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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제26권 제1호
발행연도
2013.1
수록면
51 - 56 (6page)

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초록· 키워드

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Background:The C-arm fluoroscope is an essential tool for the intervention of pain. The aim of this study was to investigate the radiation exposure experienced by the hand and chest of pain physicians during C-arm fluoroscopy-guided procedures. Methods:This is a prospective study about radiation exposure to physicians during transforaminal epidural steroid injection (TFESI) and medial branch block (MBB). Four pain physicians were involved in this study. Data about effective dose (ED) at each physician’s right hand and left side of the chest, exposure time, radiation absorbed dose (RAD), and the distance from the center of the X-ray field to the physician during X-ray scanning were collected. Results:Three hundred and fifteen cases were included for this study. Demographic data showed no significant differences among the physicians in the TFESIs and MBBs. In the TFESI group, there was a significant difference between the ED at the hand and chest in all the physicians. In physician A, B and C, the ED at the chest was more than the ED at the hand. The distance from the center of the X-ray field to physician A was more than that of the other physicians, and for the exposure time, the ED and RAD in physician A was less than that of the other physicians. In the MBB group, there was no difference in the ED at the hand and chest, except for physician D. The distance from the center of the X-ray field to physician A was more than that of the other physicians and the exposure time in physician A was less than that of the other physicians. Conclusions:In conclusion, the distance from the radiation source, position of the hand, experience and technique can correlate with the radiation dose.
#distance #exposure time #radiation dose #radiation protection

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참고문헌 (17)

참고문헌 신청
Andreassi MG / 2004 / The biological effects of diagnostic cardiac imaging on chronically exposed physicians: the importance of being non-ionizing / Cardiovasc Ultrasound 2 : google schola Arnstein PM / 1994 / The risk from radiation exposure during operative X-ray screening in hand surgery / J Hand Surg Br 19 : 393 ~ 396 google schola Bahari S / 2006 / Radiation exposure of the hands and thyroid gland during percutaneous wiring of wrist and hand procedures / Acta Orthop Belg 72 : 194 ~ 198 google schola Blattert TR / 2004 / Skill dependence of radiation exposure for the orthopaedic surgeon during interlocking nailing of long-bone shaft fractures: a clinical study / Arch Orth google schola Bushberg JT / 2011 / The essential physics of medical imaging. 3rd ed / Lippincott Williams & Wilkins : 837 ~ 902 google schola

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