移動型整形外科用イメージング装置を用いた 腰椎後方固定術時における室内散乱線量分布の測定

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タイトル別名
  • Scatter Radiation Intensities during Transforaminal Lumbar Interbody Fusion Using a Mobile C-arm System
  • 臨床技術 移動型整形外科用イメージング装置を用いた腰椎後方固定術時における室内散乱線量分布の測定
  • リンショウ ギジュツ イドウガタ セイケイ ゲカヨウ イメージング ソウチ オ モチイタ ヨウツイ コウホウ コテイジュツジ ニ オケル シツナイ サンランセンリョウ ブンプ ノ ソクテイ

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<p>The purpose of this study was to measure the scatter radiation intensity during transforaminal lumbar interbody fusion using a mobile C-arm system (Arcadis Orbic 3D; Siemens) and minimize radiation exposure. Dosimetry was performed with anterior-posterior and lateral continuous fluoroscopy, and cone beam computed tomography (CT). A scaffold tower (L: 300 cm×W: 200 cm×H: 150 cm) was built with radiation-resistant paper cylinders at intervals of 50 cm and plastic joints over the bed, and 100 optically stimulated luminescence dosimeters (nanoDot; Nagase Landauer) were placed on each joint. A human torso phantom from head to pelvis (Kyoto Kagaku) was positioned on the bed in a prone position. The scatter radiation dose in a lateral view was highest on the X-ray tube side at the height of 100 cm (170.5 μGy/min). The scatter radiation dose increased significantly on the X-ray tube side during lateral continuous fluoroscopy. Continuous change of surgeons' standing positions is important to minimize radiation exposure received by a specific surgeon.</p>

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