observational studies. Pain Physician 2009; 12:73-108.
41. Manchikanti L, Derby R, Wolfer L, Singh V, Datta S, Hirsch JA. Evidence-based medicine, systematic reviews, and guidelines in interventional pain management: Part 5. Diagnostic accuracy studies. Pain Physician 2009; 12:517-540.
42. Gould B, Bradley K. Pulse width programming in spinal cord stimulators [abstract]. Pain Med 2006; 7:205-206.
43. Davidoff RA. The dorsal columns. Neurology 1989; 39:1377-1385.
44. Deshpande KK, Wininger KL. Spinal cord stimulation for pain management in ankylosing spondylitis: A case report. Neuromodulation 2009; 12:54-59.
45. Yearwood TL, Hershey B, Lee DC, Bradley K. Dorsal column selectivity in pulse width (PW) programming of spinal cord stimulators (SCS): The "sacral shift" [abstract]. International Neuromodulation Society. Dec. 9-12, 2007.
46. Lee DC, Bradley K, Moffitt M, Peterson D. Reversal recruitment order of spinal dorsal column fibers in spinal cord stimulation: Computational model study. North American Neuromodulation Society Dec. 4-7, 2008.
47. Bradley K. The technology: The anatomy of the spinal cord and nerve root stimulator. The lead and the power source. Pain Med 2006; 7:S27-S34.
48. Moffitt M, Bradley K, Peterson D. Incremental movement of the volume of activation in spinal cord stimulation via fractionalization of current between contacts [abstract]. Neuromodulation 2006; 9:17.
49. Holsheimer J. Principles of neurostimulation. In: Simpson BA (ed). Electrical Stimulation and the Relief of Pain. Pain Research and Clinical Management. Vol 15. Elsevier B.V., Amsterdam, The Netherlands, 2003, pps. 17-36.
50. Meyerson BA, Linderoth B. Spinal cord stimulation: mechanisms of action in neuropathic and ischaemic pain. In: Simpson BA, ed. Electrical Stimulation and the Relief of Pain. Pain Research and Clinical Management. Vol 15. Elsevier B.V., Amsterdam, The Netherlands: 2003, pps. 161-182.
51. Rauchwerger JJ, Zoarski GH, Waghmarae R, Rabinowitz RP, Kent JL, Aldrich EF, Closson CWF. Epidural abscess due to spinal cord stimulator trial. Pain Practice 2008; 8:324-328.
52. Oakley JC, Krames ES, Stamatos J, Foster AM. Successful long-term outcomes of spinal cord stimulation despite limited pain relief during temporary trialing. Neuromodulation 2008; 11:66-73.
53. Mahesh M. Fluoroscopy: Patient radiation exposure issues. Radiographics 2001; 21:1033-1045.
54. Dendy PP. Radiation risks in interventional radiology. Br J Radiol 2008; 81:1-7.
55. Broadman LM, Navalgund YA, Hawkinberry DW. Radiation risk management during fluoroscopy for interventional pain medicine physicians. Curr Pain Headache Rep 2004; 8:49-55.
56. Botwin KP, Freeman ED, Gruber RD, Torres-Ramos FM, Bouchlas CG, Sanelli JT, Hanna AF. Radiation exposure to a physician performing fluoroscopically guided caudal epidural steroid injections. Pain Physician 2001; 4:343-348.
57. Botwin KP, Thomas S, Gruber RD, Torres FM, Bouchlas CC, Rittenberg JJ, Rao S. Radiation exposure of the spinal interventionalist performing fluoroscopically guided transforaminal epidural steroid injections. Arch Phys Med Rehabil 2002; 83:697-701.
58. Botwin KP, Fuoco GS, Torres FM, Gruber RD, Bouchlas CC, Castellanos R, Rao S. Radiation exposure to the spinal interventionalist performing lumbar discography. Pain Physician 2003; 6:295-300.
59. Boszczyk BM, Bierschneider M, Panzer S, Panzer W, Harstall R, Schmid K, Jaksche H. Fluoroscopic radiation exposure of the kyphoplasty patient. Eur Spine J 2006; 15:347-355.
60. Ortiz AO, Natarajan V, Gregorius DR, Pollack S. Significantly reduced radiation exposure to operators during kyphoplasty and vertebroplasty procedures: methods and techniques. AJNR Am J Neuroradiol 2006; 27:989-994.
61. Perisinakis K, Damilakis J, Theocharopoulos N, Papadokostakis G, Hadjipavlou A, Gourtsoyiannis N. Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty. Radiology 2004; 232:701-707.
62. Kallmes DF, O E, Roy SS, Piccolo RG, Marx WF, Lee JK, Jensen ME. Radiation dose to the operator during vertebroplasty: Prospective comparison of the use of 1-cc syringes versus an injection device. AJNR Am J Neuroradiol 2003; 24:1257-1260.
63. Fitousi NT, Efstathopoulus EP, Delis HB, Kottou S, Kelekis AD, Panayiotakis GS. Patient and staff dosimetry in vertebroplasty. Spine 2006; 31:E884-E889.
64. Zhou Y, Singh N, Abdi S, Wu J, Crawford J, Furgang FA. Fluoroscopy radiation safety for spine interventional pain procedures in university teaching hospitals. Pain Physician 2005; 8:49-53.
65. Manchikanti L, Cash KA, Moss TL, Pampati V. Radiation exposure to the physician in interventional pain management. Pain Physician 2002; 5:385-393.
66. Manchikanti L, Cash KA, Moss TL, Pampati V. Effectiveness of protective measures in reducing risk of radiation exposure in interventional pain management: A prospective evaluation. Pain Physician 2003; 6:301-305.
67. Manchikanti L, Cash KA, Moss TL, Rivera J, Pampati V. Risk of whole-body radiation exposure and protective measures in fluoroscopically guided interventional techniques: A prospective evaluation. BMC Anesthesiology 2003;3:2.
68. Meleka S, Patra A, Minkoff E, Murphy K. Value of CT fluoroscopy for lumbar facet blocks. AJNR Am J Neuroradiol 2005; 26:1001-1003.
69. Wagner AL. CT fluoroscopy-guided epidural injections: Techniques and results. AJNR Am J Neuroradiol 2004; 25:1821-1823.
70. Wagner AL. Selective lumbar nerve root blocks with CT fluoroscopic guidance: technique, results, procedure time, and radiation dose. AJNR Am J Neuroradiol 2004; 25:1592-1594.
71. Balter S. Methods for measuring fluoroscopic skin dose. Pediatr Radiol 2006; 36:136-140.
72. Shahabi S. Radiation safety/protection and health physics. In: Dowd SB, Tilson ER, eds. Practical Radiation Protection and Applied Radiobiology 2nd ed. Saunders, Philadelphia, Pa, 1999:167-196.
73. Balter S. Capturing patient doses from fluoroscopically based diagnostic and interventional systems. Health Phys 2008; 95:535-540.
74. Geleijns J, Wondergem J. X-ray imaging and the skin: Radiation biology, patient dosimetry and observed effects. Rad Prot Dos 2005; 114:121-125.
75. McParland BJ. Entrance skin dose estimates derived from dose-area product measurement in interventional radiological procedures. Br J Radiol 1998; 71:1288-1295.
76. Vano E, Gonzalez L, Ten JI, Fernandez JM, Guibelalde E, Macaya C. Skin dose and dose-area product values for interventional cardiology procedures. Br J Radiol 2001; 74:48-55.
77. Morrell RE, Rogers AT. Kodak EDR2 film for patient skin dose assessment in cardiac catheterization procedures. Br J Radiol 2006; 79:603-607.
78. Morrell RE, Rogers AT. A mathematical model for patient skin dose assessment in cardiac catheterization procedures. Br J Radiol 2006; 79:756-761.
79. AAPM. Cardiac catheterization equipment performance. American Association of Physicists in Medicine. Report Series No. 70, 2001.
80. Bushong SC. Radiation protection procedures. In: Bushong SC, ed. Radiologic Science for Technologists: Physics, Biology, and Protection. 8th ed. Mosby Inc., St. Louis, Mo, 2004, pps. 583-601.
81. Sentinel Event Policy and Procedures. The Joint Commission website. www.jointcommission.org/NR/rdonlyres/10A599B4-832D-40C1-8A5B-5929E9E0B09D/0/ Radiation-Overdose.pdf. Accessed June 21, 2008.
82. Smiddy PF, Quinn AD, Freyne PJ, Marsh D, Murphy JM. Dose reduction in double contrast barium enema by use of low fluoroscopic current. Br J Radiol 1996; 69:852-854.
83. Davies AG, Cowen AR, Kengyelics SM, Moore J, Pepper C, Cowan C, Sivanathan MU. X-ray dose reduction in fluoroscopically guided electrophysiology procedures. PACE 2006; 29:262-271.
84. Sonnad SS. Statistical Concepts Series. Describing data: Statistical and graphical methods. Radiology 2002; 225:622-628.
85. Struijk JJ, Holsheimer J, Barolat G, He J, Boom HBK. Paresthesia thresholds in spinal cord stimulation: A comparison of theoretical results with clinical data. IEEE Trans Rehabil Eng 1993; 1:101-108.
86. Luyendijk W. The plica mediana dorsalis of the dura mater and its relation to the lumbar peridurography (canalography). Neuroradiology 1976; 11:147-149.
87. Savolaine ER, Pandya JB, Greenblatt SH, Conover SR. Anatomy of the human lumbar epidural space: New insights using CT-epidurography. Anesthesiology 1988; 68:217-220.
88. Mironer YE, Brown C, Satterthwaite JR, Cohen M, Tonder LM, Grumman S. A new technique of "midline anchoring" in spinal cord stimulation dramatically reduces lead migration. Neuromodulation 2004; 7:32-37.
89. Mironer YE, Satterthwaite JR, Lewis EM. Efficacy of a single, percutaneous, across midline, Octrode lead using a "midline anchoring" technique in the treatment of chronic low back and/ or lower extremity pain: A retrospective study. Neuromodulation 2008; 11:286-295.
90. Johns HE, Cunningham JR. The interaction of ionizing radiation with matter. In: The Physics of Radiology. 4th ed. Thomas, Springfield, Il; 1983, pp. 133-164.
91. Carlton RR, Adler AM. Fluoroscopy. The Principles of Radiographic Imaging: An Art and a Science. 4th ed. Thomson Delmar; Clifton Park, NY, 2006, pps. 565-583.
92. Aufrichtig R, Xue P, Thomas CW, Gilmore GC, Wilson DL. Perceptual comparison of pulsed and continuous fluoroscopy. Med Phys 1994; 21:245-256.
93. Kreis PG, Fishman SM. Radiation Safety: Fluoroscopy for Spinal Cord Stimulation. In: Spinal Cord stimulation: Percutaneous Implantation Techniques. Oxford University Press; New York, NY, 2009 p.40.
94. Axelsson B. Optimisation in fluoroscopy [commentary]. Biomed Imaging Interv J 2007; 3:E47.
95. Wininger KL, Deshpande KK. Radiation exposure during SCS mapping: A new data set [poster/abstract]. North American Neuromodulation Society. Dec. 3-6, 2009.