Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery

Moon Seok Park, Kyoung Min Lee, Boram Lee, Eunki Min, Youhyun Kim, Sungchae Jeon, Young Huh, Kisung Lee

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

The O-arm system has recently been introduced and has the capability of combined two-dimensional (2-D) fluoroscopy imaging and three-dimensional computed tomography imaging. In this study, an orthopaedic surgical procedure using C-arm and O-arm systems in their 2-D fluoroscopy modes was simulated and the radiation doses to susceptible organs to which operators can be exposed were investigated. The experiments were performed in four configurations of the location of the X-ray source and detector. Shielding effects on the thyroid surface and the direct exposure delivered to the surgeon's hands were also compared. The results obtained show that the O-arm delivered higher doses to the sensitive organs of the operator in all configurations. The thyroid shield cut-off 89 % of the dose in the posteroanterior configuration of both imaging systems. Thus, the operators need to pay more attention to managing radiation exposure, especially when using the O-arm system.

Original languageEnglish
Article numberncr149
Pages (from-to)431-438
Number of pages8
JournalRadiation Protection Dosimetry
Volume148
Issue number4
DOIs
Publication statusPublished - 2012 Mar 1

Fingerprint

fluoroscopy
orthopedics
Fluoroscopy
radiation dosage
surgery
Orthopedics
Arm
operators
organs
dosage
configurations
surgeons
Thyroid Gland
shielding
Orthopedic Procedures
cut-off
tomography
Three-Dimensional Imaging
detectors
radiation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Radiation
  • Public Health, Environmental and Occupational Health

Cite this

Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery. / Park, Moon Seok; Lee, Kyoung Min; Lee, Boram; Min, Eunki; Kim, Youhyun; Jeon, Sungchae; Huh, Young; Lee, Kisung.

In: Radiation Protection Dosimetry, Vol. 148, No. 4, ncr149, 01.03.2012, p. 431-438.

Research output: Contribution to journalArticle

Park, Moon Seok ; Lee, Kyoung Min ; Lee, Boram ; Min, Eunki ; Kim, Youhyun ; Jeon, Sungchae ; Huh, Young ; Lee, Kisung. / Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery. In: Radiation Protection Dosimetry. 2012 ; Vol. 148, No. 4. pp. 431-438.
@article{e6b55e23e5734952b676614ebb374b34,
title = "Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery",
abstract = "The O-arm system has recently been introduced and has the capability of combined two-dimensional (2-D) fluoroscopy imaging and three-dimensional computed tomography imaging. In this study, an orthopaedic surgical procedure using C-arm and O-arm systems in their 2-D fluoroscopy modes was simulated and the radiation doses to susceptible organs to which operators can be exposed were investigated. The experiments were performed in four configurations of the location of the X-ray source and detector. Shielding effects on the thyroid surface and the direct exposure delivered to the surgeon's hands were also compared. The results obtained show that the O-arm delivered higher doses to the sensitive organs of the operator in all configurations. The thyroid shield cut-off 89 {\%} of the dose in the posteroanterior configuration of both imaging systems. Thus, the operators need to pay more attention to managing radiation exposure, especially when using the O-arm system.",
author = "Park, {Moon Seok} and Lee, {Kyoung Min} and Boram Lee and Eunki Min and Youhyun Kim and Sungchae Jeon and Young Huh and Kisung Lee",
year = "2012",
month = "3",
day = "1",
doi = "10.1093/rpd/ncr149",
language = "English",
volume = "148",
pages = "431--438",
journal = "Radiation Protection Dosimetry",
issn = "0144-8420",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - Comparison of operator radiation exposure between C-arm and O-arm fluoroscopy for orthopaedic surgery

AU - Park, Moon Seok

AU - Lee, Kyoung Min

AU - Lee, Boram

AU - Min, Eunki

AU - Kim, Youhyun

AU - Jeon, Sungchae

AU - Huh, Young

AU - Lee, Kisung

PY - 2012/3/1

Y1 - 2012/3/1

N2 - The O-arm system has recently been introduced and has the capability of combined two-dimensional (2-D) fluoroscopy imaging and three-dimensional computed tomography imaging. In this study, an orthopaedic surgical procedure using C-arm and O-arm systems in their 2-D fluoroscopy modes was simulated and the radiation doses to susceptible organs to which operators can be exposed were investigated. The experiments were performed in four configurations of the location of the X-ray source and detector. Shielding effects on the thyroid surface and the direct exposure delivered to the surgeon's hands were also compared. The results obtained show that the O-arm delivered higher doses to the sensitive organs of the operator in all configurations. The thyroid shield cut-off 89 % of the dose in the posteroanterior configuration of both imaging systems. Thus, the operators need to pay more attention to managing radiation exposure, especially when using the O-arm system.

AB - The O-arm system has recently been introduced and has the capability of combined two-dimensional (2-D) fluoroscopy imaging and three-dimensional computed tomography imaging. In this study, an orthopaedic surgical procedure using C-arm and O-arm systems in their 2-D fluoroscopy modes was simulated and the radiation doses to susceptible organs to which operators can be exposed were investigated. The experiments were performed in four configurations of the location of the X-ray source and detector. Shielding effects on the thyroid surface and the direct exposure delivered to the surgeon's hands were also compared. The results obtained show that the O-arm delivered higher doses to the sensitive organs of the operator in all configurations. The thyroid shield cut-off 89 % of the dose in the posteroanterior configuration of both imaging systems. Thus, the operators need to pay more attention to managing radiation exposure, especially when using the O-arm system.

UR - http://www.scopus.com/inward/record.url?scp=84863230237&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863230237&partnerID=8YFLogxK

U2 - 10.1093/rpd/ncr149

DO - 10.1093/rpd/ncr149

M3 - Article

VL - 148

SP - 431

EP - 438

JO - Radiation Protection Dosimetry

JF - Radiation Protection Dosimetry

SN - 0144-8420

IS - 4

M1 - ncr149

ER -