Radiation dose exposure for lumbar spine epidural steroid injections: A comparison of conventional fluoroscopy data and CT fluoroscopy techniques

American Journal of Roentgenology

Volumn 197, Issue 4, 2011, Pages 778-782

  Hoang, Jenny K ^a   Yoshizumi, Terry T ^a   Toncheva, Greta ^a   Gray, Linda ^a   Gafton, Andreia R ^a   Huh, Billy K ^a   Eastwood, James D ^a   Lascola, Christopher D ^a   Hurwitz, Lynne M ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Conventional fluoroscopy; CT fluoroscopy; Lumbar epidural injection; Radiation dose; Spine intervention

Indexed keywords

STEROID;

AGED; ARTICLE; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC FLUOROSCOPY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; FEMALE; FLUOROSCOPY; HUMAN; INTERMETHOD COMPARISON; LUMBAR SPINE; MALE; METAL OXIDE SEMICONDUCTOR FIELD EFFECT TRANSISTOR DETECTOR; PHANTOM; PRIORITY JOURNAL; RADIATION DETECTOR; RADIATION DOSE; RADIATION EXPOSURE; RETROSPECTIVE STUDY;

AGED; FEMALE; FLUOROSCOPY; HUMANS; INJECTIONS, EPIDURAL; INJECTIONS, SPINAL; LOW BACK PAIN; LUMBAR VERTEBRAE; MALE; PHANTOMS, IMAGING; RADIATION DOSAGE; RADIOGRAPHY, INTERVENTIONAL; RETROSPECTIVE STUDIES; STEROIDS; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 80053278802     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.10.6102     Document Type: Article

References (18)

1. Froelich JJ, Wagner HJ. CT-fluoroscopy: tool or gimmick? Cardiovasc Intervent Radiol 2001; 24: 297-305 (Pubitemid 33096978)
2. Wagner AL. CT fluoroscopy-guided epidural injections: technique and results. AJNR 2004; 25:1821-1823 (Pubitemid 44123715)
3. Paulson EK, Sheafor DH, Enterline DS, McAdams HP, Yoshizumi TT. CT fluoroscopy-guided interventional procedures: techniques and radiation dose to radiologists. Radiology 2001; 220:161-167 (Pubitemid 32577978)
4. Schmid G, Schmitz A, Borchardt D, et al. Effective dose of CT- and fluoroscopy-guided perineural/epidural injections of the lumbar spine: a comparative study. Cardiovasc Intervent Radiol 2006; 29:84-91 (Pubitemid 43128142)
5. Kim S, Toncheva G, Anderson-Evans C, Huh BK, Gray L, Yoshizumi T. Kerma area product method for effective dose estimation during lumbar epidural steroid injection procedures: phantom study. AJR 2009; 192:1726-1730
6. Yoshizumi TT, Goodman PC, Frush DP, et al. Validation of metal oxide semiconductor field effect transistor technology for organ dose assessment during CT: comparison with thermoluminescent dosimetry. AJR 2007; 188:1332-1336 (Pubitemid 46668517)
7. el-Khoury GY, Ehara S, Weinstein JN, Montgomery WJ, Kathol MH. Epidural steroid injection: a procedure ideally performed with fluoroscopic control. Radiology 1988; 168:554-557
8. Young IA, Hyman GS, Packia-Raj LN, Cole AJ. The use of lumbar epidural/transforaminal steroids for managing spinal disease. J Am Acad Orthop Surg 2007; 15:228-238
9. International Commission on Radiological Protection. The 2007 recommendations of the International Commission on Radiological Protection: ICRP Publication no. 103. In: Annals of the ICRP, vol. 37. Orlando, FL: Elsevier, 2007
10. Cristy M, Eckerman K. Specific absorbed fractions of energy at various ages from internal photon sources. Oak Ridge, TN: Ridge National Laboratory, 1987
11. 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 (Pubitemid 40361185)
12. Wagner AL. Selective lumbar nerve root blocks with CT fluoroscopic guidance: technique, results, procedure time, and radiation dose. AJNR 2004; 25:1592-1594 (Pubitemid 44383616)
13. Joemai RM, Zweers D, Obermann WR, Geleijns J. Assessment of patient and occupational dose in established and new applications of MDCT fluoroscopy. AJR 2009; 192:881-886
14. McCollough CH. CT dose: how to measure, how to reduce. Health Phys 2008; 95:508-517
15. Bankier AA, Tack D. Dose reduction strategies for thoracic multidetector computed tomography: background, current issues, and recommendations. J Thorac Imaging 2010; 25:278-288
16. Hohl C, Suess C, Wildberger JE, et al. Dose reduction during CT fluoroscopy: phantom study of angular beam modulation. Radiology 2008; 246: 519-525
17. Lin PJ. Technical advances of interventional fluoroscopy and flat panel image receptor. Health Phys 2008; 95:650-657
18. Schindera ST, Nelson RC, Toth TL, et al. Effect of patient size on radiation dose for abdominal MDCT with automatic tube current modulation: phantom study. AJR 2008; 190:344; [web]W100-W105