Abstract
The use of fluoroscopy has revolutionized interventional pain management. Fluoroscopy is required in advanced procedures where precise needle placement is necessary. The increasing use of fluoroscopy necessitates that the pain physician be aware of radiation safety to limit the radiation exposure to the patient and personnel. The factors affecting radiation exposure to personnel include the time or duration of x-ray exposure, distance from the source of the x-rays, and protection from the radiation. It should be noted that the major source of radiation to personnel is the patient or fluoroscopy table which serves as a conduit for scattered radiation. There remains a significant dearth of published data on interventions to minimize cumulative radiation exposure in interventional pain physicians. In the small number of available studies, it does appear that procedural and equipment changes, peer-based education, coaching, and shielding improvements effectively reduce radiation exposure in interventional pain physicians.
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