![]() ![]() ![]() Although the use of ultrasound has gradually been increasing in recent years, procedures using C-arm fluoroscopic machines are still widely used in the treatment of pain. Various imaging devices are used to treat pain patients. This article aimed to review the literature on radiation safety in relation to C-arm fluoroscopy and provide recommendations to pain physicians during C-arm fluoroscopy-guided interventional pain management. Pain physicians should practice these principles and also be aware of the annual permissible radiation dose as well as checking their radiation exposure. It is also important to carefully select the C-arm fluoroscopy mode, such as pulsed mode or low-dose mode, for ensuring the physician’s and patient’s radiation safety. Taking images with collimation and minimal use of magnification are ways to reduce the intensity of the primary X-ray beam and the amount of scattered radiation. Some methods reduce not only the pain physician’s but also the patient’s radiation exposure. Pain physicians can reduce their radiation exposure by use of several effective methods, which utilize the following main principles: reducing the exposure time, increasing the distance from the radiation source, and radiation shielding. The major radiation exposure risk for most medical staff members is scattered radiation, the amount of which is affected by many factors. There are three types of radiation exposure sources: (1) the primary X-ray beam, (2) scattered radiation, and (3) leakage from the X-ray tube. Therefore, efforts are needed to reduce radiation exposure. However, with the increasing use of C-arm fluoroscopy, the risk of accumulated radiation exposure is a significant concern for pain physicians. C-arm fluoroscopy is a useful tool for interventional pain management. ![]()
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