Risk of whole body radiation exposure and protective measures in fluoroscopically guided interventional techniques: a prospective evaluation

Abstract

Background: Fluoroscopic guidance is frequently utilized in interventional pain management. The major purpose of fluoroscopy is correct needle placement to ensure target specificity and accurate delivery of the injectate. Radiation exposure may be associated with risks to physician, patient and personnel. While there have been many studies evaluating the risk of radiation exposure and techniques to reduce this risk in the upper part of the body, the literature is scant in evaluating the risk of radiation exposure in the lower part of the body.

A Study on Radiation in Operating Room in Suleyman Demirel University

“…Thus, if the distance doubles, the radiation exposure level drops 4 times [3]. In general, the scattered radiation level from the patients when standing 1 m apart is only about 0.1% of the patient's absorbed dose rate [6]. In Figs.…”

“…The three different measurements of the dosimeters were all within the permissible range. Other studies have shown the radiation measurements for fluoroscopy-guided intervention pain procedures to be within the permissible range [6][7][8][9][10][11][12], but the natural radiation exposure dose in daily life is 2.4 mSv.…”

“…It is better to instead to quickly obtain the images and to save the last image [11]. This way, one can plan the next movement of the needle from the final image and reduce the possible radiation exposure [6]. Also, people who are not needed for the procedure may step outside the procedure room while the image is being observed.…”

“…Approximately 4-10 million interventional pain procedures are performed annually in the United States, with at least 50% of them being performed under fluoroscopy [1][2][3][4][5][6][7]. Diagnostic radiological examinations is difficult to measure doses of physicians and their patients.…”

T724 Is the Use of Epiduroscopy Evidence-Based? A Systematic Review

“…In the first randomized study patients were split into 2 groups with endoscopy without adhesiolysis and with adhesiolysis. Patients with adhesiolysis showed a significant pain relief (>50%) in follow‐up for at least 6 months [1]. The second randomized study compared caudal steroid injections with steroid placement during epiduroscopy and showed no significant reduction of pain in the epiduroscopy group compared with the other group [2].…”