Your C-Arm May Be Dose Optimised but Is Your Surgical Procedure? The Evaluation and Dose Optimisation of Positioning Aids Used in Paediatric Image Guided Surgery.
IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Dalia Dinham, Sasha Faggotter, Emma Boughen, Hannah Bonaventura, Elaine Ryan
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引用次数: 0
Abstract
Introduction: Positioning aids are frequently used in image guided surgery (IGS). This study evaluates the impact of positioning aids on radiation dose and image quality (IQ) in IGS and the potential for dose optimised imaging via the choice of positioning aid type selected for clinical use.
Methods: Foam and gel positioning aids were evaluated in this study. Anthropomorphic phantoms were used to simulate clinically relevant procedures. Patient and staff radiation exposure were estimated via incident air kerma rate and scatter dose rate measurements, respectively. Perspex phantoms were used to assess the impact of the positioning aid location within the field of view (FOV) on radiation dose, via the reference entrance point air kerma rate displayed on the C-arm. IQ was analysed objectively via contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR) measurements.
Results: An average dose rate reduction of 24% and 27% were measured for the simulated patient and surgeon locations, respectively, when gel was replaced with foam, over all anthropomorphic phantom sizes and procedures. A maximum increase in dose rate of 3% for foam and 57% for gel were calculated with a change in positioning aid location within the FOV. In most instances, an improvement in CNR and SNR was observed with the replacement of gel with foam positioning aids.
Conclusion: The present study demonstrates that the choice of positioning aids used in IGS can significantly impact radiation dose and IQ. With collaboration between radiographers and the perioperative team, it is recommended sites optimise their selection of positioning aids in IGS.
期刊介绍：
Journal of Medical Radiation Sciences (JMRS) is an international and multidisciplinary peer-reviewed journal that accepts manuscripts related to medical imaging / diagnostic radiography, radiation therapy, nuclear medicine, medical ultrasound / sonography, and the complementary disciplines of medical physics, radiology, radiation oncology, nursing, psychology and sociology. Manuscripts may take the form of: original articles, review articles, commentary articles, technical evaluations, case series and case studies. JMRS promotes excellence in international medical radiation science by the publication of contemporary and advanced research that encourages the adoption of the best clinical, scientific and educational practices in international communities. JMRS is the official professional journal of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and the New Zealand Institute of Medical Radiation Technology (NZIMRT).
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