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Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery
Intraoperative imaging is vital for accurate placement of instrumentation in spine surgery. However, the use of biplanar fluoroscopy and other intraoperative imaging modalities is associated with the risk of significant radiation exposure in the patient, surgeon, and surgical staff. Radiation exposu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534400/ https://www.ncbi.nlm.nih.gov/pubmed/28808622 http://dx.doi.org/10.5312/wjo.v8.i7.524 |
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author | Narain, Ankur S Hijji, Fady Y Yom, Kelly H Kudaravalli, Krishna T Haws, Brittany E Singh, Kern |
author_facet | Narain, Ankur S Hijji, Fady Y Yom, Kelly H Kudaravalli, Krishna T Haws, Brittany E Singh, Kern |
author_sort | Narain, Ankur S |
collection | PubMed |
description | Intraoperative imaging is vital for accurate placement of instrumentation in spine surgery. However, the use of biplanar fluoroscopy and other intraoperative imaging modalities is associated with the risk of significant radiation exposure in the patient, surgeon, and surgical staff. Radiation exposure in the form of ionizing radiation can lead to cellular damage via the induction of DNA lesions and the production of reactive oxygen species. These effects often result in cell death or genomic instability, leading to various radiation-associated pathologies including an increased risk of malignancy. In attempts to reduce radiation-associated health risks, radiation safety has become an important topic in the medical field. All practitioners, regardless of practice setting, can practice radiation safety techniques including shielding and distance to reduce radiation exposure. Additionally, optimization of fluoroscopic settings and techniques can be used as an effective method of radiation dose reduction. New imaging modalities and spinal navigation systems have also been developed in an effort to replace conventional fluoroscopy and reduce radiation doses. These modalities include Isocentric Three-Dimensional C-Arms, O-Arms, and intraoperative magnetic resonance imaging. While this influx of new technology has advanced radiation safety within the field of spine surgery, more work is still required to overcome specific limitations involving increased costs and inadequate training. |
format | Online Article Text |
id | pubmed-5534400 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-55344002017-08-14 Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery Narain, Ankur S Hijji, Fady Y Yom, Kelly H Kudaravalli, Krishna T Haws, Brittany E Singh, Kern World J Orthop Minireviews Intraoperative imaging is vital for accurate placement of instrumentation in spine surgery. However, the use of biplanar fluoroscopy and other intraoperative imaging modalities is associated with the risk of significant radiation exposure in the patient, surgeon, and surgical staff. Radiation exposure in the form of ionizing radiation can lead to cellular damage via the induction of DNA lesions and the production of reactive oxygen species. These effects often result in cell death or genomic instability, leading to various radiation-associated pathologies including an increased risk of malignancy. In attempts to reduce radiation-associated health risks, radiation safety has become an important topic in the medical field. All practitioners, regardless of practice setting, can practice radiation safety techniques including shielding and distance to reduce radiation exposure. Additionally, optimization of fluoroscopic settings and techniques can be used as an effective method of radiation dose reduction. New imaging modalities and spinal navigation systems have also been developed in an effort to replace conventional fluoroscopy and reduce radiation doses. These modalities include Isocentric Three-Dimensional C-Arms, O-Arms, and intraoperative magnetic resonance imaging. While this influx of new technology has advanced radiation safety within the field of spine surgery, more work is still required to overcome specific limitations involving increased costs and inadequate training. Baishideng Publishing Group Inc 2017-07-18 /pmc/articles/PMC5534400/ /pubmed/28808622 http://dx.doi.org/10.5312/wjo.v8.i7.524 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Minireviews Narain, Ankur S Hijji, Fady Y Yom, Kelly H Kudaravalli, Krishna T Haws, Brittany E Singh, Kern Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title | Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title_full | Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title_fullStr | Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title_full_unstemmed | Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title_short | Radiation exposure and reduction in the operating room: Perspectives and future directions in spine surgery |
title_sort | radiation exposure and reduction in the operating room: perspectives and future directions in spine surgery |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534400/ https://www.ncbi.nlm.nih.gov/pubmed/28808622 http://dx.doi.org/10.5312/wjo.v8.i7.524 |
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