“Scout No Scan” Technique Reduces Patient Radiation Exposure During CT-Guided Spine Biopsy

2017 ◽  
Vol 209 (5) ◽  
pp. 1158-1161 ◽  
Author(s):  
Aaron Bress ◽  
Scott Metzler ◽  
Christopher Plastaras ◽  
Cuong Nguyen ◽  
James M. Schuster ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Ct Guided ◽  
Patient Radiation Exposure

scholarly journals Differences in Radiation Exposure of CT-Guided Percutaneous Manual and Powered Drill Bone Biopsy

2021 ◽  
Author(s):  
Sebastian Zensen ◽  
Sumitha Selvaretnam ◽  
Marcel Opitz ◽  
Denise Bos ◽  
Johannes Haubold ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Diagnostic Yield ◽  
Bone Biopsy ◽  
Lumbar Vertebrae ◽  
Bone Lesions ◽  
Anatomical Location ◽  
Thoracic Vertebrae ◽  
Level Of Evidence ◽  
Ct Guided ◽  
Bone Biopsies

Abstract Purpose Apart from the commonly applied manual needle biopsy, CT-guided percutaneous biopsies of bone lesions can be performed with battery-powered drill biopsy systems. Due to assumably different radiation doses and procedural durations, the aim of this study is to examine radiation exposure and establish local diagnostic reference levels (DRLs) of CT-guided bone biopsies of different anatomical regions. Methods In this retrospective study, dose data of 187 patients who underwent CT-guided bone biopsy with a manual or powered drill biopsy system performed at one of three different multi-slice CT were analyzed. Between January 2012 and November 2019, a total of 27 femur (A), 74 ilium (B), 27 sacrum (C), 28 thoracic vertebrae (D) and 31 lumbar vertebrae (E) biopsies were included. Radiation exposure was reported for volume-weighted CT dose index (CTDIvol) and dose–length product (DLP). Results CTDIvol and DLP of manual versus powered drill biopsy were (median, IQR): A: 56.9(41.4–128.5)/66.7(37.6–76.2)mGy, 410(203–683)/303(128–403)mGy·cm, B: 83.5(62.1–128.5)/59.4(46.2–79.8)mGy, 489(322–472)/400(329–695)mGy·cm, C: 97.5(71.6–149.2)/63.1(49.1–83.7)mGy, 627(496–740)/404(316–515)mGy·cm, D: 67.0(40.3–86.6)/39.7(29.9–89.0)mGy, 392(267–596)/207(166–402)mGy·cm and E: 100.1(66.5–162.6)/62.5(48.0–90.0)mGy, 521(385–619)/315(240–452)mGy·cm. Radiation exposure with powered drill was significantly lower for ilium and sacrum, while procedural duration was not increased for any anatomical location. Local DRLs could be depicted as follows (CTDIvol/DLP): A: 91 mGy/522 mGy·cm, B: 90 mGy/530 mGy·cm, C: 116 mGy/740 mGy·cm, D: 87 mGy/578 mGy·cm and E: 115 mGy/546 mGy·cm. The diagnostic yield was 82.4% for manual and 89.4% for powered drill biopsies. Conclusion Use of powered drill bone biopsy systems for CT-guided percutaneous bone biopsies can significantly reduce the radiation burden compared to manual biopsy for specific anatomical locations such as ilium and sacrum and does not increase radiation dose or procedural duration for any of the investigated locations. Level of Evidence Level 3.

Switching to a Pediatric Dose O-Arm Protocol in Spine Surgery Significantly Reduced Patient Radiation Exposure

2016 ◽  
Vol 36 (6) ◽  
pp. 621-626 ◽  
Author(s):  
Alvin W. Su ◽  
T. David Luo ◽  
Amy L. McIntosh ◽  
Beth A. Schueler ◽  
Jennifer A. Winkler ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Spine Surgery ◽  
Pediatric Dose ◽  
Patient Radiation Exposure

FACTORS AFFECTING PATIENT RADIATION EXPOSURE DURING PRONE AND SUPINE PERCUTANEOUS NEPHROLITHOTOMY

2021 ◽  
Author(s):  
Anna M Zampini ◽  
Jacob N Bamberger ◽  
Kasmira R Gupta ◽  
Blair Gallante ◽  
William Atallah ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Factors Affecting ◽  
Patient Radiation Exposure

Analysis of a Low Dose Protocol to Reduce Patient Radiation Exposure During Percutaneous Coronary Interventions

2017 ◽  
Vol 119 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Davide Maccagni ◽  
Cosmo Godino ◽  
Azeem Latib ◽  
Lorenzo Azzalini ◽  
Vittorio Pazzanese ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Low Dose ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Patient Radiation Exposure

TU-E-330D-06: Assessing Patient Radiation Exposure From Fluoro-Guided Procedures Based On Direct Dose and Dose-Area Products

2006 ◽  
Vol 33 (6Part18) ◽  
pp. 2212-2212
Author(s):  
H Kuan ◽  
W Lawson ◽  
J Ferretti ◽  
J Pohlman ◽  
G Oatman
Keyword(s):  
Radiation Exposure ◽  
Patient Radiation Exposure
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