ArticleScoliosis and spinal disorders2016
Radiation dose of digital radiography (DR) versus micro-dose x-ray (EOS) on patients with adolescent idiopathic scoliosis: 2016 SOSORT- IRSSD "John Sevastic Award" Winner in Imaging Research.
Article in Scoliosis and spinal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Exploring radiation-free scoliosis monitoring: systematic review and meta-analysis of non-ionizing methods.BMC musculoskeletal disorders · 2025Pooled it
- Reliability and validity of lateral curvature assessments using clinical ultrasound for the patients with scoliosis: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Pooled it
- A scoping review on the application of new technology in the screening and diagnosis of adolescent idiopathic scoliosis.Spine deformity · 2026Review
- Biplanar EOS screening in children with hereditary multiple osteochondromas: a feasible screening method?Frontiers in pediatrics · 2025Article
- Comparison of Standing Side Bending Using Biplanar Stereography and Fulcrum Bending for Flexibility Assessment of Adolescent Idiopathic Scoliosis.Journal of clinical medicine · 2024Article
- A Whole-Spine Radiography Study to Reduce Patient Exposure Dose and Artifacts Using the EOS Imaging System.Bioengineering (Basel, Switzerland) · 2024Article
- EOSedge vs. standard digital radiography: image quality and dose exposure in hip-focused scanning.Archives of orthopaedic and trauma surgery · 2024Article
- Health technology assessment in musculoskeletal radiology: the case study of EOSedge™.La Radiologia medica · 2024Article
- Efficacy and safety of the orthopaedic manipulation techniques of the Lin School of Lingnan Region in the treatment of adolescent idiopathic scoliosis: protocol of a participant-and-assessor-blinded randomized controlled study.BMC musculoskeletal disorders · 2024Article
- Performance and reliability assessment of a lower dose, task-based scoliosis radiography protocol in pediatric patients.Pediatric radiology · 2024Article
- Article
- Comparison of Cobb angle measurements for scoliosis assessment using different imaging modalities: a systematic review.EFORT open reviews · 2023Article
- ASSESSMENT OF PCXMC MONTE CARLO SIMULATIONS IN SLOT-SCANNING-BASED EXAMINATIONS: COMPARISON WITH IN-PHANTOM THERMOLUMINESCENT DOSIMETRY.Radiation protection dosimetry · 2023Article
- Validity and Reliability of a Non-Radiographic Postural Analysis Device Based on an RGB-Depth Camera Comparing EOS 3D Imaging: A Prospective Observational Study.Healthcare (Basel, Switzerland) · 2023Article
- Appraisal of the New Posture Analyzing and Virtual Reconstruction Device (PAViR) for Assessing Sagittal Posture Parameters: A Prospective Observational Study.International journal of environmental research and public health · 2022Observational
- The influence of maturation, fitness, and hormonal indices on minutes played in elite youth soccer players: a cross-sectional study.BMC sports science, medicine & rehabilitation · 2022Article
- Generative Adversarial Network (GAN) for Automatic Reconstruction of the 3D Spine Structure by Using Simulated Bi-Planar X-ray Images.Diagnostics (Basel, Switzerland) · 2022Article
- Exploring interactions between maturity status and playing time with fluctuations in physical fitness and hormonal markers in youth soccer players.Scientific reports · 2022Article
- Radiation in Adolescent Idiopathic Scoliosis Management: Estimated Cumulative Pre-Operative, Intra-Operative, and Post-Operative Exposure.Orthopedic research and reviews · 2022Article
- Comparison of slot-scanning standing, supine, and fulcrum radiographs for assessment of curve flexibility in adolescent idiopathic scoliosis: a pilot study.Spine deformity · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with adolescent idiopathic scoliosis (AIS) frequently receive x-ray imaging at diagnosis and subsequent follow monitoring. The ionizing radiation exposure has accumulated through their development stage and the effect of radiation to this young vulnerable group of patients is uncertain. To achieve the ALARA (as low as reasonably achievable) concept of radiation dose in medical imaging, a slot-scanning x-ray technique by the EOS system has been adopted and the radiation dose using micro-dose protocol was compared with the standard digital radiography on patients with AIS.
methodsNinety-nine participants with AIS underwent micro-dose EOS and 33 underwent standard digital radiography (DR) for imaging of the whole spine. Entrance-skin dose was measured using thermoluminescent dosimeters (TLD) at three regions (i.e. dorsal sites at the level of sternal notch, nipple line, symphysis pubis). Effective dose and organ dose were calculated by simulation using PCXMC 2.0. Data from two x-ray systems were compared using independent-samples t-test and significance level at 0.05. All TLD measurements were conducted on PA projection only. Image quality was also assessed by two raters using Cobb angle measurement and a set of imaging parameters for optimization purposes.
resultsEntrance-skin dose from micro-dose EOS system was 5.9-27.0 times lower at various regions compared with standard DR. The calculated effective dose was 2.6 ± 0.5 (μSv) and 67.5 ± 23.3 (μSv) from micro-dose and standard DR, respectively. The reduction in the micro-dose was approximately 26 times. Organ doses at thyroid, lung and gonad regions were significantly lower in micro-dose (
conclusionsEntrance-skin dose, effective dose and organ dose were significantly reduced in micro-dose x-ray. The effective dose of a single micro-dose x-ray (2.6 μSv) was less than a day of background radiation. As AIS patients require periodic x-ray follow up for surveillance of curve progression, clinical use of micro-dose x-ray system is beneficial for these young patients to reduce the intake of ionizing radiation.
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