Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
    • COVID-19 Content and Resources
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Other Publications
    • ajnr

User menu

  • Subscribe
  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

  • Subscribe
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
    • COVID-19 Content and Resources
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds
Research ArticlePatient Safety

Lateral Decubitus Positioning for Cervical Nerve Root Block Using CT Image Guidance Minimizes Effective Radiation Dose and Procedural Time

T.S. Miller, K. Fruauff, J. Farinhas, D. Pasquale, C. Romano, A.H. Schoenfeld and A. Brook
American Journal of Neuroradiology January 2013, 34 (1) 23-28; DOI: https://doi.org/10.3174/ajnr.A3158
T.S. Miller
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
K. Fruauff
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J. Farinhas
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
D. Pasquale
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
C. Romano
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
A.H. Schoenfeld
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
A. Brook
aFrom the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Bogduk N
    . The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am 2011;22:367–82, vii
    CrossRefPubMed
  2. 2.↵
    1. Vallée JN,
    2. Feydy A,
    3. Carlier RY,
    4. et al
    . Chronic cervical radiculopathy: lateral-approach periradicular corticosteroid injection. Radiology 2001;218:886–92
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. Stout A
    . Epidural steroid injections for cervical radiculopathy. Phys Med Rehabil Clin N Am 2011;22:149–59
    CrossRefPubMed
  4. 4.↵
    1. Schellhas KP,
    2. Pollei SR,
    3. Johnson BA,
    4. et al
    . Selective cervical nerve root blockade: experience with a safe and reliable technique using an anterolateral approach for needle placement. AJNR Am J Neuroradiol 2007;28:1909–14
    Abstract/FREE Full Text
  5. 5.↵
    1. Lee JH,
    2. Lee SH
    . Comparison of clinical effectiveness of cervical transforaminal steroid injection according to different radiological guidances (C-arm fluoroscopy vs. computed tomography fluoroscopy). Spine J 2011;11:416–23
    CrossRefPubMed
  6. 6.↵
    1. Wolter T,
    2. Knoeller S,
    3. Berlis A,
    4. et al
    . CT-guided cervical selective nerve root block with a dorsal approach. AJNR Am J Neuroradiol 2010;31:1831–36
    Abstract/FREE Full Text
  7. 7.↵
    1. Wagner AL
    . CT fluoroscopic-guided cervical nerve root blocks. AJNR Am J Neuroradiol 2005;26:43–44
    Abstract/FREE Full Text
  8. 8.↵
    1. Hoang JK,
    2. Apostol MA,
    3. Kranz PG,
    4. et al
    . CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material. AJR Am J Roentgenol 2010;195:888–94
    CrossRefPubMed
  9. 9.↵
    1. Bartynski WS,
    2. Whitt DS,
    3. Sheetz MA,
    4. et al
    . Lower cervical nerve root block using CT fluoroscopy in patients with large body habitus: another benefit of the swimmer's position. AJNR Am J Neuroradiol 2007;28:706–08
    Abstract/FREE Full Text
  10. 10.↵
    1. Kranz PG,
    2. Raduazo P,
    3. Gray L,
    4. et al
    . CT fluoroscopy-guided cervical interlaminar steroid injections: safety, technique, and radiation dose parameters. AJNR Am J Neuroradiol 2012 Mar 1. [Epub ahead of print]
  11. 11.↵
    1. Chang A,
    2. Pochert S,
    3. Romano C,
    4. et al
    . Safety of 1000 CT-guided steroid injections with air used to localize the epidural space. AJNR Am J Neuroradiol 2011;32:E175–77
    Abstract/FREE Full Text
  12. 12.↵
    1. Huda W,
    2. Ogden KM,
    3. Khorasani MR
    . Converting dose-length product to effective dose at CT. Radiology 2008;248:995–1003
    CrossRefPubMedWeb of Science
  13. 13.↵
    1. Sacks D,
    2. McClenny TE,
    3. Cardella JF,
    4. et al
    . Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 2003;14(9 pt 2):S199–202
    CrossRefPubMed
  14. 14.↵
    1. Scanlon G,
    2. Moeller-Bertram T,
    3. Romanowsky S
    . Cervical transforaminal epidural steroid injections: more dangerous than we think? Spine (Phila Pa 1976) 2007;32:2638
  15. 15.↵
    1. Mettler FA,
    2. Huda W,
    3. Yoshizumi TT,
    4. et al
    . Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 2008;248:254–63
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Shepherd TM,
    2. Hess CP,
    3. Chin CT,
    4. et al
    . Reducing patient radiation dose during CT-guided procedures: demonstration in spinal injections for pain. AJNR Am J Neuroradiol 2011;32:1776–82
    Abstract/FREE Full Text
  17. 17.↵
    1. Brenner DJ,
    2. Hall EJ
    . Computed tomography: an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–84
    CrossRefPubMedWeb of Science
  18. 18.↵
    1. Nickoloff EL,
    2. Dutta AK,
    3. Lu ZF
    . Influence of phantom diameter, kVp and scan mode upon computed tomography dose index. Med Phys 2003;30:395–402
    CrossRefPubMedWeb of Science
  19. 19.↵
    American Association of Physicists in Medicine Task Group 204, in collaboration with the International Commission on Radiation Units and Measurements and the Image Gently Campaign. Size-Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations. College Park, Maryland: American Association of Physicists in Medicine; 2011
  20. 20.↵
    1. McCollough CH,
    2. Leng S,
    3. Yu L,
    4. et al
    . CT dose index and patient dose: they are not the same thing. Radiology 2011;259:311–16
    CrossRefPubMedWeb of Science
  21. 21.↵
    1. Leng S,
    2. Vrieze T,
    3. Yu L,
    4. et al
    . A direct skin dose calculation method in CT scans without table motion: influence of patient size and beam collimation. In: Proceedings of the 52nd Annual Meeting of the American Association of Physicists in Medicine, Philadelphia, Pennsylvania. July 18–22, 2010
  22. 22.↵
    1. Zhang D,
    2. Cagnon CH,
    3. Villablanca JP,
    4. et al
    . Peak skin and eye lens radiation dose from brain perfusion CT based on Monte Carlo simulation. AJR Am J Roentgenol 2012;198:412–17
    CrossRefPubMedWeb of Science
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 34 (1)
American Journal of Neuroradiology
Vol. 34, Issue 1
1 Jan 2013
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Lateral Decubitus Positioning for Cervical Nerve Root Block Using CT Image Guidance Minimizes Effective Radiation Dose and Procedural Time
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Lateral Decubitus Positioning for Cervical Nerve Root Block Using CT Image Guidance Minimizes Effective Radiation Dose and Procedural Time
T.S. Miller, K. Fruauff, J. Farinhas, D. Pasquale, C. Romano, A.H. Schoenfeld, A. Brook
American Journal of Neuroradiology Jan 2013, 34 (1) 23-28; DOI: 10.3174/ajnr.A3158

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Lateral Decubitus Positioning for Cervical Nerve Root Block Using CT Image Guidance Minimizes Effective Radiation Dose and Procedural Time
T.S. Miller, K. Fruauff, J. Farinhas, D. Pasquale, C. Romano, A.H. Schoenfeld, A. Brook
American Journal of Neuroradiology Jan 2013, 34 (1) 23-28; DOI: 10.3174/ajnr.A3158
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Comparison of CT and fluoroscopic guidance for lumbar puncture in an obese population with prior failed unguided attempt
  • Optimal Contrast Concentration for CT-Guided Epidural Steroid Injections
  • Radiation Dose for 345 CT-Guided Interlaminar Lumbar Epidural Steroid Injections
  • Is There a Need for Contrast Administration Prior to CT-Guided Cervical Nerve Root Block?
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Impact of Kidney Function on CNS Gadolinium Deposition in Patients Receiving Repeated Doses of Gadobutrol
  • Contrast-Induced Acute Kidney Injury in Radiologic Management of Acute Ischemic Stroke in the Emergency Setting
  • Nephrogenic Systemic Fibrosis Risk Assessment and Skin Biopsy Quantification in Patients with Renal Disease following Gadobenate Contrast Administration
Show more Patient Safety

Similar Articles

Advertisement

News and Updates

  • Lucien Levy Best Research Article Award
  • Thanks to our 2022 Distinguished Reviewers
  • Press Releases

Resources

  • Evidence-Based Medicine Level Guide
  • How to Participate in a Tweet Chat
  • AJNR Podcast Archive
  • Ideas for Publicizing Your Research
  • Librarian Resources
  • Terms and Conditions

Opportunities

  • Share Your Art in Perspectives
  • Get Peer Review Credit from Publons
  • Moderate a Tweet Chat

American Society of Neuroradiology

  • Neurographics
  • ASNR Annual Meeting
  • Fellowship Portal
  • Position Statements

© 2023 by the American Society of Neuroradiology | Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire