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Patient radiation exposure from intraoperative computed tomography in spinal surgery
Affiliation:1. Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;2. Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland;3. Division of Stereotactic and Functional Neurosurgery, Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;4. Fraunhofer Institute for Laser Technology ILT, Aachen, Germany;5. Helmholtz Zentrum München, German Research Center for Environmental Health, Individual Monitoring Service, Munich, Germany;6. Department of Neuroradiology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;1. Department of Vascular Surgery; Integrated University Hospital of Verona, School of Medicine, Verona, Italy;2. Department of Cardiac Surgery; Integrated University Hospital of Verona, Italy;3. Department of Vascular Surgery; Ospedale Civile di Baggiovara, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena, Italy;1. Office of Health Technology-6: Office of Orthopedic Devices, Office of Product Evaluation and Quality, CDRH | Food and Drug Administration, White Oak, Bldg 66, Rm 4450, 10903 New Hampshire Avenue, Silver Spring, MD 20993, USA;2. DHT6B: Division of Spinal Devices, OHT6: Office of Orthopedic Devices, Office of Product Evaluation and Quality, CDRH | Food and Drug Administration, White Oak, Bldg. 66, 10903 New Hampshire Avenue, Silver Spring, MD, USA;3. OHT6: Office of Orthopedic Devices, Office of Product Evaluation and Quality, CDRH | Food and Drug Administration, White Oak, Bldg 66, Rm 4444, 10903 New Hampshire Avenue, Silver Spring, MD 20993, USA;4. Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, 600 Highland Ave, Madison, WI 53792, USA;5. Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA;6. Department of Orthopedics, Spencer Fox Eccles School of Medicine, University of Utah, University Orthopaedic Center, 590 Wakara Way, Salt Lake City, UT 84108, USA;7. Jupiter Medical Center, Palm Beach, Florida 33458, USA;8. Department of Orthopaedic Surgery, Johns Hopkins University, 601 North Caroline St Suite 5223, Baltimore, MD 21287-0882, USA;9. Mayo Clinic, 200 1st St SW, Rochester, MN, USA;10. Bioengineering Department, University of Toledo, 2801 W. Bancroft St, Toledo, OH 43606, USA;1. Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand;2. Center of Excellence in Biomechanics and Innovative Spine Surgery, Chulalongkorn University, Bangkok, Thailand;3. Biostatistics Excellence Centre, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;4. The Kirby Institute, University of New South Wales, Sydney, Australia;5. Department of Orthopaedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand;1. Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, MA, USA;2. Harvard Medical School, Boston, MA, USA;3. Department of Orthopaedic Surgery, Harvard Medical School, Brigham and Women''s Hospital, Boston, MA, USA;4. Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA;1. Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA;2. Weill Cornell Medical College, New York, NY, USA
Abstract:
Intraoperative CT imaging is becoming increasingly used, but often little attention is paid to the underlying radiation exposure to the patient. This work showed that the dosimetrically assessed radiation exposure for cervical and lumbar 3D scans with an intraoperative CT is considerably higher than with a 3D C-arm. Therefore, proper selection of the intraoperative 3D imaging system is essential, and further technological developments and dose-saving protocols are warranted to further reduce patient radiation exposure.
Keywords:iCT"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  pc_tZc2r8CUnN"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  computed tomography  ICRP"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  pc_UYAiWNPuuq"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  International Commission on Radiological Protection
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