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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticlePatient Safety

Radiation Dose for 345 CT-Guided Interlaminar Lumbar Epidural Steroid Injections

A.L. Chang, A.H. Schoenfeld, A.L. Brook and T.S. Miller
American Journal of Neuroradiology October 2013, 34 (10) 1882-1886; DOI: https://doi.org/10.3174/ajnr.A3540
A.L. Chang
aFrom the Department of Radiology (A.L.C., A.H.S., A.L.B., T.S.M.), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
bDepartment of Radiological Sciences (A.L.C.), University of California, Irvine, California.
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A.H. Schoenfeld
aFrom the Department of Radiology (A.L.C., A.H.S., A.L.B., T.S.M.), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
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A.L. Brook
aFrom the Department of Radiology (A.L.C., A.H.S., A.L.B., T.S.M.), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
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T.S. Miller
aFrom the Department of Radiology (A.L.C., A.H.S., A.L.B., T.S.M.), Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
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    Fig 1.

    Approximate anatomic region used in ImPACT dosimetry software.

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    Fig 2.

    CT guidance used to localize the epidural space with adequate visualization by use of air contrast.

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    Fig 3.

    Limited resolution with 50 mA on a patient with a very large body habitus.

Tables

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  • List of all outliers at 2 SDs above the mean, and their causes

    Patient No.DLP (mGy·cm)Scan ParameterCause
    1826.91120 kVp 460 mATechnical error, patient morbidly obese
    2551.78120 kVp 150 mAPatient morbidly obese
    3362.39120 kVp 150 mAPatient morbidly obese
    4319.39120 kVp 100 mAPatient morbidly obese
    5306.79120 kVp 200 mAPatient morbidly obese
    6257.26120 kVp 100 mAPatient morbidly obese, long procedure time
    7216.66120 kVp 50 mAPatient morbidly obese, technically difficult, long procedure time
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American Journal of Neuroradiology: 34 (10)
American Journal of Neuroradiology
Vol. 34, Issue 10
1 Oct 2013
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Cite this article
A.L. Chang, A.H. Schoenfeld, A.L. Brook, T.S. Miller
Radiation Dose for 345 CT-Guided Interlaminar Lumbar Epidural Steroid Injections
American Journal of Neuroradiology Oct 2013, 34 (10) 1882-1886; DOI: 10.3174/ajnr.A3540

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Radiation Dose for 345 CT-Guided Interlaminar Lumbar Epidural Steroid Injections
A.L. Chang, A.H. Schoenfeld, A.L. Brook, T.S. Miller
American Journal of Neuroradiology Oct 2013, 34 (10) 1882-1886; DOI: 10.3174/ajnr.A3540
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  • Radiation Dose Reduction in CT-Guided Spine Biopsies Does Not Reduce Diagnostic Yield
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    Clinical Imaging 2016 40 6
  • Therapeutische Injektion und Manuelle Medizin beim tiefen Rückenschmerz
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