Dose reduction for fluoroscopically guided injections: phantom simulation and patient procedures

Chang, Connie Y.; Simeone, F. A.; DeLorenzo, Matthew C.; Palmer, William E.; Bredella, Miriam A.; Huang, Ambrose J.

doi:10.1007/s00256-017-2788-1

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…can be implemented into the clinical routine. 95 The gadolinium-based saline solution can be prepared on site, or prediluted gadolinium-based syringes can be used depending on the institutional preference and local health policy. Although the use of 2-to 2.5-mmol/L prediluted syringes may be more time efficient and presumably more sterile, on-site dilution can be beneficial if a combined computed tomography (CT) and MR arthrography is performed.…”

Section: Hip Instabilitymentioning

confidence: 99%

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Schmaranzer

Cerezal

Llopis

2019

Semin Musculoskelet Radiol

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Over the last 2 decades, the definition of pathomechanical concepts that link osseous deformities to chondrolabral damage and expose young and active patients to the risk of early osteoarthritis has led to a tremendous increase in the number of joint-preserving surgeries performed. The rise in arthroscopic procedures has led to an increasing demand for comprehensive preoperative magnetic resonance imaging (MRI) assessment of the hip joint. This includes conventional MRI for the assessment of extra-articular and periarticular pathologies such as greater trochanteric pain, deep gluteal pain syndrome, and sports injuries. Magnetic resonance arthrography with or without traction is reserved for the accurate evaluation of deformities associated with impingement and hip instability and for detecting the resulting intra-articular lesions. This article summarizes the current standard imaging techniques that the radiologist should know. It also explores the potential of computer-assisted analysis of three-dimensional MRI for virtual impingement simulation and volumetric analysis of cartilage composition and geometry.

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Section: Hip Instabilitymentioning

confidence: 99%

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Schmaranzer

Cerezal

Llopis

2019

Semin Musculoskelet Radiol

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“…The goal, however, is still to keep the radiation exposure for the patient and the provider as low as possible. Therefore, Chang et al 14 recently published the results of their dose minimization technique for glenohumeral and hip joint injections. In my personal approach, I am using a fluoroscopic-guided glenohumeral injection technique to document the successful intra-articular glenohumeral injection.…”

Section: See Related Article On Page 2337mentioning

confidence: 99%

Editorial Commentary: Unguided Glenohumeral Injections—Do We Achieve Sufficient Accuracy?

Brockmeyer

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Image-guided (fluoroscopy, ultrasound, computed tomography, magnetic resonance imaging) and unguided glenohumeral injection techniques are frequently used for different diagnostic and therapeutic purposes in clinical practice. Guided injections are highly accurate, reproducible, and more often performed in routine practice. Nevertheless, these techniques are more cost intensive and time consuming, and require special imaging devices. In case of fluoroscopic- or computed tomography-guided injections, radiation exposure of the patient is a disadvantage. In contrast, unguided glenohumeral injection techniques do not have these drawbacks, but rather are based on the precise identification of anatomic landmarks and depend on the experience of the provider. That is the reason they are supposed to be less accurate and less reproducible than guided techniques. But recent studies showed comparable accuracy; therefore, the use of unguided glenohumeral injection techniques should be considered in daily clinical practice in the hands of experienced shoulder arthroscopists.

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Pearls and pitfalls of fluoroscopic-guided foot and ankle injections: what the radiologist needs to know

et al. 2019

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Dose reduction for fluoroscopically guided injections: phantom simulation and patient procedures

Abstract: FT, effective dose, entrance dose, and DAP can be reduced with the use of simple easy-to-learn techniques, which will benefit both the patient and the radiologist.

Cited by 4 publications

References 19 publications

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Editorial Commentary: Unguided Glenohumeral Injections—Do We Achieve Sufficient Accuracy?

Pearls and pitfalls of fluoroscopic-guided foot and ankle injections: what the radiologist needs to know

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