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Related Concept Videos

Biological Effects of Radiation02:59

Biological Effects of Radiation

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All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
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Related Experiment Video

Updated: Nov 2, 2025

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
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Does Surgical Experience Decrease Radiation Exposure in the Operating Room?

Lacey C Magee1, Alexa J Karkenny1, Jie C Nguyen2,3

  • 1Division of Orthopaedic.

Journal of Pediatric Orthopedics
|June 7, 2021
PubMed
Summary
This summary is machine-generated.

Surgeon experience significantly impacts radiation exposure during pediatric fracture surgery. Less experienced surgeons lead to over 60% higher radiation doses for patients and staff.

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Principles of Rodent Surgery for the New Surgeon
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Area of Science:

  • Orthopaedic Surgery
  • Medical Imaging
  • Radiation Safety

Background:

  • Intraoperative fluoroscopy is crucial for minimally invasive surgery but poses significant radiation risks.
  • While equipment factors influencing radiation exposure are known, the impact of surgeon experience remains understudied.

Purpose of the Study:

  • To investigate the relationship between surgeon experience and radiation dose in pediatric orthopaedic procedures.
  • To quantify the effect of surgeon experience on radiation exposure during closed reduction and percutaneous pinning for supracondylar humerus fractures.

Main Methods:

  • Retrospective cohort study of 759 pediatric patients undergoing supracondylar humerus fracture repair.
  • Analysis of fluoroscopic time, images acquired, magnification use, and dose area product (DAP).
  • Regression analysis to assess the impact of surgeon experience (years) on radiation variables.

Main Results:

  • Surgeons with less than 1 year of experience showed significantly higher fluoroscopy time, DAP, magnification use, and image acquisition compared to more experienced surgeons.
  • Increased number of pins correlated with increased DAP and lower surgeon experience.
  • Operator's extremity was visible in 35% of saved images.

Conclusions:

  • Increased surgical experience is associated with decreased fluoroscopy usage (time, images, dose).
  • Surgeon inexperience increases radiation exposure by over 60% for pediatric supracondylar humerus fracture treatment.
  • Recommendations include pulsed fluoroscopy, reduced magnification, and careful pin placement to minimize radiation.