评估辐射暴露与强制性的两个光镜视图的外术程序的辐射暴露
Laxmaiah Manchikanti1, Rachana Pasupuleti2, Vidyasagar Pampati3
1Pain Management Centers of America, Paducah, KY and Evansville, IN; LSU Health Science Center, New Orleans, LA.
Pain physician
|November 17, 2023
概括
新的局部覆盖范围确定 (LCD) 规定外周注射有两种视图,增加辐射暴露时间21%和辐射剂量133%. 腰椎间膜外周注射的时间增加最多 (43%),尾部外周注射的剂量增加最多 (191%).
科学领域:
- 干预性疼痛管理 干预性疼痛管理
- 医疗成像安全 医疗成像安全
- 卫生政策分析 卫生政策分析
背景情况:
- 局部覆盖测定 (LCD) 影响医疗实践模式,最近的规定要求至少有两个视图 (AP和侧向/斜向) 用于外围注射针的放置.
- 有关强制性视图增加的电离辐射暴露存在担忧,尽管遵守"合理可实现的最低水平" (ALARA) 原则.
- 政策制定者认为,这些任务减少了潜在的滥用,并提高了患者的安全.
研究的目的:
- 评估在新液晶显示器实施后,外周术过程中辐射暴露时间和剂量的变化.
- 为了比较2021年12月LCD生效日期之前和之后的程序数据.
主要方法:
- 在外周术过程中对辐射暴露的回顾性,病例控制的比较研究.
- 从美国的一项干预性疼痛管理实践中收集的数据.
- 使用了加强流行病学观察研究报告 (STROBE) 标准;测量了辐射暴露时间 (秒) 和剂量 (mGy-kG2).
主要成果:
- 总体辐射暴露时间增加了21%,辐射剂量增加了133%.
- 具体程序显示了不同的增加:腰间层外周注射的时间增加最多 (43%),而尾部外周注射显示了最大的剂量增加 (191%).
- 当使用斜视而不是横视时,宫内膜外周注射的增加较低 (94%的剂量).
结论:
- 该研究表明,在新的液晶显示器任务之后,辐射暴露时间和剂量显著增加.
- 程序的变化存在,腰间膜内注射和尾部外周注射分别经历了时间和剂量的最实质性的增加.
- 这些发现突出了安全监管要求和干预性疼痛手术辐射暴露的潜在增加之间的权衡.
更多相关视频
03:14Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
377
05:37Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
6.3K
相关概念视频
01:20Imaging Studies for Cardiovascular System III: X-Ray
191
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
191
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
436
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
436
01:19Imaging Studies VII: Vascular Imaging
13
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
13
01:30Radiological Investigation I: X-ray and CT
246
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
246
01:24X-ray Imaging
5.6K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.6K
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
127
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
127