实时测量介入放射科医生在 CT 引导下鞘内注射奴西那生时的辐射量。

IF 2.4 3区医学 Q2 CLINICAL NEUROLOGY Neuroradiology Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI:10.1007/s00234-024-03496-8

Grzegorz Rosiak, Jakub Franke, Krzysztof Milczarek, Dariusz Konecki, Anna Frączek-Kozlovska, Anna Potulska-Chromik, Anna Kostera-Pruszczyk, Anna Łusakowska

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引用次数: 0

摘要

目的：一些脊髓肌肉萎缩症和脊柱侧弯症患者在注射奴西那生时需要 CT 引导。在此类过程中，操作者所受到的辐射成为影响员工健康和安全的一个重要问题。本研究的目的是评估脊髓性肌肉萎缩症和脊柱侧弯症患者在 CT 引导下注射奴西那森时操作人员受到的辐射量：方法：对连续 40 次 CT 引导的奴西那生注射进行分析，实时测量操作者的辐射量：结果：在医生的铅围裙下测得的中位辐射剂量和以DLP计算的患者剂量分别为0.20 µSv和31.90 mGy*cm。有脊柱器械的患者的辐射剂量明显更高（P = 0.047）：结果表明，CT 引导下的奴西那生注射是一种对操作者辐射暴露相对安全的手术。结论：结果表明，就操作者的辐射暴露而言，CT 引导下的努西那生注射是一种相对安全的程序，这可以让介入放射医师在不超过年度剂量限制的情况下执行更多程序。

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Real-time measurement of radiation exposure in interventional radiologists during CT-guided intrathecal injections of nusinersen.

Purpose: Some patients with spinal muscular atrophy and scoliosis require CT guidance during injections of nusinersen. The radiation applied to the operator in such procedures becomes an important issue in terms of staff health and safety. The aim of the study was to assess the operator's radiation exposure during CT-guided nusinersen injections in patients with spinal muscular atrophy and scoliosis.

Methods: Consecutive 40 CT-guided nusinersen injections were analyzed in terms of operator's radiation exposure measured in real time.

Results: The median radiation dose measured under the physician's lead apron and patient dose in terms of DLP was 0.20 µSv and 31.90 mGy*cm respectively. The radiation doses were significantly higher (p = 0.047) in patients with spinal instrumentation.

Conclusion: The results show that CT-guided nusinersen injection is a relatively safe procedure in terms of operator's radiation exposure. This can allow for interventional radiologists to perform more procedures without exceeding their annual dose limit.

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来源期刊

Neuroradiology 医学-核医学

CiteScore

5.30

自引率

3.60%

发文量

214

审稿时长

4-8 weeks

期刊介绍： Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.