Comparison of Radiation Exposure during Fluoroscopy-Guided Transforaminal Epidural Steroid Injections at Different Vertebral Levels
- Authors
- Hwang, Yun Mi; Lee, Min Hee; Kim, Seon-Jeong; Lee, Sheen-Woo; Chung, Hye Won; Lee, Sang Hoon; Shin, Myung Jin
- Issue Date
- Mar-2015
- Publisher
- KOREAN RADIOLOGICAL SOC
- Keywords
- Fluoroscopy; Epidural steroid injection; Dose area product; Fluoroscopy time
- Citation
- KOREAN JOURNAL OF RADIOLOGY, v.16, no.2, pp.357 - 362
- Journal Title
- KOREAN JOURNAL OF RADIOLOGY
- Volume
- 16
- Number
- 2
- Start Page
- 357
- End Page
- 362
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10767
- DOI
- 10.3348/kjr.2015.16.2.357
- ISSN
- 1229-6929
- Abstract
- Objective: To estimate and compare radiation exposure during transforaminal fluoroscopy-guided epidural steroid injection (TFESI) at different vertebral levels. Materials and Methods: Fluoroscopy-guided TFESI was performed in 181 patients. The patients were categorized into three groups according to the injected lumbosacral nerve level of L2-4, L5, or S1. Fluoroscopy time (FT) and dose area product (DAP) were recorded for all patients; correlations between FT and DAP were determined at each level, and both FT and DAP were compared between the different vertebral levels. Results: The numbers of patients who received ESI at L2-4, L5, and S1 were 29, 123, and 29. Mean FT was 44 seconds at L2-4, 33.5 seconds at L5, and 37.7 seconds at Si. Mean DAP was 138.6 mu Gy.m(2) at L2-4, 100.6 mu Gy.m(2) at L5, and 72.1 mu Gy.m(2) at S1. FT and DAP were positively correlated in each group (p values < 0.001). FT was significantly shorter at L5 than that at L2-4 (p = 0.004) but was not significantly different between Si and L2-4 or L5 (p values = 0.286 and 0.532, respectively). DAP was significantly smaller at L5 and Si than that at L2-4, but L5 and S1 were not significantly different. After correcting for FT. DAP was significantly smaller at S1 than that at either L2-4 or L5 (p values = 0.001 and 0.010). Conclusion: The radiation dose was small during a single procedure of ESI and showed differences between different lumbosacral spine levels.
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