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논문 기본 정보

자료유형
학술저널
저자정보
Kazuta Yamashita (Tokushima University Graduate School) Hisanori Ikuma (Kagawa Rosai Hospital) Takuya Tokashiki (Kagawa Rosai Hospital) Takashi Maehara (Kagawa Rosai Hospital) Akihiro Nagamachi (Tokushima University Graduate School) Yoichiro Takata (Tokushima University Graduate School) Toshinori Sakai (Tokushima University Graduate School) Kosaku Higashino (Tokushima University Graduate School) Koichi Sairyo (Tokushima University Graduate School)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.11 No.1
발행연도
2017.1
수록면
75 - 81 (7page)

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Study Design: Prospective study. Purpose: During fluoroscopically guided spinal procedure, the hands of spinal surgeons are placed close to the field of radiation and may be exposed to ionizing radiation. This study directly measured the radiation exposure to the hand of a spinal interventionalist during fluoroscopically guided procedures. Overview of Literature: Fluoroscopically guided spinal procedures have been reported to be a cause for concern due to the radiation exposure to which their operators are exposed. Methods: This prospective study evaluated the radiation exposure of the hand of one spinal interventionalist during 52 consecutive fluoroscopic spinal procedures over a 3-month period. The interventionalist wore three real-time dosimeters secured to the right forearm, under the lead apron over the chest, and outside the lead apron over the chest. Additionally, one radiophotoluminescence glass dosimeter was placed under the lead apron over the left chest and one ring radiophotoluminescence glass dosimeter was worn on the right thumb. The duration of exposure and radiation dose were measured for each procedure. Results: The average radiation exposure dose per procedure was 14.9 μSv, 125.6 μSv, and 200.1 μSv, inside the lead apron over the chest, outside the lead apron over the chest, and on the right forearm, respectively. Over the 3-month period, the protected radiophotoluminescence glass dosimeter over the left chest recorded less than the minimum reportable dose, whereas the radiophotoluminescence glass ring dosimeter recorded 368 mSv for the thumb. Conclusions: Our findings indicated that the cumulative radiation dose measured at the dominant hand may exceed the annual dose limit specified by the International Commission on Radiological Protection. Spinal interventionalists should take special care to limit the duration of fluoroscopy and radiation exposure.

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