Hazards of Ionizing Radiation and its Impact on Spine Surgery

Hadelsberg, Uri; Harel, Ran

doi:10.1016/j.wneu.2016.05.025

Cited by 31 publications

(20 citation statements)

References 53 publications

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“…So far, the results of such studies, including the current study, have been concerning. Numerous studies have been conducted in recent years among medical students and physicians for that our purpose [17,18,22,23,[26][27][28][29][30][31][32][33]. Previous studies have shown concerning results indicating that both healthcare professionals and trainees are not sufficiently familiar with radiological dosage and relevant hazards [10][11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

An assessment of medical students’ proficiency regarding the hazards of radiological examinations on the health of workers and patients: a cross-sectional study from Palestine

Awadghanem

Sbaih

Hasoon

et al. 2020

J Occup Med Toxicol

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Background The use of radiological examination is increasing worldwide. Since radiation exposure can result in many health hazards, medical professionals, as well as medical students, should possess adequate knowledge regarding radiation and its related hazards to protect themselves and the patients. Many studies have assessed medical students’ knowledge on this topic, but never in Palestine. In this study, we aimed to examine Palestinian medical students’ awareness and knowledge regarding radiological examination modalities and their risks on themselves and their patients. Methods This was an observational, cross-sectional, population-based study, conducted to assess the awareness of radiation exposure and its risks among Palestinian medical students. An online questionnaire was implemented on medical students at An-Najah National University. A total knowledge score that ranged from 0 to 22 was calculated for each participant, with higher scores indicating better knowledge regarding radiation doses and the related hazards. Results Two hundred eighty and seven students participated in our study, with a response rate of 71%. The average knowledge score of the participants was 10.97 ± 4.31 out of a maximum of 22 points. Male participants and participants in advanced study years achieved better knowledge scores (p-values were 0.034 and < 0.001, respectively). Perceived radiology knowledge was significantly associated with the actual knowledge score among the participants (p-value< 0.001). Receiving radiology lectures in fourth and fifth years significantly affected the participants’ knowledge score (p-values were < 0.001). Conclusions We found a severe lack of knowledge regarding radiation doses and related risks among medical students. Therefore, we recommend that medical schools update and supplement their curriculum regarding knowledge on radiation.

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Section: Discussionmentioning

confidence: 99%

An assessment of medical students’ proficiency regarding the hazards of radiological examinations on the health of workers and patients: a cross-sectional study from Palestine

Awadghanem

Sbaih

Hasoon

et al. 2020

J Occup Med Toxicol

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“…1 We highlight the need to know the dosimetry of an imaging system, because of its importance for optimizing patient safety. 43 …”

Section: Discussionmentioning

confidence: 99%

Intraoperative 2D C-arm and 3D O-arm in children: A comparative phantom study

Prod’homme

Sans-Mercé

Pitteloud

et al. 2018

Journal of Children's Orthopaedics

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Abstract:PurposeExposure to ionizing radiation is a concern for children during intraoperative imaging. We aimed to assess the radiation exposure to the paediatric patient with 2D and 3D imaging.MethodsTo evaluate the radiation exposure, patient absorbed doses to the organs were measured in an anthropomorphic phantom representing a five-year-old child, using thermoluminescent dosimeters. For comparative purposes, organ doses were measured using a C-arm for one minute of fluoroscopy and one acquisition with an O-arm. The cone-beam was centred on the pelvis. Direct and scattered irradiations were measured and compared (Student’s t-test). Skin entrance dose rates were also evaluated.ResultsAll radiation doses were expressed in µGy. Direct radiation doses of pelvic organs were between 631.22 and 1691.87 for the O-arm and between 214.08 and 737.51 for the C-arm, and were not significant (p = 0.07). Close scattered radiation on abdominal organs were between 25.11 and 114.85 for the O-arm and between 8.03 and 55.34 for the C-arm, and were not significant (p = 0.07). Far scattered radiation doses on thorax, neck and head varied from 0.86 to 6.42 for the O-arm and from 0.04 to 3.08 for the C-arm, and were significant (p = 0.02). The dose rate at the skin entrance was 328.58 µGy.s−1 for the O-arm and 1.90 with the C-arm.ConclusionDuring imaging of the pelvis, absorbed doses for a 3D O-arm acquisition were higher than with one minute fluoroscopy with the C-arm. Further clinical studies comparing effective doses are needed to assess ionizing risks of the intraoperative imaging systems in children.

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“…As the current practice of pain physician evolves into performing a higher volume of procedures, pain physicians have raised safety concerns, advocating for reducing radiation exposure to both patients and operators and for making interventions more ergonomic (10)(11)(12)20). A recent observational report raised concerns regarding a possible association between careerlong exposure to radiation in interventional cardiologists with the development of left-sided brain tumors Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The animals were returned to their home pen, and then the behavior of each individual pig was recorded for 1 month. Observations on appearance of the incision, behavioral characteristics, eating, drinking, urination, defecation, temperature, Adverse events, such as cancer and cataracts, are commonly reported to be associated with a physician's exposure to radiation that occurs while steering the catheter during x-ray imaging (10)(11)(12). In addition, physicians wear lead aprons and thyroid shields during the procedure.…”

Section: Animal Experimentsmentioning

confidence: 99%

Feasibility of Percutaneous Robot-Assisted Epiduroscopic System

Shin

Kim

Yudoyono³

et al. 2018

Pain Phys

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Background: Endoscopy has replaced open surgery, especially in spinal surgery. Among them, image-guided epiduroscopy allows pain generators to be identified, including epidural adhesion, fibrotic tissues, root compression, and spinal stenosis. However, the heavy lead apron worn by pain physicians to avoid exposure to radiation can induce occupational hazards, such as orthopedic complications and radiation-induced cancer. Hence, we developed a robotic system to address these problems. Objective: The aim of the study was to evaluate the feasibility of a robot-controlled epiduroscopic system. Study Design: In vivo animal experiment. Setting: University in Republic of Korea. Methods: The robot-controlled epiduroscopic system was developed using the open architecture robot system (The Raven Surgical Robotic System, CITRIS, Berkley, CA, USA). The robotic system consists of a lab-made epiduroscope, steering section, robotic arm, and manipulator. For the in vivo study, 2 Yorkshire pigs were used to simulate an epiduroscopic procedure with the robotic system. Results: The insertion and steering of the catheter was performed safely, and epiduroscopic visualization was obtained without side effects. There were no device-related complications. Radiation exposure for the primary operator was 80% lower than the levels found during conventional epiduroscopic procedures. All live pigs showed normal behavior without any signs of pain. The mean time to reach the target region was less than 8 minutes. Limitations: The epiduroscopic procedure was performed on pigs and not on humans. The dimensions of the spinal canal of pigs cannot compare to those of humans. Conclusions: We demonstrated the feasibility of the robot-assisted epiduroscopic system. Key Words: Epiduroscopy, robotic system, spine, pig, animal model

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Hazards of Ionizing Radiation and its Impact on Spine Surgery

Cited by 31 publications

References 53 publications

An assessment of medical students’ proficiency regarding the hazards of radiological examinations on the health of workers and patients: a cross-sectional study from Palestine

An assessment of medical students’ proficiency regarding the hazards of radiological examinations on the health of workers and patients: a cross-sectional study from Palestine

Intraoperative 2D C-arm and 3D O-arm in children: A comparative phantom study

Feasibility of Percutaneous Robot-Assisted Epiduroscopic System

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