Radiation dose to the operator during fluoroscopically guided spine procedures.

Purpose: Fluoroscopy is widely used to guide diagnostic and therapeutic spine procedures. The purpose of this study was to quantify radiation incident on the operator (operator Air Kerma) during a wide range of fluoroscopy-guided spine procedures and its correlation with the amount of radiation inci...

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Publicado en:Neuroradiology Vol. 59; no. 9; pp. 885 - 893
Autores principales: Roccatagliata, Luca, Presilla, Stefano, Pravatà, Emanuele, Cianfoni, Alessandro
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2017
      vid: 59
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-017-1868-1
        124638557
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        atl: Radiation dose to the operator during fluoroscopically guided spine procedures.
      aug:
        au:
          Roccatagliata, Luca
          Presilla, Stefano
          Pravatà, Emanuele
          Cianfoni, Alessandro
        affil: Department of Neuroradiology, Neurocenter of Southern Switzerland, Ospedale Regionale di Lugano , Via Tesserete, 46 6900 Lugano Switzerland
      sug:
        subj:
          Injections, Epidural
          Radiation Dosage
          Air
          Fluoroscopy
          Time
          Spine
          Correlation Coefficient
      ab: Purpose: Fluoroscopy is widely used to guide diagnostic and therapeutic spine procedures. The purpose of this study was to quantify radiation incident on the operator (operator Air Kerma) during a wide range of fluoroscopy-guided spine procedures and its correlation with the amount of radiation incident on the patient (Kerma Area Product-KAP). Methods: We retrospectively included 57 consecutive fluoroscopically guided spine procedures. KAP [Gy cm] and total fluoroscopy time were recorded for each procedure. An electronic dosimeter recorded the operator Air Kerma [μGy] for each procedure. Operator Air Kerma for each procedure, correlation between KAP and operator Air Kerma, and between KAP and fluoroscopy time was obtained. Results: Operator Air Kerma was widely variable across procedures, with median value of 6.4 μGy per procedure. Median fluoroscopy time and median KAP per procedure were 2.6 min and 4.7 Gy cm, respectively. There was correlation between operator Air Kerma and KAP ( r = 0.60), with a slope of 1.6 μGy Air Kerma per unit Gy cm KAP incident on the patient and between fluoroscopy time and KAP ( r = 0.63). Conclusion: Operator Air Kerma during individual fluoroscopy-guided spine procedures can be approximated from the commonly and readily available information of the total amount of radiation incident on the patient, measured as KAP.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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