Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion

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 lum...

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Autores principales:	Brecht Van Berkel, Gwendolien Smets, Gertjan Van Schelverghem, Elien Houben, Dieter Peuskens, Thomas Daenekindt, Eveleen Buelens, Frank Weyns, Joris Nens, Albrecht Houben, Sofie Van Cauter
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	intraoperative computed tomography radiation posterior lumbar fusion Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/e88854f27aa9481c8b57e8e3fa4e836f
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spelling	oai:doaj.org-article:e88854f27aa9481c8b57e8e3fa4e836f2021-11-11T15:20:59ZComparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion10.3390/app1121103262076-3417https://doaj.org/article/e88854f27aa9481c8b57e8e3fa4e836f2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/10326https://doaj.org/toc/2076-3417Navigation 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<sup>TM</sup> 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.Brecht Van BerkelGwendolien SmetsGertjan Van SchelverghemElien HoubenDieter PeuskensThomas DaenekindtEveleen BuelensFrank WeynsJoris NensAlbrecht HoubenSofie Van CauterMDPI AGarticleintraoperative computed tomographyradiationposterior lumbar fusionTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10326, p 10326 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intraoperative computed tomography radiation posterior lumbar fusion Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	intraoperative computed tomography radiation posterior lumbar fusion Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Brecht Van Berkel Gwendolien Smets Gertjan Van Schelverghem Elien Houben Dieter Peuskens Thomas Daenekindt Eveleen Buelens Frank Weyns Joris Nens Albrecht Houben Sofie Van Cauter Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
description	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<sup>TM</sup> 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.
format	article
author	Brecht Van Berkel Gwendolien Smets Gertjan Van Schelverghem Elien Houben Dieter Peuskens Thomas Daenekindt Eveleen Buelens Frank Weyns Joris Nens Albrecht Houben Sofie Van Cauter
author_facet	Brecht Van Berkel Gwendolien Smets Gertjan Van Schelverghem Elien Houben Dieter Peuskens Thomas Daenekindt Eveleen Buelens Frank Weyns Joris Nens Albrecht Houben Sofie Van Cauter
author_sort	Brecht Van Berkel
title	Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
title_short	Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
title_full	Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
title_fullStr	Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
title_full_unstemmed	Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion
title_sort	comparison of radiation exposure of airo intraoperative ct with c-arm fluoroscopy during posterior lumbar interbody fusion
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e88854f27aa9481c8b57e8e3fa4e836f
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Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion

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