Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/36331
Title: | Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion | Authors: | Van Berkel, Brecht Smets, Gwendolien Van Schelverghem, Gertjan Houben, Elien Peuskens, Dieter Daenekindt, Thomas Buelens, Evelene WEYNS, Frank Nens, Joris HOUBEN, Albrecht VAN CAUTER, Sofie |
Issue Date: | 2021 | Publisher: | MDPI | Source: | Applied sciences (Basel), 11 (21) , (Art N° 10326) | Abstract: | Navigation systems used during minimally invasive spine procedures have evolved from uniplanar, two-dimensional C-arm fluoroscopy to multiplanar, 3D intraoperative computed tomography (iCT). In this study, the radiation exposure to the patient and operating room staff in posterior intervertebral lumbar fusion procedures is compared between iCT and C-arm fluoroscopy. The effective dose of the surgeon, operating nurse, and anesthesiologist was measured during surgery with personal dosimeters, and the effective dose of the patient was measured with Gafchromic(TM) films. The time efficiency of the procedure was evaluated by recording the duration of pedicle screw fixation and the duration of the total surgery time. A total of 75 patients participated in the study; 30 patients had surgery guided by iCT and 45 by C-arm fluoroscopy. The radiation dose of the surgeon, the operating nurse, and the anesthesiologist was thirteen fold lower with surgeries assisted by iCT compared to C-arm fluoroscopy. In contrast, the effective dose of the patient significantly increased with iCT. Using iCT, radiation exposure of the operating room staff can be significantly reduced. iCT increases the effective dose of the patient and prolongs the operative time. | Notes: | Van Berkel, B; Van Cauter, S (corresponding author), Ziekenhuis Oost Limburg, Dept Med Imaging, B-3600 Genk, Belgium.; Van Berkel, B; Van Cauter, S (corresponding author), Univ Hosp Leuven, Dept Radiol, B-3000 Leuven, Belgium.; Van Cauter, S (corresponding author), Univ Hasselt, Fac Med, B-3500 Hasselt, Belgium. brecht.vanberkel@student.kuleuven.be; gwendoliensmets@outlook.com; gertjanvs@hotmail.com; eliennshouben@gmail.com; dieter.peuskens@zol.be; Thomas.Daenekindt@zol.be; eveleen.buelens@zol.be; frank.weyns@zol.be; joris.nens@zol.be; albrecht.houben@zol.be; sofie.vancauter@zol.be |
Keywords: | intraoperative computed tomography;radiation;posterior lumbar fusion | Document URI: | http://hdl.handle.net/1942/36331 | e-ISSN: | 2076-3417 | DOI: | 10.3390/app112110326 | ISI #: | WOS:000726942300001 | Rights: | 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2022 |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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applsci-11-10326.pdf | Published version | 1.95 MB | Adobe PDF | View/Open |
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