Occupational exposure to imaging in orthopedics and radiation safety / 中国医师杂志

ABSTRACT

Minimally invasive surgery has become a trend in modern orthopedic surgery,and the demand for intraoperative imaging has gradually increased.Good intraoperative imaging can assist the orthopaedic surgeon in accurately positioning the anatomy and placing the internal fixation.However,intraoperative imaging inevitably exposes the orthopaedic surgeon and patient to ionizing radiation,and radiation exposure can induce DNA damage and reactive oxygen species.Production results in cell damage that often leads to cell death or genomic instability leading to increased risk of various radiation-related conditions,including malignancy.Although the traditional intraoperative fluoroscopy operating room will be equipped with lead clothing and lead collar to reduce radiation exposure,it is not known whether the lead clothing and lead-covered parts are safe.Therefore,radiation safety has become an inevitable problem for orthopedic surgeons in intraoperative imaging,and how to effectively reduce and avoid unnecessary exposure to ionizing radiation is particularly important for bone surgeons and patients.This article aims to review the occupational exposure and radiation safety of intraoperative imaging in orthopaedic surgery.