Skin doses in fluoroscopically guided interventional procedures in back pain management

Authors

  • Sussan Acho Department of Medical Physics
  • Sussan Acho Department of Medical Physics
  • Belinda van der Merwe Private Radiographer
  • Belinda van der Merwe Private Radiographer
  • David J van der Merwe Neurosurgeon
  • David J van der Merwe Neurosurgeon

Keywords:

Patient and staff radiation dose, skin dose

Abstract

Patient doses in common fluoroscopically guided interventional procedures in back pain are usually expressed as exposure time per procedure while actual skin dose values from direct measurements are unknown. In this study, the radiation doses delivered to 27 patients, who underwent one or more of these procedures totaling 49 procedures, were measured using thermoluminescent dosemeters (TLD). The mean of the maximum skin doses was 20.2mGy (range, 1.1-93.9mGy) for epidural injections, 48.9mGy (range, 2.9-210.4 mGy) for facet joint injections, 37.4mGy (range, 4.4-94.8mGy) for sacroiliac joint injections and 14.3mGy (range, 5.5- 27.0mGy) for radiofrequency neurotomy. The exposure time per procedure ranged from 1.0 to 135.0 seconds. Although there was a large variation in the maximum skin dose per procedure these values were lower than the mean skin dose reported in coronary angiography procedures.

Author Biographies

Sussan Acho, Department of Medical Physics

Department of Medical Physics, University of the Free State

Sussan Acho, Department of Medical Physics

Department of Medical Physics, University of the Free State

Belinda van der Merwe, Private Radiographer

Sole Private Practice Bloemfontein

Belinda van der Merwe, Private Radiographer

Sole Private Practice Bloemfontein

David J van der Merwe, Neurosurgeon

Passed away Dept Neurosurgery, University of the Free State

David J van der Merwe, Neurosurgeon

Passed away Dept Neurosurgery, University of the Free State

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Published

2009-04-29

Issue

Section

Original Articles