ミタニ　シゲル   Shigeru Mitani   三谷　茂    所属   川崎医科大学  医学部 臨床医学　脊椎・関節整形外科学    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Investigation of Radiation Exposure of Medical Staff During Lateral Fluoroscopy for Posterior Spinal Fusion Surgery.
掲載誌名	正式名：Journal of clinical medicine 略　 称：J Clin Med ISSNコード：20770383/20770383
掲載区分	国外
巻・号・頁	13(21),pp.6442
著者・共著者	Seiya Watanabe, Kazuo Nakanishi, Masakatsu Mura, Ato Yutori, Go Hitomi, Kazuya Uchino, Hideaki Iba, Yoshihisa Sugimoto, Shigeru Mitani
担当区分	最終著者
発行年月	2024/10/27
概要	Background/Objectives: In spinal surgery, it is especially crucial to insert implants in the correct location. Intraoperative fluoroscopy is often necessary to safely perform spinal surgery because of serious complications that can occur if the screw deviates. However, the use of intraoperative fluoroscopy comes at the cost of radiation exposure to the surgeons and operating room staff. Therefore, it is desirable for spinal surgeons to understand the characteristics of radiation in order to minimize patient and medical staff exposure. This study aimed to create an aerial radiation dose distribution map for lateral fluoroscopy, a commonly used technique for posterior spinal fusion. Methods: A human body-equivalent phantom was placed in a prone position on the Jackson Table. The measurement method used was a lateral fluoroscopic evaluation, assuming posterior spinal fusion. Measurements were taken at three levels: 80 (gonadal), 100 (thoracoabdominal), and 150 cm (lens and thyroid). Results: The highest radiation doses were received by primary surgeons. The scrub nurse was the next most exposed. Conclusions: We developed an aerial dose distribution map for lateral fluoroscopy in posterior spinal fusion. Radiation exposure was the highest among primary surgeons.
DOI	10.3390/jcm13216442
PMID	39518581