Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures
Background: Vertebral augmentation (VA) procedures are used to treat painful vertebral fractures caused by malignancies, but there are few data on the radiation exposure for patients and proceduralists during these VA procedures. We retrospectively examined the radiation dose exposure during VA proc...
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MDPI AG
2024-12-01
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| Series: | Radiation |
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| Online Access: | https://www.mdpi.com/2673-592X/4/4/28 |
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| author | Carlos J. Roldan Thomas Chai Lei Feng Ian Huh Billy Huh |
| author_facet | Carlos J. Roldan Thomas Chai Lei Feng Ian Huh Billy Huh |
| author_sort | Carlos J. Roldan |
| collection | DOAJ |
| description | Background: Vertebral augmentation (VA) procedures are used to treat painful vertebral fractures caused by malignancies, but there are few data on the radiation exposure for patients and proceduralists during these VA procedures. We retrospectively examined the radiation dose exposure during VA procedures and defined the characteristics of patients who underwent such procedures. Methods: We conducted a retrospective observational cohort study including patients with cancer who experienced axial back pain from compression fractures caused by malignancies. Participants were identified using an electronic medical records database and must have had evidence of stable vertebral compression fractures upon imaging and documentation of a clinical evaluation. We collected data on patient demographics, fluoroscopy time (FT) and dose (FD) during the procedure, the volume of polymethylmethacrylate injected, and reported complications. Results: Overall, 140 patients were included. Their median age was 69, and they were mostly men (n = 79). The most common diagnosis was multiple myeloma (41.4%). Most patients had a single-level compression fracture of the thoracolumbar spine. The mean FT was 233.80 s, with higher FTs for patients with an elevated body mass index and patients younger than 60 years. The average FD was 157.98 mGy, with higher FDs for patients with an elevated BMI and for male patients. Pain relief was not associated with FT or FD. Conclusions: Patients with cancer who underwent VA experienced longer FT and higher FD compared to their non-cancer counterparts in the literature. However, we found multiple confounders for this relationship. |
| format | Article |
| id | doaj-art-e1984cac242140cfa880118d47aec760 |
| institution | DOAJ |
| issn | 2673-592X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Radiation |
| spelling | doaj-art-e1984cac242140cfa880118d47aec7602025-08-20T02:43:47ZengMDPI AGRadiation2673-592X2024-12-014436937710.3390/radiation4040028Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant FracturesCarlos J. Roldan0Thomas Chai1Lei Feng2Ian Huh3Billy Huh4Department of Pain Medicine, Unit 409, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USADepartment of Pain Medicine, Unit 409, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USADepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USASchool of Public Health, University of Texas Health Houston, Houston, TX 77030, USADepartment of Pain Medicine, Unit 409, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USABackground: Vertebral augmentation (VA) procedures are used to treat painful vertebral fractures caused by malignancies, but there are few data on the radiation exposure for patients and proceduralists during these VA procedures. We retrospectively examined the radiation dose exposure during VA procedures and defined the characteristics of patients who underwent such procedures. Methods: We conducted a retrospective observational cohort study including patients with cancer who experienced axial back pain from compression fractures caused by malignancies. Participants were identified using an electronic medical records database and must have had evidence of stable vertebral compression fractures upon imaging and documentation of a clinical evaluation. We collected data on patient demographics, fluoroscopy time (FT) and dose (FD) during the procedure, the volume of polymethylmethacrylate injected, and reported complications. Results: Overall, 140 patients were included. Their median age was 69, and they were mostly men (n = 79). The most common diagnosis was multiple myeloma (41.4%). Most patients had a single-level compression fracture of the thoracolumbar spine. The mean FT was 233.80 s, with higher FTs for patients with an elevated body mass index and patients younger than 60 years. The average FD was 157.98 mGy, with higher FDs for patients with an elevated BMI and for male patients. Pain relief was not associated with FT or FD. Conclusions: Patients with cancer who underwent VA experienced longer FT and higher FD compared to their non-cancer counterparts in the literature. However, we found multiple confounders for this relationship.https://www.mdpi.com/2673-592X/4/4/28vertebral augmentationionizing radiationfluoroscopy timepain relief |
| spellingShingle | Carlos J. Roldan Thomas Chai Lei Feng Ian Huh Billy Huh Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures Radiation vertebral augmentation ionizing radiation fluoroscopy time pain relief |
| title | Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures |
| title_full | Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures |
| title_fullStr | Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures |
| title_full_unstemmed | Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures |
| title_short | Fluoroscopy Dose and Time During Vertebral Augmentation for Spine Pain Due to Malignant Fractures |
| title_sort | fluoroscopy dose and time during vertebral augmentation for spine pain due to malignant fractures |
| topic | vertebral augmentation ionizing radiation fluoroscopy time pain relief |
| url | https://www.mdpi.com/2673-592X/4/4/28 |
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