Optimization of radiation exposure and image quality of the cone-beam O-arm intraoperative imaging system in spinal surgery

Journal of Spinal Disorders and Techniques

Volumn 25, Issue 1, 2012, Pages 52-58

  Abul Kasim, Kasim ^a   Söderberg, Marcus ^a,b   Selariu, Eufrozina ^a   Gunnarsson, Mikael ^a,b   Kherad, Mehrsa ^a   Ohlin, Acke ^a  

^a LUND UNIVERSITY   (Sweden)

^b LUND UNIVERSITY   (Sweden)

Author keywords

80 kV; chest phantom; image quality; O arm; radiation dose

Indexed keywords

ANIMAL TISSUE; ARTICLE; CADAVER; CLINICAL EXAMINATION; CONE BEAM COMPUTED TOMOGRAPHY; CONTROLLED STUDY; CORRELATION COEFFICIENT; IMAGE QUALITY; INTRAOPERATIVE RADIOTHERAPY; MONTE CARLO METHOD; NONHUMAN; PEDICLE SCREW; PHANTOM; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RETROSPECTIVE STUDY; SPINE; SPINE SURGERY; SWINE;

ADULT; ANIMALS; BONE SCREWS; CONE-BEAM COMPUTED TOMOGRAPHY; HUMANS; MONITORING, INTRAOPERATIVE; PHANTOMS, IMAGING; RADIATION DOSAGE; RETROSPECTIVE STUDIES; SPINE; SWINE;

EID: 84856752846     PISSN: 15360652     EISSN: 15392465     Source Type: Journal    
DOI: 10.1097/BSD.0b013e318211fdea     Document Type: Article

References (20)

1. Nottmeier EW, Seemer W, Young PM. Placement of thoracolumbar pedicle screws using three-dimensional image guidance: experience in a large patient cohort. J Neurosurg Spine. 2009;10:33-39.
2. Merloz P, Troccaz J, Vouaillat H, et al. Fluoroscopy-based naviga-tion system in spine surgery. Proc Inst Mech Eng H. 2007;221: 813-820. (Pubitemid 350065077)
3. Kim JM, Bowers AL, Chin KR. Intraoperative Imaging Techniques in Spine Surgery. Seminars in Spine Surgery. 2007;19:78-86. (Pubitemid 46891264)
4. Rajasekaran S, Vidyadhara S, Ramesh P, et al. Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries. Spine. 2007;32:E56-E64. DOI 10.1097/01.brs.0000252094.64857.ab [doi]. (Pubitemid 46105794)
5. Sasso RC, Garrido BJ. Computer-assisted spinal navigation versus serial radiography and operative time for posterior spinal fusion at L5-S1. J Spinal Disord Tech. 2007;20:118-122. DOI 10.1097/ 01.bsd.0000211263.13250.b1 [doi]. (Pubitemid 46588321)
6. Smith HE, Welsch MD, Sasso RC, et al. Comparison of radiation exposure in lumbar pedicle screw placement with fluoroscopy versus computer-assisted image guidance with intraoperative three-dimen-sional imaging. J Spinal Cord Med. 2008;31:532-537.
7. Smith HE, Vaccaro AR, Yuan PS, et al. The use of computerized image guidance in lumbar disk arthroplasty. J Spinal Disord Tech. 2006;19:22-27. DOI 10.1097/01.bsd.0000187977.76926.85 [doi]. (Pubitemid 44378115)
8. Gebhard FT, Kraus MD, Schneider E, et al. Does computerassisted spine surgery reduce intraoperative radiation doses? Spine. 2006; 31:2024-2027. (Pubitemid 44297785)
9. Jones DP, Robertson PA, Lunt B, et al. Radiation exposure during fluoroscopically assisted pedicle screw insertion in the lumbar spine. Spine. 2000;25:1538-1541. (Pubitemid 30418468)
10. Slomczykowski M, Roberto M, Schneeberger P, et al. Radiation dose for pedicle screw insertion: Fluoroscopic method versus computer assisted surgery. Spine. 1999;24:975-983. (Pubitemid 29222617)
11. Abul-Kasim K, Overgaard A, Maly P, et al. Low-dose helical com-puted tomography (CT) in the perioperative workup of adolescent idiopathic scoliosis. Eur Radiol. 2009;19:610-618. DOI 10.1007/ s00330-008-1178-4 [doi].
12. Tapiovaara M, Siiskonen T. PCXMC-a Monte Carlo program for calculating patient doses in medical X-ray examinations. In. STUK-A231 (Helsinki, Finland: STUK);2008.
13. International Commission on Radiological Protection. The 2007 Recommendations of the International Commission on Radiologi-cal Protection. ICRP publication 103;2007.
14. Bongartz G, Golding SJJ, Leonardi, et al. The European guidelines on quality criteria for computed tomography In: Protection ECs R (ed). Available via: http://www.drs.dk/guidelines/ct/quality/htmlindex.htm. Accessed Sept 10, 2010.
15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods ofclinical measurement. Lancet. 1986;1:307-310. (Pubitemid 16134762)
16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174. (Pubitemid 8054849)
17. Rampersaud YR, Foley KT, Shen AC, et al. Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion. Spine. 2000;25:2637-2645.
18. Dewey P, Incoll I. Evaluation of thyroid shields for reduction of radiation exposure to orthopaedic surgeons. Aust N Z J Surg. 1998; 68:635-636. (Pubitemid 28403663)
19. Hoffman DA, Lonstein JE, Morin MM, et al. Breast cancer in women with scoliosis exposed to multiple diagnostic x rays. J Natl Cancer Inst. 1989;81:1307-1312. (Pubitemid 19221792)
20. Morin Doody M, Lonstein JE, Stovall M, et al. Breast cancer mor-tality after diagnostic radiography: findings from the U.S. Scoliosis Cohort Study. Spine. 2000;25:2052-2063. (Pubitemid 30662957)