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Radiation exposure doses to the surgical team during hip surgery is significantly higher during lateral imaging than posteroanterior imaging : a cadaveric simulation study
https://tokushima-u.repo.nii.ac.jp/records/2000105
https://tokushima-u.repo.nii.ac.jp/records/2000105ea19e94c-c0b6-4040-b9d2-74a870a652e3
| 名前 / ファイル | ライセンス | アクション |
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jomt_18_27.pdf (1 MB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||||||||||||||||||||||||||||||
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| 公開日 | 2024-10-04 | |||||||||||||||||||||||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||||||||||||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||||||||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||||||||||||||||||||||
| 出版社版DOI | ||||||||||||||||||||||||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1186/s12995-023-00396-0 | |||||||||||||||||||||||||||||||||||||||||||||
| 関連名称 | 10.1186/s12995-023-00396-0 | |||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||||||||||||||||||||
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| タイトル | Radiation exposure doses to the surgical team during hip surgery is significantly higher during lateral imaging than posteroanterior imaging : a cadaveric simulation study | |||||||||||||||||||||||||||||||||||||||||||||
| 著者 |
玉置, 康晃
× 玉置, 康晃
WEKO
961
× 山下, 一太
WEKO
904
× Nakajima, Daiki
× Omichi, Yasuyuki
× Takahashi, Yoshinori
× Takai, Michihiro
× 玉置, 俊輔
WEKO
933
× 後東, 知宏× Hayashi, Hiroaki
× 東野, 恒作× 鶴尾, 吉宏
WEKO
755
× 西良, 浩一
WEKO
1543
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| 抄録 | ||||||||||||||||||||||||||||||||||||||||||||||
| 内容記述 | Background Fluoroscopy is indispensable when determining appropriate and effective interventions in orthopedic surgery. On the other hand, there is growing concern about the health hazards of occupational radiation exposure. The aim of this cadaveric simulation study was to measure radiation exposure doses to the surgical team during hip surgery. Methods We reproduced the intraoperative setting of hip surgery using 7 fresh frozen cadavers (5 male, 2 female) to simulate patients and mannequins to simulate the surgeon, scrub nurse, and anesthesiologist. Six real-time dosimeters were mounted at sites corresponding to the optic lens, thyroid gland, chest, gonads, foot, and hand on each mannequin. The radiation exposure dose to each team member was measured during posteroanterior and lateral fluoroscopic imaging. Results Radiation exposure doses to the surgeon were significantly higher during 3 min of lateral imaging than during 3 min of posteroanterior imaging at the optic lens (8.1 times higher), thyroid gland (10.3 times), chest (10.8 times), and hand (19.8 times) (p = 0.018, p = 0.018, p = 0.018, and p = 0.018, respectively). During lateral imaging, the radiation doses to the nurse were 0.16, 0.12, 0.09, 0.72, and 0.38 times those to the surgeon at the optic lens, thyroid, chest, gonads, and foot, respectively. The radiation dose to the anesthesiologist was zero at all anatomic sites during posteroanterior imaging and very small during lateral imaging. Conclusions Radiation exposure dose was significantly higher during lateral imaging up to 19.8 times comparing to the posteroanterior imaging. It is effective to reduce the lateral imaging time for reducing the intraoperative radiation exposure. In addition, appropriate distance from fluoroscopy resulted in very low exposure for nurses and anesthesiologists. Surgeon should pay attention that surgical staff do not get closer than necessary to the irradiation field. |
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| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Radiation | |||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Occupational radiation exposure | |||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Fluoroscopy | |||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Orthopedic surgery | |||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Hip | |||||||||||||||||||||||||||||||||||||||||||||
| 書誌情報 |
en : Journal of Occupational Medicine and Toxicology 巻 18, p. 27, 発行日 2023-11-30 |
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||||||||||||||||||||||||||||
| 収録物識別子 | 17456673 | |||||||||||||||||||||||||||||||||||||||||||||
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| 出版者 | Springer Nature | |||||||||||||||||||||||||||||||||||||||||||||
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| 出版者 | BioMed Central | |||||||||||||||||||||||||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||||||||||||||||||||||||
| 権利情報 | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |||||||||||||||||||||||||||||||||||||||||||||
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| 識別子 | 406954 | |||||||||||||||||||||||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||||||||||||||||||||||
