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Evaluation of geometric and exposure parameters used in fluoroscopically-guided neuro-interventional procedures

  • SUNY Buffalo

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

The imaging parameters used in neurointerventional procedures were evaluated to better understand the exposure techniques used clinically and their impact on patient dose. All parameters are available on the imaging system’s network bus in real time for each exposure pulse during a procedure. The Canon Dose Tracking System (DTS), which we developed, records the parameters of each exposure event in a raw data log file of controller area network (CAN) packets. We have collected such log files for 120 neurointerventional cases. Parameters are extracted by converting the raw data log file to a reformatted text file using a MATLAB script. The text file is input into a Microsoft Visual Studio project which outputs a new text file, which, with a reference table, allows the parameters to be identified. A written Python script is used to extract the specific parameters that were to be evaluated and output a .csv file. These were then input into MATLAB for analysis. The parameters extracted were the kVp, beam filter type, mAs, and the cranial/caudal angle as well as the RAO/LAO angle for the frontal and lateral gantries for DA and pulsed fluoroscopy (PF) modes. The gantry angles ranged from 340 CRA to 420 CAU and from 1140 RAO to 910 LAO for DA and PF, respectively. The median kVp was 84 and 73 and the average per frame mAs was about 11 and 1.8 for DA and PF, respectively. This analysis should allow a better understanding of clinical practice in order to relate technique to patient and staff dose.

Original languageEnglish
Title of host publicationMedical Imaging 2020
Subtitle of host publicationPhysics of Medical Imaging
EditorsGuang-Hong Chen, Hilde Bosmans
PublisherSPIE
ISBN (Electronic)9781510633919
DOIs
StatePublished - 2020
EventMedical Imaging 2020: Physics of Medical Imaging - Houston, United States
Duration: Feb 16 2020Feb 19 2020

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume11312
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2020: Physics of Medical Imaging
Country/TerritoryUnited States
CityHouston
Period02/16/2002/19/20

Keywords

  • DTS
  • Exposure parameters
  • Fluoroscopy
  • Geometric
  • Neuro-interventional

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