Radiation risk to the urologist during endourologic procedures, and a new shield that reduces exposure

Giblin, James G.; Rubenstein, Jon; Taylor, Alan; Pahira, John J.

doi:10.1016/s0090-4295(96)00180-x

Cited by 48 publications

(27 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Significant cumulative radiation exposure places these personnel at risk for radiation injury, especially due to the high turnover of cases. Although, collimation of the X-ray beam prevents direct radiation exposure to the urologist and assisting personnel, the patient by absorbing radiation during the procedure, becomes a secondary source of exposure through radiation scatter [7]. Therefore it is imperative to measure radiation exposure to patients and the staff to maintain safe levels of cumulative radiation.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore an under-table tube that is angulated only minimally away from the radiologist/urologist and is operating at a lower mAmp level with a collimated field of exposure will minimize radiation exposure to personnel. Further, various fluoroscopic drapes, which reduce the radiation dosage to the urologist from scatter nearly 70-fold [7]; and modified radiation shields which are able to reduce the radiation by an average of 96.1% at a distance of 25 cm and 71.2% at a distance of 50 cm have been proposed as effective safeguards against secondary radiation exposure [15].…”

Section: Discussionmentioning

confidence: 99%

“…It is thus incumbent upon the urologist to understand radiation safety in order to protect the patient, himself and the operating team from potential radiation injury [6]. Personnel performing such procedures are exposed to high levels of nonuniform radiation received mainly from scattered radiation emitted from the patient [7]. The extremities and head receive higher doses, whereas the trunk, which is shielded by a lead apron, receives much lower radiation dose [8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Radiation exposure to the patient and operating room personnel during percutaneous nephrolithotomy

et al. 2006

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Radiation exposure to the patient and operating room personnel during percutaneous nephrolithotomy

et al. 2006

View full text Add to dashboard Cite

show abstract

“…The most recent exposure data from North American institutions occurred in the distant past: a 1986 radiation exposure report of 7 PNLs and a 1996 radiation exposure report of 5 unspecified urologic procedures while analyzing the efficacy of a newly designed fluoroscopic drape (14,15).…”

Section: Discussionmentioning

confidence: 99%

Occupational Hazard: Radiation Exposure for the Urologist Developing a Reference Standard

et al. 2013

View full text Add to dashboard Cite

Introduction: To date, there is a paucity of literature offering practicing urologists a reference for the amount of radiation exposure received while surgically managing urolithiasis. This study examines the cumulative radiation exposure of an urologist over 9 months. Materials and Methods:We present a case series of fluoroscopic exposures of an experienced stone surgeon operating at an academic comprehensive stone center between April and December 2011. Radiation exposure measurements were determined by a thermoluminescent dosimeter worn on the outside of the surgeon's thyroid shield. Estimations of radiation exposure (mrem) per month were charted with fluoroscopy times, using scatter plots to estimate Spearman's rank correlation coefficients. Results: The total 9-month radiation exposure was 87 mrems for deep dose equivalent (DDE), 293 mrem for lens dose equivalent (LDE), and 282 mrem for shallow dose equivalent (SDE). Total fluoroscopy time was 252.44 minutes for 64 ureteroscopies (URSs), 29 percutaneous nephrolithtomies (PNLs), 20 cystoscopies with ureteral stent placements, 9 shock wave lithotripsies (SWLs), 9 retrograde pyelograms (RPGs), 2 endoureterotomies, and 1 ureteral balloon dilation. Spearman's rank correlation coefficients examining the association between fluoroscopy time and radiation exposure were not significant for DDE (p = 0.6, Spearman's rho = 0.2), LDE (p = 0.6, Spearman's rho = 0.2), or SDE (p = 0.6, Spearman's rho = 0.2). Conclusions: Over a 9-month period, total radiation exposures were well below annual accepted limits (DDE 5000 mrem, LDE 15,000 mrem and SDE 50,000 mrem). Although fluoroscopy time did not correlate with radiation exposure, future prospective studies can account for co-variates such as patient obesity and urologist distance from radiation source.

show abstract

“…Numerous studies have focused on evaluating patient and operator exposure to ionizing radiation, with particular attention aimed at interventional radiology, interventional cardiology, and orthopedics [1][2][3][4][5][6][7][8]. In addition to these groups, a fourth specialty, urology, makes consistent and considerable use of fluoroscopy during minimally invasive endourologic procedures, yet exposure to the urologist as an operator remains a relatively under studied field [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Determining Fluoroscopic Radiation Exposure to the Urology Resident

Sparenborg¹,

Yingling²

2016

OMICS J Radiol

View full text Add to dashboard Cite

Fluoroscopy has grown to become a critical technology for the modern urologist. The safety of fluoroscopic radiation has been evaluated in a variety of settings however it remains understudied in the urology literature. This study evaluates radiation exposure in the urology fluoroscopic suite. Dosimeter badges were worn by resident and attending urologists to measure radiation exposure during fluoroscopic cases. Exposure was also measured by calculating cumulative air kerma for each case type eg., laser lithotripsy, stent placement. It is estimated that the urology resident and the attending are exposed on average to 3.25 Rem/year and 0.46 Rem/year. Physicians spending above average time in the fluoro suite, i.e., urology residents were not exposed to radiation levels above safety guidelines.

show abstract

Radiation risk to the urologist during endourologic procedures, and a new shield that reduces exposure

Cited by 48 publications

References 2 publications

Radiation exposure to the patient and operating room personnel during percutaneous nephrolithotomy

Radiation exposure to the patient and operating room personnel during percutaneous nephrolithotomy

Occupational Hazard: Radiation Exposure for the Urologist Developing a Reference Standard

Determining Fluoroscopic Radiation Exposure to the Urology Resident

Contact Info

Product

Resources

About