Radiation Exposure to the Surgeon During Fluoroscopically Assisted Percutaneous Vertebroplasty

Harstall, Roger; Heini, Paul F.; Mini, R.; Orler, René

doi:10.1097/01.brs.0000174121.48306.16

Cited by 116 publications

(67 citation statements)

References 32 publications

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“…In multiple level cases, the average total ET per level was 2.8 min (range 1.1-4.5 min). Corresponding total ET per level in multiple level VP cases (average 4.25 vertebrae per session) by Harstall et al [6] was slightly lower with 2.2 min. This may reflect the greater technical demand of KP over VP during tool introduction and balloon inflation.…”

Section: Exposure Timementioning

confidence: 76%

Fluoroscopic radiation exposure of the kyphoplasty patient

et al. 2005

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Section: Exposure Timementioning

confidence: 76%

Fluoroscopic radiation exposure of the kyphoplasty patient

et al. 2005

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“…In IR, the highest doses were recorded in vertebroplasty (5239 mSv at the left wrist and 1129 mSv at the eyes) and TIPSS (1959 mSv at the left leg). However, doses associated with these procedures are likely to be high, as they are commonly the longest procedures undertaken and require the use of several different projections [17,18]. Additionally, in these procedures the physicians need to be close to the patient's side in an area of relatively high scatter dose rate in order to manipulate the catheter effectively [17].…”

Section: Discussionmentioning

confidence: 99%

Occupational radiation doses to the extremities and the eyes in interventional radiology and cardiology procedures

Efstathopoulos

Pantos²,

Andreou³

et al. 2011

BJR

125

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Objectives: The aim of this study was to determine occupational dose levels in interventional radiology and cardiology procedures. Methods: The study covered a sample of 25 procedures and monitored occupational dose for all laboratory personnel. Each individual wore eight thermoluminescent dosemeters next to the eyes, wrists, fingers and legs during each procedure. Radiation protection shields used in each procedure were recorded. Results: The highest doses per procedure were recorded for interventionists at the left wrist (average 485 mSv, maximum 5239 mSv) and left finger (average 324 mSv, maximum 2877 mSv), whereas lower doses were recorded for the legs (average 124 mSv, maximum 1959 mSv) and the eyes (average 64 mSv, maximum 1129 mSv). Doses to the assisting nurses during the intervention were considerably lower; the highest doses were recorded at the wrists (average 26 mSv, maximum 41 mSv) and legs (average 18 mSv, maximum 22 mSv), whereas doses to the eyes were minimal (average 4 mSv, maximum 16 mSv). Occupational doses normalised to kerma area product (KAP) ranged from 11.9 to 117.3 mSv/1000 cGy cm 2 and KAP was poorly correlated to the interventionists' extremity doses. Conclusion: Calculation of the dose burden for interventionists considering the actual number of procedures performed annually revealed that dose limits for the extremities and the lenses of the eyes were not exceeded. However, there are cases in which high doses have been recorded and this can lead to exceeding the dose limits when bad practices are followed and the radiation protection tools are not properly used.

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“…Typical staff dose readings for different types of procedures have been published in the literature [11,19,[26][27][28][29][30][31][32][33][34][35][36]. Depending on the type of procedure and the technique used, the operator dose, per procedure, ranges from 3 to 450 lSv at the neck over protective garments, from\0.1 to 32 lSv at the waist or chest under protective garments, and from 48 to 1280 lSv at the hand.…”

Section: Surveillance Of Occupational Dosementioning

confidence: 99%