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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Impact of Patient Head Posture on Lens Radiation Exposure During Cerebral Angiography

Su Jeong Yang, Jong-Tae Yoon, Jae-Chan Ryu, Byung Jun Kim, Mi Hyeon Kim, Boseong Kwon, Deok Hee Lee and Yunsun Song
American Journal of Neuroradiology January 2025, 46 (1) 102-106; DOI: https://doi.org/10.3174/ajnr.A8447
Su Jeong Yang
aFrom the Department of Radiology (S.J.Y.), Ajou University Hospital, Ajou University School of Medicine, Suwon, Republic of Korea
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  • ORCID record for Su Jeong Yang
Jong-Tae Yoon
bBiomedical Engineering Research Center (J.-T.Y., M.H.K.), Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea
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Jae-Chan Ryu
cDepartment of Neurology (J.-C.R), Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
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Byung Jun Kim
dAdvanced Therapies (B.J.K.), Siemens Healthineers Ltd, Seoul, Korea
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Mi Hyeon Kim
bBiomedical Engineering Research Center (J.-T.Y., M.H.K.), Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea
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Boseong Kwon
eDepartment of Radiology (B.K., D.H.L., Y.S.), Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Deok Hee Lee
eDepartment of Radiology (B.K., D.H.L., Y.S.), Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Yunsun Song
eDepartment of Radiology (B.K., D.H.L., Y.S.), Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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  • FIG 1.
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    FIG 1.

    Illustration of FOV change according to the head flexion angle: (A) neutral position, (B) flexion position, and (C) extension position. The dotted line represents the line from the petrous apex to the lens, while the curved arrow indicates the flexion angle, defined as the angle between the line from the petrous apex to the lens and the horizontal line of the FOV, presented as a white box. In the neutral position (A), the lens was located at the border of the FOV. In the flexion position (B), the lens shifted into the FOV. However, the lens was outside of the FOV and significantly further from the FOV in the extended position (C).

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    FIG 2.

    Scatterplots illustrating the relationships between (A) head flexion angle and lens dose, (B) AP diameter of the head and lens dose, and (C) head flexion angle and AP diameter of the head.

  • FIG 3.
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    FIG 3.

    Illustration of head position changes relative to the AP diameter of the head and the corresponding body shape: (A) a flexion position for an individual with a small head and body size, (B) a neutral position for an individual with an average-sized head and body, and (C) an extension position for an individual with a large head and body.

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  • Baseline characteristics of the patients (n = 20)

    CharacteristicsValues
    Age, years62.3 ± 9.9
    Female sex12 (60.0)
    AP diameter of the head, mm168.3 ± 6.8
    Flexion angle of the head, degrees6.0 ± 7.8
    Radiation dose to the lens, mGya,b
    Right eye3.30 ± 0.60
    Left eye9.18 ± 3.31
    Kerma area product, Gy·cm²21.6 ± 6.0
    AK, mGy134.0 ± 32.1
    • ↵a The radiation dose was measured during DSA and fluoroscopy.

    • ↵b P value was < .001. Paired t test was used to compare the lens doses between the eyes.

    • Data are presented as mean ± standard deviation or number (%).

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American Journal of Neuroradiology: 46 (1)
American Journal of Neuroradiology
Vol. 46, Issue 1
1 Jan 2025
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Cite this article
Su Jeong Yang, Jong-Tae Yoon, Jae-Chan Ryu, Byung Jun Kim, Mi Hyeon Kim, Boseong Kwon, Deok Hee Lee, Yunsun Song
Impact of Patient Head Posture on Lens Radiation Exposure During Cerebral Angiography
American Journal of Neuroradiology Jan 2025, 46 (1) 102-106; DOI: 10.3174/ajnr.A8447

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Impact of Head Posture on Angiography Exposure
Su Jeong Yang, Jong-Tae Yoon, Jae-Chan Ryu, Byung Jun Kim, Mi Hyeon Kim, Boseong Kwon, Deok Hee Lee, Yunsun Song
American Journal of Neuroradiology Jan 2025, 46 (1) 102-106; DOI: 10.3174/ajnr.A8447
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