Surgeon's radiation exposure during percutaneous vertebroplasty

Journal of Neurosurgery. Spine
Michael Synowitz, Juergen Kiwit

Abstract

In this study the authors evaluated levels of radiation exposure to surgeons' protected and unprotected hands during fluoroscopically assisted vertebroplasty. The amount of radiation administered to 30 patients during 41 procedures in a controlled prospective trial over 6 months was assessed, comparing radiation exposure to the right and left hands in two neurosurgeons. Effective skin doses were evaluated using thermoluminescent finger dosimeters (ring dosimeters). The ratios of finger dosimeter exposure were compared between the glove-protected and unprotected left hands of two surgeons and both unprotected right hands. In addition, dose-area product (DAP) and fluoroscopy times were recorded in all patients. The mean treatment-effective dose to the surgeons' hands was 0.49 +/- 0.4 mSv in the glove-protected left hand and 1.81 +/- 1.31 mSv in the unprotected left hand (p < 0.05). The mean effective hand doses were 0.59 +/- 0.55 mSv in the unprotected right hand of the glove-protected surgeon and 0.62 +/- 0.55 mSv in the unprotected right hand of the control surgeon. The total corresponding fluoroscopy time was 38.55 minutes for the protected surgeon and 41.23 minutes for the unprotected one (p > 0.05). Lead glove shielding resu...Continue Reading

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Citations

May 30, 2007·Cardiovascular and Interventional Radiology·C P ShorttM J Lee
Apr 9, 2008·Journal of Spinal Disorders & Techniques·Thomas E MrozIsador H Lieberman
Sep 3, 2010·Journal of Neurosurgery. Spine·Robert H AndresJavier Fandino
Nov 28, 2008·Journal of Neurosurgery. Spine·Rajesh K BindalSubrata Ghosh
Feb 20, 2014·Clinical Orthopaedics and Related Research·Elizabeth Yu, Safdar N Khan
Aug 19, 2008·Radiologic Clinics of North America·Wilfred C G PehLouis A Gilula
Mar 21, 2016·International Journal of Computer Assisted Radiology and Surgery·Marius FischerNassir Navab
Nov 21, 2007·IEEE Transactions on Bio-medical Engineering·Mario LoeffelJens Kowal
Jul 28, 2010·IEEE Transactions on Medical Imaging·Nassir NavabJoerg Traub
Jun 20, 2015·Archives of Orthopaedic and Trauma Surgery·Thorsten JentzschClément M L Werner
Apr 16, 2011·Journal of Korean Neurosurgical Society·Hyun-Chul Choi
Dec 6, 2014·Journal of Neurosurgery. Spine·Sunil KukrejaAnthony H Sin
Dec 11, 2014·Journal of Applied Clinical Medical Physics·Alexander S Pasciak, A Kyle Jones
Dec 1, 2017·Healthcare Technology Letters·Sing Chun LeeNassir Navab
Mar 14, 2019·International Journal of Computer Assisted Radiology and Surgery·Javad FotouhiNassir Navab
May 23, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·L Nguyen-KimJ Chiras
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Dec 18, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Shahswar ArifElitsa Encheva
May 25, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·H Yener Erken, Onur Yilmaz

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