© 2021 Journal of Bone & Joint Surgery, Inc. (JBJS)
For clinical, educational, or research purposes, free reuse of the image is permitted with appropriate attribution to the published article as the original source. Reproduction of the image for any commercial use requires permission from [email protected]
Methods for Reducing Intraoperative Breast Radiation Exposure of Orthopaedic Surgeons
Van Nortwick et al. (2021) | DOI: 10.2106/JBJS.20.02024
Protecting the Breasts from Intraoperative Radiation in Orthopaedic Surgeons
However, during surgeries, these vests inadequately shield the upper outer
quadrant (UOQ)...
Lead sleeves and axillary supplements protect the breast UOQ from scatter radiation irrespective of operative scenario
For regular lead vest 97.4
Decreased significantly 0.8 using sleeves
Decreased significantly 1.3 using axillary supplements
No significant decrease 59.4 using wing attachments
92.7 20.5 Anteroposterior projection
Anthropomorphic torso phantom
(simulating the female surgeon)
...which is the most common breast cancer site and extends into the axilla
UOQ UOQ
UOQ UOQ
Radiation
measured on UOQ of each breast
C-arm
fluoroscopy
• Anteroposterior
• Cross-table lateral
C-arm positions
• No lead
• Lead vest
• Vest + wings
• Vest + sleeves
• Vest + axillary supplements
Protection configurations
• Facing the table
• 90° to the table
Surgeon positions
Mean scatter radiation to UOQ (mrem/hr) for all testing Study simulated a surgical setting to evaluate efficacy
of lead vest supplements in reducing breast radiation exposure
Cross-table lateral
