Fluoroscopy credentialing and privileging programs are being instituted because of recorded patient injuries and the widespread growth in fluoroscopy use by operators whose medical education did not include formal fluoroscopy training. This lack of training is recognized as a patient safety deficiency, and medical physicists and health physicists are finding themselves responsible for helping t...

Percutaneous screw insertion for minimally displaced or reducible acetabular fracture using x-ray fluoroscopy and computer-assisted navigation system has been advocated by some authors. The purpose of this study was to compare intraoperative conditions and clinical results between isocentric C-arm 3-dimensional (Iso-C 3D) fluoroscopy and conventional fluoroscopy for percutaneous retrograde scre...

Although direct osteosynthesis of certain types of odontoid fractures may increase union and decrease the need for prolonged immobilization, screw fixation remains a technically demanding procedure. This study compares radiation exposure, surgical time, and accuracy of hardware placement using standard fluoroscopy versus computer-assisted fluoroscopy-based navigation ("virtual fluoroscopy") to ...

Lung cancer is an important clinical problem and lung cancer screening may lead to an early diagnosis. CT fluoroscopy-guided lung biopsy is a popular method for obtaining a tissue sample for lung cancer diagnosis. However, the radiation exposure for the physician associated with CT fluoroscopy may limit more widespread adoption of this technique. The use of a robotic needle driver that can hold...

OBJECT The authors sought to compare radiation exposure, surgical time, and accuracy of screw placement when using either standard fluoroscopy or virtual fluoroscopy for the placement of C1-2 transarticular screws. METHODS Twenty-two C1-2 transarticular screws were placed in 11 cadavers in a randomized and alternating order by using either standard fluoroscopy or virtual fluoroscopy (fluorona...

INTRODUCTION In Port-Access cardio-surgical procedures, both intraoperative transesophageal echocardiography (TEE) and fluoroscopy can be used for placement of the catheters and cannulae needed for cardiopulmonary bypass. Our study sought to clarify whether it is possible to rely exclusively on TEE for catheter placement without increasing the risk for the patient. MATERIALS AND METHODS Forty...

BACKGROUND Complications following lumbar transforaminal epidural injection are frequently related to inadvertent vascular injection of corticosteroids. Several methods have been proposed to reduce the risk of vascular injection. The generally accepted technique during epidural steroid injection is intermittent fluoroscopy. In fact, this technique may miss vascular uptake due to rapid washout. ...

BACKGROUND Mini-c-arm fluoroscopy has become an important resource to the orthopaedic surgeon. Exposure of the orthopaedic surgical team to radiation during standard large-c-arm fluoroscopy has been well studied; however, little is known about the amount of exposure to which a surgical team is subjected with the use of mini-c-arm fluoroscopy. Moreover, there is controversy regarding the use of ...