scholarly journals Development of Novel Real-Time Radiation Systems Using 4-Channel Sensors

Sensors ◽  
2020 ◽  
Vol 20 (9) ◽  
pp. 2741
Author(s):  
Yohei Inaba ◽  
Masaaki Nakamura ◽  
Masayuki Zuguchi ◽  
Koichi Chida
Keyword(s):  
Radiation Exposure ◽  
Dose Rate ◽  
Real Time ◽  
Angular Dependence ◽  
The Novel ◽  
Medical Radiation ◽  
Dose Linearity ◽  
Tissue Injuries ◽  
Low Sensitivity ◽  
Shape And Size

Radiation-related tissue injuries after medical radiation procedures, such as fluoroscopically guided intervention (FGI), have been reported in patients. Real-time monitoring of medical radiation exposure administered to patients during FGI is important to avoid such tissue injuries. In our previous study, we reported a novel (prototype) real-time radiation system for FGI. However, the prototype sensor indicated low sensitivity to radiation exposure from the side and back, although it had high-quality fundamental characteristics. Therefore, we developed a novel 4-channel sensor with modified shape and size than the previous sensor, and evaluated the basic performance (i.e., measured the energy, dose linearity, dose rate, and angular dependence) of the novel and previous sensors. Both sensors of our real-time dosimeter system demonstrated the low energy dependence, excellent dose linearity (R2 = 1.0000), and good dose rate dependence (i.e., within 5% statistical difference). Besides, the sensitivity of 0° ± 180° in the horizontal and vertical directions was almost 100% sensitivity for the new sensor, which significantly improved the angular dependence. Moreover, the novel dosimeter exerted less influence on X-ray images (fluoroscopy) than other sensors because of modifying a small shape and size. Therefore, the developed dosimeter system is expected to be useful for measuring the exposure of patients to radiation doses during FGI procedures.

scholarly journals Characterization of an Innovative Detector Based on Scintillating Fiber for Personalized Computed Tomography Dosimetry

Sensors ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 90
Author(s):  
Clément Devic ◽  
Johann Plagnard ◽  
Mélodie Munier
Keyword(s):  
Computed Tomography ◽  
Standard Deviation ◽  
Dose Rate ◽  
Real Time ◽  
Angular Dependence ◽  
Energy Dependence ◽  
Cumulative Dose ◽  
Rate Dependence ◽  
Maximum Deviation ◽  
Clinical Use

For technical and radioprotection reasons, it has become essential to develop new dosimetric tools adapted to the specificities of computed tomography (CT) to ensure precise and efficient dosimetry since the current standards are not suitable for clinical use and for new CT technological evolution. Thanks to its many advantages, plastic scintillating fibers (PSF) is a good candidate for more accurate and personalized real-time dosimetry in computed tomography, and the company Fibermetrix has developed a new device named IVISCAN® based on this technology. In this study, we evaluated performances of IVISCAN® and associated uncertainties in terms of dose-rate dependence, angular dependence, stability with cumulative dose, repeatability, energy dependence, length dependence, and special uniformity in reference and clinical computed tomography beam qualities. For repeatability, the standard deviation is less than 0.039%, and the absolute uncertainty of repeatability lies between 0.017% and 0.025%. The deviation between IVISCAN® and the reference regarding energy dependence is less than 1.88% in clinical use. Dose rate dependence results show a maximum deviation under ±2%. Angular dependence standard deviation σ is 0.8%, and the absolute uncertainty was 1.6%. We observed 1% of variation every 50 Gy steps up to a cumulative dose of 500 Gy. Probe response was found to be independent of the PSF length with a maximum deviation < 2.7% between the IVISCAN® probe and the 1 cm PSF probe. The presented results demonstrated that IVISCAN® performances are in accordance with metrology references and the international standard IEC61674 relative to dosemeters used in X-ray diagnostic imaging and then make it an ideal candidate for real-time dosimetry in CT applications.

Reproductive Effects of Low-to-Moderate Medical Radiation Exposure

2012 ◽  
Vol 19 (36) ◽  
pp. 6171-6177 ◽  
Author(s):  
G. Latini ◽  
L. Dipaola ◽  
A. Mantovani ◽  
E. Picano
Keyword(s):  
Radiation Exposure ◽  
Reproductive Effects ◽  
Medical Radiation ◽  
Medical Radiation Exposure

Radiation Exposure of Anaesthetists Visualised by Real-time Dosimetry

2019 ◽  
Vol 15 (2) ◽  
pp. 220-226
Author(s):  
Marcus Christian Müller ◽  
Michael Windemuth ◽  
Sophie Frege ◽  
Eva Nadine Striepens
Keyword(s):  
Radiation Exposure ◽  
Real Time ◽  
Vertebral Fractures ◽  
Plate Osteosynthesis ◽  
Plate Fixation ◽  
Femoral Fractures ◽  
Dose Monitoring ◽  
Osteoporotic Vertebral Fractures ◽  
Radiation Dose Monitoring ◽  
Dosimetry System

Background: Chronic exposure to occupational ionising radiation is seen as one reason for elevated cancer prevalence. </P><P> Objective: The aim of this retrospective study was to evaluate radiation exposure of anaesthetists by real-time dosimetry. Methods: Data of 296 patients were analyzed. Ten types of trauma operation procedures including osteosynthesis of upper and lower extremity fractures and minimally invasive stabilisation of traumatic and osteoporotic vertebral fractures were accomplished. Evaluation was performed by an occupational dosimetry system, which visualises anaesthetists radiation exposure feedback compared to surgeons in real-time. Results: A significantly lower radiation exposure to anaesthetists compared to surgeons was observed in four types of operative procedures: Plate fixation of proximal humerus fractures, osteosynthesis of proximal femoral fractures, stabilisation of traumatic and osteoporotic vertebral fractures. In four types of operations (plate osteosynthesis of proximal humeral, distal radial and tibial fractures and intramedullary nailing of the clavicle), anaesthetists` amount of radiation exceeded one-third of the surgeons' exposure, especially if the C-arm tube was positioned close to the anaesthetists work station at the patients' head. Conclusion: By using the occupational radiation dose monitoring system, radiation exposure to anaesthetists was visualised in real-time during trauma operations. Radiation exposure of anaesthetists depends on the type of operation and the position of the C-arm. The system may help to increase anaesthetists` awareness concerning radiation exposure and to enhance compliance in using radiation protection techniques.

scholarly journals The aiming device for cervical distractor pin insertion: a proof-of-concept, feasibility study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Torphong Bunmaprasert ◽  
Sittichai Luangkittikong ◽  
Menghong Tosinthiti ◽  
Supachoke Nivescharoenpisan ◽  
Raphi Raphitphan ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Feasibility Study ◽  
Vertebral Body ◽  
The Novel ◽  
Cervical Lordosis ◽  
Proof Of Concept ◽  
Entry Points ◽  
Free Hand Technique ◽  
Anterior Discectomy And Fusion ◽  
Vertebral Endplates

Abstract Background Restoration of cervical lordosis after anterior discectomy and fusion is a desirable goal. Proper insertion of the vertebral distraction or Caspar pin can assist lordotic restoration by either putting the tips divergently or parallel to the index vertebral endplates. With inexperienced surgeons, the traditional free-hand technique for Caspar pin insertion may require multiple insertion attempts that may compromise the vertebral body and increase radiation exposure during pin localization. Our purpose is to perform a proof-of-concept, feasibility study to evaluate the effectiveness of a pin insertion aiming device for vertebral distraction pin insertion. Methods A Smith-Robinson approach and anterior cervical discectomy were performed from C3 to C7 in 10 human cadaveric specimens. Caspar pins were inserted using a novel pin insertion aiming device at C3-4, C4-5, C5-6, and C6-7. The angles between the cervical endplate slope and Caspar pin alignment were measured with lateral cervical imaging. Results The average Superior Endplate-to-Caspar Pin angle (SE-CP) and the average Inferior Endplate-to-Caspar Pin angle (IE-CP) were 6.2 ± 2.0° and 6.3 ± 2.2° respectively. For the proximal pins, the SE-CP and the IE-CP were 4.0 ± 1.1°and 5.2 ± 2.4° respectively. For the distal pins, the SE-CP and the IE-CP were 7.7 ± 1.4° and 6.2 ± 2.0° respectively. No cervical endplate violations occurred. Conclusion The novel Caspar pin insertion aiming device can control the pin entry points and pin direction with the average SE-CP and average IE-CP of 6.2 ± 2.0° and 6.3 ± 2.2°, respectively. The study shows that the average different angles between the Caspar pin and cervical endplate are less than 7°.

scholarly journals Increased Delay Discounting on a Novel Real-Time Task among Girls, but not Boys, with ADHD

2015 ◽  
Vol 22 (1) ◽  
pp. 12-23 ◽  
Author(s):  
Keri S. Rosch ◽  
Stewart H. Mostofsky
Keyword(s):  
Real Time ◽  
Delay Discounting ◽  
Diagnostic Group ◽  
Group Differences ◽  
The Novel ◽  
Typically Developing ◽  
Subjective Ratings ◽  
Time Discounting ◽  
Children With Adhd ◽  
Girls With Adhd

AbstractThe aim of this study was to examine delay discounting in girls and boys with ADHD-Combined type (ADHD-C) relative to typically developing (TD) children on two tasks that differ in the extent to which the rewards and delays were experienced by participants. Children ages 8–12 years with ADHD-C (n=65; 19 girls) and TD controls (n=55; 15 girls) completed two delay discounting tasks involving a series of choices between smaller, immediate and larger, delayed rewards. The classic delay discounting task involved choices about money at delays of 1–90 days and only some of the outcomes were actually experienced by the participants. The novel real-time discounting task involved choices about an immediately consumable reward (playing a preferred game) at delays of 25–100 s, all of which were actually experienced by participants. Participants also provided subjective ratings of how much they liked playing the game and waiting to play. Girls with ADHD-C displayed greater delay discounting compared to boys with ADHD-C and TD girls and boys on the real-time discounting task. Diagnostic group differences were not evident on the classic discounting task. In addition, children with ADHD-C reported wanting to play the game more and liking waiting to play the game less than TD children. This novel demonstration of greater delay discounting among girls with ADHD-C on a discounting task in which the rewards are immediately consumable and the delays are experienced in real-time informs our understanding of sex differences and motivational processes in children with ADHD. (JINS, 2016, 22, 12–23)

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