Estimating the effective radiation dose imparted to patients by intraoperative cone-beam computed tomography in thoracolumbar spinal surgery

Spine

Volumn 38, Issue 5, 2013, Pages

  Lange, Jeffrey ^a   Karellas, Andrew ^a   Street, John ^b   Eck, Jason C ^a   Lapinsky, Anthony ^a   Connolly, Patrick J ^a   Dipaola, Christian P ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Cone beam CT; Intraoperative CT; Radiation exposure; Surgical navigation

Indexed keywords

ARTICLE; CONE BEAM COMPUTED TOMOGRAPHY; CONTROLLED STUDY; HUMAN; LUMBAR SPINE; MICROARRAY ANALYSIS; OBSERVATIONAL STUDY; PRIORITY JOURNAL; RADIATION DOSE; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; SPINE SURGERY; THERMOLUMINESCENCE DOSIMETER; THERMOLUMINESCENCE DOSIMETRY; THORACOLUMBAR SPINE;

BODY SIZE; CONE-BEAM COMPUTED TOMOGRAPHY; EQUIPMENT DESIGN; HUMANS; INTRAOPERATIVE CARE; LUMBAR VERTEBRAE; MODELS, ANATOMIC; ORTHOPEDIC PROCEDURES; PREDICTIVE VALUE OF TESTS; RADIATION DOSAGE; RISK ASSESSMENT; RISK FACTORS; SCATTERING, RADIATION; THERMOLUMINESCENT DOSIMETRY; THORACIC VERTEBRAE; TOMOGRAPHY SCANNERS, X-RAY COMPUTED;

EID: 84875036928     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e318281d70b     Document Type: Article

References (33)

1. Eck JC, Hodges S, Humphreys SC . Minimally invasive lumbar spinal fusion . J Am Acad Orthop Surg 2007; 15 : 321-9
2. Smith HE, Welsch MD, Sasso RC, et al. Comparison of radiation exposure in lumbar pedicle screw placement with fl uoroscopy vs computer-assisted image guidance with intraoperative threedimensional imaging . J Spinal Cord Med 2008; 31 : 532-7
3. Bledsoe JM, Fenton D, Fogelson JL, et al. Accuracy of upper thoracic pedicle screw placement using three-dimensional image guidance . Spine J 2009; 9 : 817-21
4. Kotani Y, Abumi K, Ito M, et al. Improved accuracy of computer- assisted cervical pedicle screw insertion . J Neurosurg 2003; 99 (suppl) : 257-63
5. Nottmeier EW, Pirris SM, Balseiro S, et al. Three-dimensional image-guided placement of S2 alar screws to adjunct or salvage lumbosacral fi xation . Spine J 2010; 10 : 595-601
6. Wood MJ, Mannion RJ . Improving accuracy and reducing radiation exposure in minimally invasive lumbar interbody fusion . J Neurosurg Spine 2010; 12 : 533-9
7. Tian NF, Huang QS, Zhou P, et al. Pedicle screw insertion accuracy with different assisted methods: A systematic review and metaanalysis of comparative studies . Eur Spine J 2011; 20 : 846-59
8. Singer G . Occupational radiation exposure to the surgeon . J Am Acad Orthop Surg 2005; 13 : 69-76
9. Bindal RK, Glaze S, Ognoskie M, et al. Surgeon and patient radiation exposure in minimally invasive transforaminal lumbar interbody fusion . J Neurosurg Spine 2008; 9 : 570-3
10. Giordano BD, Baumhauer JF, Morgan TL, et al. Cervical spine imaging using standard C-arm fl uoroscopy: Patient and surgeon exposure to ionizing radiation . Spine (Phila Pa 1976) 2008 ; 33 : 1970-6
11. Giordano BD, Baumhauer JF, Morgan TL, et al. Cervical spine imaging using mini-C-arm fl uoroscopy: Patient and surgeon exposure to direct and scatter radiation . J Spinal Disord Tech 2009; 22 : 399-403
12. Kraus MD, Krischak G, Keppler P, et al. Can computer-assisted surgery reduce the effective dose for spinal fusion and sacroiliac screw insertion ? Clin Orthop Relat Res 2010; 468 : 2419-29
13. Fujii K, Aoyama T, Yamauchi-Kawaura C, et al. Radiation dose evaluation in 64-slice CT examinations with adult and paediatric anthropomorphic phantoms . Br J Radiol 2009; 82 : 1010-8
14. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer . Arch Intern Med 2009; 169 : 2078-86
15. Pantos I, Thalassinou S, Argentos S, et al. Adult patient radiation doses from non-cardiac CT examinations: A review of published results . Br J Radiol 2011; 84 : 293-303
16. Tsapaki V, Rehani M, Saini S . Radiation safety in abdominal computed tomography . Semin Ultrasound CT MR 2010; 31 : 29-38
17. Huda W, Nickoloff EL, Boone JM . Overview of patient dosimetry in diagnostic radiology in the USA for the past 50 years . Med Phys 2008; 35 : 5713-28
18. Slomcyzkowski M, Roberto M, Schneeberger P, et al. Radiation dose for pedicle screw insertion. Fluoroscopic method versus computer-assisted surgery . Spine (Phila Pa 1976) 1999 ; 24 : 975-82
19. Zhang J, Weir V, Fajardo L, et al. Dosimetric characterization of a cone-beam O-arm imaging system . J Xray Sci Technol 2009; 17 : 305-17
20. Gebhard FT, Kraus MD, Schneider E, et al. Does computer-assisted spine surgery reduce intraoperative radiation doses ? Spine (Phila Pa 1976) 2006 ; 31 : 2024-7
21. Ma CM, Coffey CW, DeWerd LA, et al. AAPM protocol for 40-300 kV x-ray beam dosimetry in radiotherapy and radiobiology . Med Phys 2001; 28 : 868-93
22. Gorny KR, Leitzen SL, Bruesewitz MR, et al. The calibration of experimental self-developing Gafchromic HXR fi lm for the measurement of radiation dose in computed tomography . Med Phys 2005; 32 : 1010-6
23. Kruger RL, McCollough CH, Zink FE . Measurement of half-value layer in x-ray CT: A comparison of two noninvasive techniques . Med Phys 2000; 27 : 1915-9
24. Deak PD, Smal Y, Kalender WA . Multisection CT protocols: Sexand age-specifi c conversion factors used to determine effective dose from dose-length product . Radiology 2010; 257 : 158-66
25. Amer A, Marchant T, Sykes J, et al. Imaging doses from the Elekta Synergy x-ray cone beam CT system . Br J Radiol 2007; 80 : 476-82
26. Bauhs JA, Vrieze TJ, Primak AN, et al. CT dosimetry: Comparison of measurement techniques and devices . Radiographics 2008; 28 : 245-53
27. Ramdhian-Wihlm R, Le Minor JM, Schmittbuhl M, et al. Conebeam computed tomography arthrography: An innovative modality for the evaluation of wrist ligament and cartilage injuries . Skeletal Radiol 2012; 41 : 963-9
28. Dahmani-Causse M, Marx M, Deguine O, et al. Morphologic examination of the temporal bone by cone beam computed tomography: Comparison with multislice helical computed tomography . Eur Ann Otorhinolaryngol Head Neck Dis 2011 : 128 : 230-5
29. Biswas D, Bible JE, Bohan M, et al. Radiation exposure from musculoskeletal computerized tomographic scans . J Bone Joint Surg Am 2009; 91 : 1882-9
30. Muhogora WE, Nyanda AM, Ngoye WM, et al. Radiation doses to patients during selected CT procedures at four hospitals in Tanzania . Eur J Radiol 2006; 57 : 461-7
31. Origgi D, Vigorito S, Villa G, et al. Survey of computed tomography techniques and absorbed dose in Italian hospitals: A comparison between two methods to estimate the dose-length product and the effective dose and to verify fulfi lment of the diagnostic reference levels . Eur Radiol 2006; 16 : 227-37
32. Papadimitriou DA, Perris A, Manetou A, et al. A survey of 14 computed tomography scanners in Greece and 32 scanners in Italy. Examination frequencies, dose reference values, effective doses and doses to organs . Radiat Prot Dosimetry 2003; 104 : 47-53
33. Wrixon AD . New ICRP recommendations . J Radiol Prot 2008; 28 : 161-8