RESUMO
PURPOSE: Utilization of navigation improves pedicle screw accuracy in adolescent idiopathic scoliosis (AIS). Our center switched from intraoperative CT (ICT) to an optical navigation system that utilizes pre-operative CT (PCT). We aim to evaluate the radiation dose and operative time for low-dose ICT compared to standard and low-dose PCT used for optical navigation in AIS patients undergoing posterior spinal fusion. METHODS: A single-center matched-control cohort study of 38 patients was conducted. Nineteen patients underwent ICT navigation (O-arm) and were matched by sex, age, and weight to 19 patients who underwent PCT for use with an optical-guided navigation (7D, Seaspine). A total of 418 levels were instrumented and reviewed. PCT was either a standard dose (N = 7) or a low dose (N = 12). The mean volume CT dose index, dose-length product, overall effective dose (ED), ED per level instrumented, and operative time per level were compared. RESULTS: ED per level instrumented was 0.061 ± 0.029 mSv in low-dose PCT and 0.14 ± 0.05 mSv in low-dose ICT (p < 0.0001). ED per level instrumented was significantly higher in standard PCT (1.46 ± 0.39 vs. 0.14 ± 0.03 mSv; p < 0.0001). Mean operative time per level was 31 ± 7 min for ICT and 33 ± 3 min for PCT (p = 0.628). CONCLUSION: Low-dose PCT resulted in 0.70 mSv exposure per case and 31 min per level, standard-dose was 16.95 mSv, while ICT resulted in 1.34-1.62 mSv and a similar operative time. Use of a standard-dose PCT involves radiation exposure about 9 times higher than ICT and 23 times higher than low-dose PCT per level instrumented. LEVEL OF EVIDENCE: Level III.
Assuntos
Cifose , Exposição à Radiação , Escoliose , Cirurgia Assistida por Computador , Adolescente , Humanos , Escoliose/diagnóstico por imagem , Escoliose/cirurgia , Escoliose/etiologia , Estudos de Coortes , Imageamento Tridimensional , Tomografia Computadorizada por Raios X/métodos , Cirurgia Assistida por Computador/métodos , Cifose/etiologiaRESUMO
BACKGROUND: Prior implementations of the channelized Hotelling observer (CHO) model have succeeded in assessing the performance of X-ray angiography systems under a variety of imaging conditions. However, often times these conditions do not resemble those present in routine clinical imaging scenarios, such as having complex anthropomorphic backgrounds in conjunction with moving test objects. PURPOSE: This work builds up on prior established CHO methods and introduces a new approach to switch from the already established "multiple-sample" CHO implementation to a "single-sample" technique. The proposed implementation enables the inclusion of moving test objects upon nonuniform backgrounds by allowing only a single sample to represent the test object present condition that is to be used within the statistical test to estimate the detectability index. METHODS: To assess the proposed method, two image data sets were acquired with a clinical X-ray angiography system. The first set consisted of a uniform background in combination with static test objects while the second consisted of an anthropomorphic chest phantom in conjunction with moving test objects. The first set was used to validate the proposed approach against the multiple-sample method while the second was used to assess the feasibility of the proposed method under a variety of imaging conditions, including seven object sizes and seven detector target dose (DTD) levels. RESULTS: For the uniform background data set, considering all detectability indices greater or equal than 1, the ratio between the detectability indices of the proposed single-sample approach versus the multiple-sample method was 0.997 ± 0.056 (range 0.884-1.159). The average single-direction width of the 95% confidence intervals (CIs) of the detectability index estimates for the multiple-sample method was 0.38 ± 0.43 (range 0.03-2.20). For the single-sample approach, the average width was 2.52 ± 0.63 (range 1.11-5.44). For the anthropomorphic background image set, the results were consistent with classical quantum-limited signal-to-noise ratio (SNR) theory. The magnitude of the detectability indices varied predictably with changes in both object size and DTD, with the highest value associated with the highest dose and the largest object size. Additionally, the proposed method was able to capture differences in the imaging performance for a given test object across the field of view, which was associated with the attenuation levels provided by different features of the anthropomorphic background. CONCLUSIONS: A new single-sample variant of the CHO model to assess the performance of X-ray angiography imaging systems is proposed. The new approach is consistent with quantum-limited image quality theory and with a standard implementation of the CHO model. The proposed method enables the assessment of moving test objects in combination with complex, nonuniform image backgrounds, thereby opening the possibility to assess imaging conditions which more closely resemble those used in clinical care.
Assuntos
Processamento de Imagem Assistida por Computador , Tomografia Computadorizada por Raios X , Humanos , Raios X , Processamento de Imagem Assistida por Computador/métodos , Variações Dependentes do Observador , Imagens de Fantasmas , AngiografiaRESUMO
The well-referenced structural shielding design NCRP Report No. 147 uses workload information based on self-reported film-screen data from the AAPM Task Group 9 survey. The aim of this study was to assess the clinical workload distributions of modern digital radiography (DR) systems in general hospital and pediatric-only practices. A retrospective analysis of DR imaging data on four radiographic systems in a hospital practice and two radiographic systems in a pediatric practice, through a custom clinical DICOM header analytics program. A total of 203, 294 exposures from the general hospital practice and 25,415 from the pediatric practice from 2019 and 2021 were included. Values for kVp, mAs, and detector type (wall bucky, table bucky, or free detector) were extracted. For each exam, mAs was accumulated in a kVp histogram with bins 5 kVp wide and further parsed by detector type. Total workload was calculated by summing all exposures, then normalized by the number of patients. The median (25th and 75th percentile) workload in the hospital practice was 0.43 (0.22, 1.13) mA-min per patient, while the average was 1.36 ± 3.08. Pediatric data yielded a median (25th and 75th percentile) of 0.10 (0.05, 0.23) and an average of 0.29 ± 0.69 mA-min per patient. Mean number of patients per week was 230 adult and 57 pediatric. Hospital workload data is approximately 44% less than the NCRP Report No. 147 value.
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Intensificação de Imagem Radiográfica , Carga de Trabalho , Adulto , Humanos , Criança , Intensificação de Imagem Radiográfica/métodos , Estudos Retrospectivos , HospitaisRESUMO
BACKGROUND: Digital radiography (DR) still presents many challenges and could have complex imaging acquisition and processing patterns in a clinical practice hindering quality standardization. PURPOSE: This technical note aims to report the 4-year experience with utilizing a custom DICOM metadata analytics program in clinical DR at a large institution. METHODS: Thirty-eight DR systems of three vendors at multiple locations were configured to automatically send clinical DICOM images to a DICOM receiver. A suite of custom MATLAB programs was established to extract and store public and private header data weekly. Specific use cases are provided for systematic image acquisition investigation, image processing harmonization, exposure index (EI) longitudinal monitoring and EI target optimization. RESULTS: For systematic acquisition investigation, an example of adult lumbar spine exam analysis was provided with statistics on manual acquisition versus the use of automatic exposure control (AEC, including AEC dose level, active cell, and backup timer), grid usage, and collimation for various projections. For processing harmonization, up to 12.6% of protocols were revealed to have processing parameter differences in an example of a mobile radiography fleet. In addition, inconsistent use of a post-acquisition image size function was also demonstrated, which resulted in anatomy size display variations. Bimonthly monitoring of median EI values showed expected trends, including changes after an AEC dose level adjustment for adult posterior-anterior chest imaging on a scanner system. An example of adult axillary shoulder EI target refinement was shared using the median value, eµ , based on the lognormal EI data distribution after parsing down to acquisitions with appropriate techniques. CONCLUSIONS: This analytics program enables systematic analysis of image acquisition and processing details. The information provides invaluable insights into real practice patterns, which can support data-driven quality standardization and optimization.
Assuntos
Metadados , Intensificação de Imagem Radiográfica , Radiografia , Processamento de Imagem Assistida por Computador/métodos , Coluna VertebralRESUMO
BACKGROUND: We hypothesize that different positions of the wrist in the coronal plane makes the carpus susceptible to ulnar impaction. METHODS: We prospectively enrolled 10 adult volunteers and obtained fluoroscopic images of each wrist in 12 different positions using a standardized protocol. Distances from the ulna to the lunate (UL) and ulna to the triquetrum (UT) were digitally measured as was the portion of the lunate surface area that was uncovered (LUR) with wrist deviation. RESULTS: A wrist position of Pronation, Neutral Deviation, and Grip (P-ND-G) significantly shortened the ulnocarpal distance when compared to a position of Neutral Rotation, Neutral Deviation, and No Grip (NR-ND-NG). Radial deviation during pronation and gripping (Pronated, Radial Deviation, Gripping [P-RD-G]) resulted in the lowest mean UL distance (1.2 mm). UT distance was minimized by a position of ulnar deviation during a pronated grip (Pronated, Ulnar Deviation, Gripping [P-UD-G]) (3.1 mm). The lunate becomes more uncovered with radial deviation. CONCLUSION: Radial deviation minimizes the UL distance while ulnar deviation minimizes the UT distance during a wrist position of pronation and gripping. Further, there is more proximal lunate surface area uncoverage during all positions of radial deviation compared to ulnar deviation.
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Articulação do Punho , Punho , Adulto , Humanos , Projetos Piloto , Articulação do Punho/diagnóstico por imagem , Ulna/diagnóstico por imagem , AntebraçoRESUMO
There is a lack of understanding in the performance of flexible noise control (FNC) processing, which is used in digital radiography on a scanner vendor and has four parameters each involving multiple options. The aim of this study was to investigate the impact of FNC on portable chest imaging. An anthropomorphic chest phantom was imaged using a clinical chest program with 85 kV and five radiation dose levels at 40â³ source-to-image distance with software-based scatter reduction method. All images were processed without and with FNC. Noise analysis was performed in two regions of interest (ROI) on subtracted noise-only images, and line profiles were generated through a lung-rib interface. In addition, noise power spectra (NPS) analysis was performed in solid water phantoms of 10 and 20 cm thicknesses, using the same acquisition program and a range of dose levels. Last, feedback on retrospectively deidentified, reprocessed, and randomized clinical images from 20 portable chest exams was gathered from two thoracic radiologists. Noise reduction performances of FNC were demonstrated, with the level depending on specific FNC parameters, dose levels, ROI placement, and phantom sizes. Higher frequency textural patterns were revealed through the NPS analysis, which varied based on FNC parameters, dose levels, and phantom sizes. Overall, the vendor default parameter FGA0.5 yielded the highest noise reduction and textural artifacts. Radiologist feedback showed consistent preference of no FNC due to the presence of textural artifacts in the FNC-processed images. An algorithm improvement to avoid introducing artifacts would be desired.
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Intensificação de Imagem Radiográfica , Radiografia Torácica , Humanos , Radiografia Torácica/métodos , Estudos Retrospectivos , Radiografia , Intensificação de Imagem Radiográfica/métodos , Pulmão/diagnóstico por imagem , Doses de Radiação , Imagens de FantasmasRESUMO
Modern fluoroscopes used for image guidance have become quite complex. Adding to this complexity are the many regulatory and accreditation requirements that must be fulfilled during acceptance testing of a new unit. Further, some of these acceptance tests have pass/fail criteria, whereas others do not, making acceptance testing a subjective and time-consuming task. The AAPM Task Group 272 Report spells out the details of tests that are required and gives visibility to some of the tests that while not yet required are recommended as good practice. The organization of the report begins with the most complicated fluoroscopes used in interventional radiology or cardiology and continues with general fluoroscopy and mobile C-arms. Finally, the appendices of the report provide useful information, an example report form and topics that needed their own section due to the level of detail.
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Cardiologia , Radiologia Intervencionista , Fluoroscopia/métodos , Doses de Radiação , Radiologia Intervencionista/métodos , Relatório de PesquisaRESUMO
Scapula and humerus motion associated with common manual wheelchair tasks is hypothesized to reduce the subacromial space. However, previous work relied on either marker-based motion capture for kinematic measures, which is prone to skin-motion artifact; or ultrasound imaging for arthrokinematic measures, which are 2D and acquired in statically-held positions. The aim of this study was to use a fluoroscopy-based approach to accurately quantify glenohumeral kinematics during manual wheelchair use, and compare tasks for a subset of parameters theorized to be associated with mechanical impingement. Biplane images of the dominant shoulder were acquired during scapular plane elevation, propulsion, sideways lean, and weight-relief raise in ten manual wheelchair users with spinal cord injury. A computed tomography scan of the shoulder was obtained, and model-based tracking was used to quantify six-degree-of-freedom glenohumeral kinematics. Axial rotation and superior/inferior and anterior/posterior humeral head positions were characterized for full activity cycles and compared between tasks. The change in the subacromial space was also determined for the period of each task defined by maximal change in the aforementioned parameters. Propulsion, sideways lean, and weight-relief raise, but not scapular plane elevation, were marked by mean internal rotation (8.1°, 10.8°, 14.7°, -49.2° respectively). On average, the humeral head was most superiorly positioned during the weight-relief raise (1.6⯱â¯0.9â¯mm), but not significantly different from the sideways lean (0.8⯱â¯1.1â¯mm) (pâ¯=â¯0.191), and much of the task was characterized by inferior translation. Scaption was the only task without a defined period of superior translation on average. Pairwise comparisons revealed no significant differences between tasks for anterior/posterior position (task means range: 0.1-1.7â¯mm), but each task exhibited defined periods of anterior translation. There was not a consistent trend across tasks between internal rotation, superior translation, and anterior translation with reductions in the subacromial space. Further research is warranted to determine the likelihood of mechanical impingement during these tasks based on the measured task kinematics and reductions in the subacromial space.
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Articulação do Ombro , Cadeiras de Rodas , Fenômenos Biomecânicos , Fluoroscopia , Humanos , Músculo Esquelético , Amplitude de Movimento Articular , Escápula , Articulação do Ombro/diagnóstico por imagemRESUMO
Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia.1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms.2-4 SRs are believed to be distinct from strictures caused by gastroesophageal reflux disease. SRs are sharply localized lesions with clearly defined margins, whereas peptic strictures have a more gradual transition between normal and abnormal esophagus to produce a funnel-shaped narrowing.5,6 Consequently, it has been assumed that repeat dilation is less common in SRs dissimilar from medically untreated peptic strictures. The study aim was to identify clinical and radiologic predictors for repeated esophageal dilations in patients with SRs and to assess if peptic stricture-like characteristics of rings correspond to need for repeat dilation.
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Doenças do Esôfago , Estenose Esofágica , Constrição Patológica/complicações , Dilatação/efeitos adversos , Estenose Esofágica/diagnóstico , Estenose Esofágica/etiologia , HumanosRESUMO
Data suggest that radiation-induced cataracts may form without a threshold and at low-radiation doses. Staff involved in interventional radiology and cardiology fluoroscopy-guided procedures have the potential to be exposed to radiation levels that may lead to eye lens injury and the occurrence of opacifications have been reported. Estimates of lens dose for various fluoroscopy procedures and predicted annual dosages have been provided in numerous publications. Available tools for eye lens radiation protection include accessory shields, drapes and glasses. While some tools are valuable, others provide limited protection to the eye. Reducing patient radiation dose will also reduce occupational exposure. Significant variability in reported dose measurements indicate dose levels are highly dependent on individual actions and exposure reduction is possible. Further follow-up studies of staff lens opacification are recommended along with eye lens dose measurements under current clinical practice conditions.
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Catarata/prevenção & controle , Dispositivos de Proteção dos Olhos , Cristalino/efeitos da radiação , Exposição Ocupacional/prevenção & controle , Lesões por Radiação/prevenção & controle , Proteção Radiológica/métodos , Radiologia Intervencionista , Humanos , Doses de Radiação , Radiação IonizanteRESUMO
The purpose of this work was to assess technical performance of a prototype high-ratio (r29), 80 line cm-1grid for imaging conditions which mimic those for adult cardiovascular angiography. The standard equipment r15, 80 line cm-1grid was used as a reference. Plastic Water®LR phantoms with thickness in the range 20-44 cm were used to simulate adult patient attenuation and scatter. Grids were tested using x-ray field of view 20 and 25 cm and x-ray source to detector distance (SID) 107 and 120 cm. The primary transmission fraction (TP) was measured using both narrow beam geometry and a lead beam stop (BS) technique. Scatter transmission (TS) was measured with the lead BS technique. The quantum signal to noise ratio improvement factor (KSNR) was used to describe relative grid performance. The experimental conditions required revised theory to assess grid performance. Theory to account for the detector glare and underestimation of scatter intensity by the lead BS method was developed. Also, novelKSNRtheory was developed to allow direct comparison of two grids operated at different SID. MeanTPwas modestly lower for the r29 versus r15 grid (0.69 versus 0.75). When tested under equivalent scatter condition, TSof the r29 grid was approximately ½ that of the r15 grid (0.18 versus 0.34).KSNRof the r29 grid at SID 120 cm compared to the r15 grid at SID 107 cm increased linearly with phantom thickness (range 1.0 to â¼1.16). Findings of this work indicate that the r29 grid used at SID 120 cm is expected to provide improved image quality (or reduced patient radiation dose) when compared to the r15 grid used at SID 107 cm for adult cardiovascular patients and that the potential benefit of the r29 grid increases with patient thickness >20 cm.
Assuntos
Angiografia , Intensificação de Imagem Radiográfica , Humanos , Imagens de Fantasmas , Espalhamento de Radiação , Razão Sinal-RuídoRESUMO
PURPOSE: Channelized Hotelling observer (CHO) models have been implemented to assess imaging performance in x-ray angiography systems. While current methods are appropriate for assessing unprocessed images of moving test objects upon uniform-exposure backgrounds, they are inadequate for assessing conditions which more appropriately mimic clinical imaging conditions including the combination of moving test objects, complex anthropomorphic backgrounds, and image processing. In support of this broad goal, the purpose of this work was to develop theory and methods to automatically select a subset of task-specific efficient Gabor channels from a task-generic Gabor channel base set. Also, previously described theory and methods to manage detectability index (d') bias due to nonrandom temporal variations in image electronic noise will be revisited herein. METHODS: Starting with a base set of 96 Gabor channels, backward elimination of channels was used to automatically identify an "efficient" channel subset which reduced the number of channels retained in the subset while maintaining the magnitude of the d' estimate. The concept of a pixelwise Hotelling observer (PHO) model was introduced and similarly implemented to assess the performance of the efficient-channel CHO model. Bias in d' estimates arising from temporally variable nonstationary noise was modeled as a bivariate probability density function for normal distributions, where one variable corresponds to the signal from the test object and the other variable corresponds to the signal from temporally variable nonstationary noise. Theory and methods were tested on uniform-exposure unprocessed angiography images with detector target dose (DTD) of 6, 18, and 120 nGy containing static disk-shaped test objects with diameter in the range of 0.5 to 4 mm. RESULTS: Considering all DTD levels and test object sizes, the proposed method reduced the number of Gabor channels in the final subset by 63-82% compared to the original 96 Gabor channel base set, while maintaining a mean relative performance ( ( d CHO ' / d PHO ' ) × 100 % ) of 95% ± 4% with respect to the reference PHO model. Experimental results demonstrated that the bivariate approach to account for bias due to temporally variable nonstationary noise resulted in improved correlation between the CHO and PHO models as compared to a previously proposed univariate approach. CONCLUSIONS: Computationally efficient backward elimination can be used to select an efficient subset of Gabor channels from an initial channel base set without substantially compromising the magnitude of the d' estimate. Bias due to temporally variable nonstationary noise can be modeled through a bivariate approach leading to an improved unbiased estimate of d'.
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Angiografia , Processamento de Imagem Assistida por Computador , Viés , Humanos , Variações Dependentes do Observador , Imagens de Fantasmas , Raios XRESUMO
PURPOSE: An increasing number of implantable or external devices can impact whether patients can receive radiological imaging examinations. This study examines and tests the Neulasta (pegfilgrastim) Onpro on-body injector in multiple imaging environments. METHODS: The injector was analyzed for four imaging modalities with testing protocols and strategies developed for each modality. In x-ray and computed tomography (CT), scans with much higher exposure than clinical protocols were performed with the device attached to an anthropomorphic phantom. The device was monitored until the completion of drug delivery. For magnetic resonance imaging (MRI), the device was assessed using a hand-held magnet and underwent the magnetically induced displacement testing in a 1.5T clinical MRI scanner room. For ultrasound, magnetic field changes were measured around an ultrasound scanner system with three transducers. RESULTS: For x-ray and CT no sign of device error was identified during or after the high radiation exposure scans. Drug delivery was completed at expected timing with expected volume. For MRI the device showed significant attractive force towards the hand-held magnet and a 50-degree deflection angle at 50 cm from the opening of the scanner bore. No further assessment from the gradient or radiofrequency field was deemed necessary. For ultrasound the maximum magnetic field change from baseline was measured to be +11.7 µT in comparison to +74.2 µT at 4 inches from a working microwave. CONCLUSIONS: No device performance issue was identified under the extreme test conditions in x-ray or CT. The device was found to be MR Unsafe. Magnetic field changes around an ultrasound system met the limitation set by manufacture. Patient ultrasound scanning is considered safe as long as the transducers do not inadvertently loosen the device.
Assuntos
Imageamento por Ressonância Magnética , Polietilenoglicóis , Filgrastim , Humanos , Imagens de FantasmasRESUMO
BACKGROUND: Most individuals with spinal cord injury who use manual wheelchairs experience shoulder pain related to wheelchair use, potentially in part from mechanical impingement of soft tissue structures within the subacromial space. There is evidence suggesting that scapula and humerus motion during certain wheelchair tasks occurs in directions that may reduce the subacromial space, but it hasn't been thoroughly characterized in this context. METHODS: Shoulder motion was imaged and quantified during scapular plane elevation with/without handheld load, propulsion with/without added resistance, sideways lean, and weight-relief raise in ten manual wheelchair users with spinal cord injury using biplane fluoroscopy and computed tomography. For each position, minimum distance between rotator cuff tendon insertions (infraspinatus, subscapularis, supraspinatus) and the coracoacromial arch was determined. Tendon thickness was measured with ultrasound, and impingement risk scores were defined for each task based on frequency and amount of tendon compression. FINDINGS: Periods of impingement were identified during scapular plane elevation and propulsion but not during pressure reliefs in most participants. There was a significant effect of activity on impingement risk scores (Pâ¯<â¯0.0001), with greatest impingement risk during scapular plane elevation followed by propulsion. Impingement risk scores were not significantly different between scapular plane elevation loading conditions (Pâ¯=â¯0.202) or propulsion resistances (Pâ¯=â¯0.223). The infraspinatus and supraspinatus tendons were both susceptible to impingement during scapular plane elevation (by acromion), whereas the supraspinatus was most susceptible during propulsion (by acromion and coracoacromial ligament). INTERPRETATION: The occurrence of mechanical impingement during certain manual wheelchair tasks, even without increased load/resistance, demonstrates the importance of kinematics inherent to a task as a determinant of impingement. Frequency of and technique used to complete daily tasks should be carefully considered to reduce impingement risk, which may help preserve shoulder health long-term.
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Síndrome de Colisão do Ombro/complicações , Síndrome de Colisão do Ombro/fisiopatologia , Traumatismos da Medula Espinal/complicações , Traumatismos da Medula Espinal/fisiopatologia , Cadeiras de Rodas , Acrômio/fisiopatologia , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pressão , Risco , Manguito Rotador/fisiopatologia , Escápula/fisiopatologia , Articulação do Ombro/fisiopatologia , Dor de Ombro/fisiopatologia , UltrassonografiaRESUMO
The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education and professional practice of medical physics. The AAPM has more than 8,000 members and is the principal organization of medical physicists in the United States. The AAPM will periodically define new practice guidelines for medical physics practice to help advance the science of medical physics and to improve the quality of service to patients throughout the United States. Existing medical physics practice guidelines will be reviewed for the purpose of revision or renewal, as appropriate, on their fifth anniversary or sooner. Each medical physics practice guideline represents a policy statement by the AAPM, has undergone a thorough consensus process in which it has been subjected to extensive review, and requires the approval of the Professional Council. The medical physics practice guidelines recognize that the safe and effective use of diagnostic and therapeutic radiology requires specific training, skills, and techniques, as described in each document. Reproduction or modification of the published practice guidelines and technical standards by those entities not providing these services is not authorized. The following terms are used in the AAPM practice guidelines: Must and Must Not: Used to indicate that adherence to the recommendation is considered necessary to conform to this practice guideline. Should and Should Not: Used to indicate a prudent practice to which exceptions may occasionally be made in appropriate circumstances. Approved by AAPM's Executive Committee May 28, 2019.
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Física Médica , Radioterapia (Especialidade) , Humanos , Sociedades , Estados UnidosRESUMO
STUDY DESIGN/METHODS: Review article. OBJECTIVES: This article will provide an overview regarding measurement of radiation exposure and effects on patients with spinal deformity. SUMMARY OF BACKGROUND DATA/RESULTS: Pediatric and adult spinal deformity patients are frequently exposed to diagnostic studies exposing them to ionizing radiation. There is a concern that medical radiation can result in increased cancer risk, particularly in children who will live for a long period of time in which cancer may develop and who have rapidly dividing cells that may be more susceptible to DNA damage. CT imaging imparts 10-100 times higher radiation dosing than standard radiographs. Usage of CT imaging studies is growing in the United States and represents 50% of medical imaging exposure. In addition to the 3 millisieverts (mSv) mean natural background exposure, in the United States, the average American experiences an additional 3 mSv of exposure primarily due to medical diagnostic imaging. Early-onset scoliosis patients are at risk of high cumulative radiation exposure given the young age at diagnosis and frequency of multiorgan system involvement in the case of neuromuscular, congenital, and syndromic patients. Biplanar slot scanning reduces patient radiation exposure, and overall levels of exposure from radiographic imaging is quite low compared with CT imaging or historic radiographs. Specialized pediatric CT dosing protocols result in lower patient absorbed dose. Surgeon and team intraoperative exposure to radiation should always be a concern. Appropriate shielding with a lead apron and minimizing radiation exposure are appropriate strategies. CONCLUSIONS: This article will help guide surgeons to make appropriate decisions regarding the need for imaging studies and advocate for low-dose imaging protocols within their facilities. LEVEL OF EVIDENCE: V.
Assuntos
Exposição à Radiação , Proteção Radiológica , Curvaturas da Coluna Vertebral/diagnóstico por imagem , Coluna Vertebral/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Criança , Humanos , Doses de RadiaçãoRESUMO
Visual familiarity with the variety of digital radiographic artifacts is needed to identify, resolve, or prevent image artifacts from creating issues with patient imaging. Because the mechanism for image creation is different between flat-panel detectors and computed radiography, the causes and appearances of some artifacts can be unique to these different modalities. Examples are provided of artifacts that were found on clinical images or during quality control testing with flat-panel detectors. The examples are meant to serve as learning tools for future identification and troubleshooting of artifacts and as a reminder for steps that can be taken for prevention. The examples of artifacts provided are classified according to their causal connection in the imaging chain, including an equipment defect as a result of an accident or mishandling, debris or gain calibration flaws, a problematic acquisition technique, signal transmission failures, and image processing issues. Specific artifacts include those that are due to flat-panel detector drops, backscatter, debris in the x-ray field during calibration, detector saturation or underexposure, or collimation detection errors, as well as a variety of artifacts that are processing induced. ©RSNA, 2018.
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Artefatos , Intensificação de Imagem Radiográfica/métodos , Diagnóstico Diferencial , Humanos , Intensificação de Imagem Radiográfica/instrumentaçãoRESUMO
Model-based tracking, using CT and biplane fluoroscopy, allows highly accurate quantification of glenohumeral motion and changes in the subacromial space. Previous investigators have used custom-built biplane fluoroscopes designed specifically for kinematic applications, which are available at few institutions and require FDA approval prior to clinical use. The aim of this study was to demonstrate the utility of an off-the-shelf clinical biplane fluoroscope for kinematic applications by validating model-based tracking for measurement of glenohumeral motion using an unmodified clinical system. Biplane images of each shoulder of a cadaver torso were acquired at various joint positions and during simulated movements along anatomical planes of motion. The pose of each humerus and scapula was determined using model-based tracking and compared to a bead-based gold standard. Error due to a temporal-offset between corresponding biplane images, characteristic of clinical biplane systems, was determined by comparison of measured and known relative position of 2 bead clusters of a phantom that was imaged while moved throughout the fluoroscopy image volume. Model-based tracking had global kinematic mean absolute errors of 0.27â¯mm and 0.29° (static), and 0.22-0.32â¯mm and 0.12-0.45° (dynamic). Glenohumeral mean absolute errors were 0.39â¯mm and 0.45° (static), and 0.36-0.42â¯mm and 0.41-0.48° (dynamic). The temporal-offset was predicted to add errors of 0.06-0.85â¯mm and 0.05-0.28° for cadaveric trials for the speeds examined. For defined speeds, sub-millimeter and sub-degree kinematic accuracy and precision were achieved using an unmodified clinical biplane fluoroscope for quantification of glenohumeral motion.