Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study

Purpose: The purpose of this study was to evaluate radiation dose reduction in fluoroscopically guided lumbar punctures (FGLP) using “pulsed fluoroscopy in a low dose mode” compared with the commonly used “continuous fluoroscopy in a standard dose mode” while maintaining the technical success. Mater...

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Main Authors:	Shyam Sabat, Einat Slonimsky
Format:	Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 2018-01-01
Series:	Journal of Clinical Imaging Science
Subjects:	Fluoroscopy lumbar puncture radiation
Online Access:	http://www.clinicalimagingscience.org/article.asp?issn=2156-7514;year=2018;volume=8;issue=1;spage=9;epage=9;aulast=Sabat

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spelling	doaj-art-75999b43bf384a86ae3202285d04a3b12018-09-17T09:49:11ZengWolters Kluwer Medknow PublicationsJournal of Clinical Imaging Science2156-75142156-55972018-01-01819910.4103/jcis.JCIS_94_17Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled studyShyam SabatEinat SlonimskyPurpose: The purpose of this study was to evaluate radiation dose reduction in fluoroscopically guided lumbar punctures (FGLP) using “pulsed fluoroscopy in a low dose mode” compared with the commonly used “continuous fluoroscopy in a standard dose mode” while maintaining the technical success. Materials and Methods: Thirty-five consecutive patients who underwent FGLP divided randomly to seventeen patients in the control group with standard dose continuous FGLP and eighteen patients in the study group with low-dose low-frame-rate of 3 frames per second (fps) FGLP. Entrance surface dose measurements from a dosimeter device were recorded as well as the dose area product (DAP). Results: A total of 35 patients with average age of 52 years (range: 15–87 [±17 standard deviation [SD]) were evaluated. Average entrance surface dose of the study group was significantly lower (3.81 mGy [range: 0.21–11.14, [±2.8 SD]) compared with the control group (22.45 mGy [range: 1.23–73.44, [±19.41 [SD]). The average DAP of the study group (10 mGy·cm2 [range: 1–41, [±9.8 SD]) was also significantly lower than the control group (65 mGy·cm2 [range: 5–199, [±53 SD]). Success rate was similar between the study and control groups. Conclusion: Low dose pulsed fluoroscopy of 3 fps significantly reduces radiation exposure by about 600% compared with standard dose continuous fluoroscopy in FGLP. Utilizing this radiation saving strategy will allow to dramatically reduce radiation exposure, without impacting the technical success rate.http://www.clinicalimagingscience.org/article.asp?issn=2156-7514;year=2018;volume=8;issue=1;spage=9;epage=9;aulast=SabatFluoroscopylumbar punctureradiation
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language	English
format	Article
author	Shyam Sabat Einat Slonimsky
spellingShingle	Shyam Sabat Einat Slonimsky Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study Journal of Clinical Imaging Science Fluoroscopy lumbar puncture radiation
author_facet	Shyam Sabat Einat Slonimsky
author_sort	Shyam Sabat
title	Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study
title_short	Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study
title_full	Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study
title_fullStr	Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study
title_full_unstemmed	Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study
title_sort	radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: a prospective controlled study
publisher	Wolters Kluwer Medknow Publications
series	Journal of Clinical Imaging Science
issn	2156-7514 2156-5597
publishDate	2018-01-01
description	Purpose: The purpose of this study was to evaluate radiation dose reduction in fluoroscopically guided lumbar punctures (FGLP) using “pulsed fluoroscopy in a low dose mode” compared with the commonly used “continuous fluoroscopy in a standard dose mode” while maintaining the technical success. Materials and Methods: Thirty-five consecutive patients who underwent FGLP divided randomly to seventeen patients in the control group with standard dose continuous FGLP and eighteen patients in the study group with low-dose low-frame-rate of 3 frames per second (fps) FGLP. Entrance surface dose measurements from a dosimeter device were recorded as well as the dose area product (DAP). Results: A total of 35 patients with average age of 52 years (range: 15–87 [±17 standard deviation [SD]) were evaluated. Average entrance surface dose of the study group was significantly lower (3.81 mGy [range: 0.21–11.14, [±2.8 SD]) compared with the control group (22.45 mGy [range: 1.23–73.44, [±19.41 [SD]). The average DAP of the study group (10 mGy·cm2 [range: 1–41, [±9.8 SD]) was also significantly lower than the control group (65 mGy·cm2 [range: 5–199, [±53 SD]). Success rate was similar between the study and control groups. Conclusion: Low dose pulsed fluoroscopy of 3 fps significantly reduces radiation exposure by about 600% compared with standard dose continuous fluoroscopy in FGLP. Utilizing this radiation saving strategy will allow to dramatically reduce radiation exposure, without impacting the technical success rate.
topic	Fluoroscopy lumbar puncture radiation
url	http://www.clinicalimagingscience.org/article.asp?issn=2156-7514;year=2018;volume=8;issue=1;spage=9;epage=9;aulast=Sabat
_version_	1612555685862572032

Radiation reduction in low dose pulsed fluoroscopy versus standard dose continuous fluoroscopy during fluoroscopically-guided lumbar punctures: A prospective controlled study

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