Variables influencing radiation exposure during extracorporeal shock wave lithotripsy. Review of 298 treatments

Journal Article · Mon Nov 30 23:00:00 EST 1987 · Urology (Ridgewood, N.J.); (United States)

DOI:https://doi.org/10.1016/0090-4295(87)90433-X· OSTI ID:5602830

Carter, H B; Naeslund, E B.R.; Riehle, Jr, R A

Retrospective review of 298 extracorporeal shock wave lithotripsy (ESWL) treatments was undertaken to determine the factors which influence radiation exposure during ESWL. Fluoroscopy time averaged 160 seconds (3-509), and the average number of spot films taken per patient was 26 (5-68). The average stone burden was 19.3 mm (3-64). Average calculated skin surface radiation exposure was 17.8 R per treatment. Radiation exposure increased with increasing stone burden and patient weight. Stones treated in the ureter resulted in a higher average patient radiation exposure than for renal stones (19 R vs 16 R), even though the average size of these ureteral stones (11.3 mm) was significantly less than the mean. However, type of anesthetic (general or regional) used was not a significant factor. Operator training, experience, and familiarity with radiation physics should significantly decrease the amount of imaging time and consequent patient radiation exposure during ESWL.

• Research Organization: Cornell Medical Center, NY
• OSTI ID: 5602830
• Journal Information: Urology (Ridgewood, N.J.); (United States), Journal Name: Urology (Ridgewood, N.J.); (United States) Vol. 30:6; ISSN URGYA
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOMEDICAL RADIOGRAPHY
BODY
CALCULI
DIAGNOSTIC TECHNIQUES
DOSES
FLUOROSCOPY
HAZARDS
HEALTH HAZARDS
KIDNEYS
MEDICINE
MONITORING
NUCLEAR MEDICINE
ORGANS
PATIENTS
RADIATION DOSES
RADIATION HAZARDS
RADIATION MONITORING
RADIOLOGY
SHOCK WAVES
SKIN
ULTRASONOGRAPHY
URINARY TRACT