在使用超低辐射成像与图像增强软件的XLIF手术中的辐射暴露:一个随机对照试验
Benno Bullert1, Jula Gierse1, Eric Mandelka1
1Research group Medical Imaging and Navigation in Trauma and Orthopaedic Surgery (MINTOS), BG Klinik Ludwigshafen, Department of Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany; Heidelberg University, Grabengasse 1, D-69117 Heidelberg.
使用图像增强软件进行超低辐射成像,可显著降低手术室工作人员和患者在侧侧体间融合手术期间的辐射暴露. 这项技术还减少了手术时间,提高了微创脊柱手术的安全性和效率.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 医疗成像医学成像
- 辐射安全 辐射安全
背景情况:
- 最少侵入性脊柱手术,特别是像XLIF/LLIF这样的侧向手术,会增加工作人员和患者的辐射暴露.
- 新兴技术,如超低辐射成像 (ULRI) 与图像增强 (IE) 软件,提供了潜在的解决方案.
研究的目的:
- 评估ULRI与IE软件 (mFluoro) 是否可以在XLIF手术期间降低辐射暴露.
- 为了确定这项技术是否会影响程序时间.
主要方法:
- 一项前性随机受控试验,涉及60名接受单级XLIF治疗的患者.
- 患者被分为干预组 (mFluoro) 和对照组 (cFluoro).
- 用剂量计测量工作人员的辐射暴露,用光镜报告测量患者的辐射暴露;记录了手术时间.
主要成果:
- 在mFluoro组中,外科医生 (72.1%),助理 (76.1%) 和护士 (67.5%) 的辐射暴露显著减少.
- 患者的辐射暴露 (DAP) 在mFluoro组下降了66.1%.
- 程序时间减少了17.7%,获得的图像减少了31.3%.
结论:
- 具有IE软件的ULRI有效地降低了OR员工在XLIF期间的辐射暴露.
- 这项技术还显著减少了患者的辐射暴露.
- 使用mFluoro可以提高安全性,而不会延长手术过程.
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