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利用基于计算机的培训和模拟系统提高 C 臂操作和辐射防护的教育水平。

Improving education on C-arm operation and radiation protection with a computer-based training and simulation system.

机构信息

Department of Information and Communication, Faculty III, University of Applied Sciences and Arts, Hannover, Germany.

出版信息

Int J Comput Assist Radiol Surg. 2009 Jun;4(4):399-407. doi: 10.1007/s11548-009-0322-1. Epub 2009 May 13.

DOI:10.1007/s11548-009-0322-1
PMID:20033587
Abstract

PURPOSE

To discuss an approach to improve education in C-arm operation and reduction of radiation hazards based on a computer based training and simulation system called virtX.

METHODS

virtX is equipped with a visualization of scattered radiation and means to include patient positioning changes in radiograph simulation. virtX was integrated in a course for ORP and evaluated based on questionnaires.

RESULTS

Response rate was 73 (n = 77), mean age 35.4 (+/-9.2) and professional experience 11.2+/- 10.4 years. 91% use a C-arm regularly, 8% casually and 1% not. 78% agree that the translation of patient dummy positioning changes to simulated X-ray images is sufficiently realistic, 1% disagree (neutral 17%). 79% state that they acquired new knowledge concerning avoiding unnecessary radiation exposure, 10% do not (neutral 11%).

CONCLUSIONS

The virtX-approach of simulating radiograph generation including patient positioning and scattered radiation was evaluated positively concerning its suitability for imparting knowledge regarding radiation protection and C-arm operation.

摘要

目的

讨论一种基于名为 virtX 的计算机培训和模拟系统,提高 C 臂操作和减少辐射危害的教育方法。

方法

virtX 配备了散射辐射的可视化功能,并能够在放射模拟中包含患者定位变化。将 virtX 整合到 ORP 课程中,并基于问卷调查进行评估。

结果

回复率为 73(n=77),平均年龄为 35.4(+/-9.2)岁,专业经验为 11.2(+/-10.4)年。91%的人经常使用 C 臂,8%的人偶尔使用,1%的人不使用。78%的人认为将患者模拟定位变化转换为模拟 X 射线图像的效果非常逼真,1%的人不同意(中立占 17%)。79%的人表示他们获得了有关避免不必要辐射暴露的新知识,10%的人没有(中立占 11%)。

结论

virtX 模拟放射成像生成,包括患者定位和散射辐射的方法,在传授辐射防护和 C 臂操作知识方面被评估为具有适用性。

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Measurement of the dose of radiation to the surgeon during surgery to the foot and ankle.足部和踝关节手术过程中外科医生所接受辐射剂量的测量。
J Bone Joint Surg Br. 2007 Aug;89(8):1060-3. doi: 10.1302/0301-620X.89B8.19529.
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A systematic review of medical skills laboratory training: where to from here?
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Real-time, ray casting-based scatter dose estimation for c-arm x-ray system.基于光线投射的C型臂X射线系统实时散射剂量估计
J Appl Clin Med Phys. 2017 Mar;18(2):144-153. doi: 10.1002/acm2.12036. Epub 2017 Jan 24.
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Seeing is believing: increasing intraoperative awareness to scattered radiation in interventional procedures by combining augmented reality, Monte Carlo simulations and wireless dosimeters.眼见为实:通过结合增强现实、蒙特卡罗模拟和无线剂量计提高介入手术中对散射辐射的术中感知。
Int J Comput Assist Radiol Surg. 2015 Aug;10(8):1181-91. doi: 10.1007/s11548-015-1161-x. Epub 2015 Feb 26.
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