The fluoroscopy procedure is an imaging technique that gathers real-time moving images using a fluoroscope of internal structures of patients. A fluoroscope consists of a fluorescent screen and an x-ray beam passing through your body. It mimics an x-ray movie, where continuous images display on a monitor.

Fluoroscopy is extremely helpful to surgeons while they’re performing surgical procedures. It enables doctors to see moving structures of the body and helps with diagnosing diseases. Fluoroscopy offers enormous benefits over invasive surgical procedures since it requires a tiny incision, significantly reducing your risk of infection and recovery time.

A doctor can use fluoroscopy for any of the following reasons:

• Orthopedic surgery: Surgery concerned with musculoskeletal system conditions.
• Catheter insertion: Inserting a tube into the body.
• Blood flow studies: Visualizing the flow of blood to the organs.
• Enemas: Inserting a rubber tip into the rectum.
• Angiography: x-rays of lymph or blood vessels, including heart, leg and cerebral vessels.
• Urological surgery: Surgery of the urinary tract and sex organs.
• Pacemaker implantation: Implanting a small electronic device in the chest.

Fluoroscopy Risks

There are some minor risks associated with fluoroscopy. Because it uses x-ray technology, you have some radiation exposure. The amount you absorb varies depending on the procedure length and your size. Some individuals could experience radiation-induced injury to their skin that results in “burns” of their skin tissue.

Also, no matter what amount of radiation exposure you receive, there’s always the small risk of developing radiation-induced cancer down the road. When you require a fluoroscopic procedure, the advantages often far outweigh the risks.

While the fluoroscopy procedure isn’t painful in itself, some aspects of preparing for the test, such as accessing a vein or artery for angiography or injection into a joint, may be painful. In these situations, our Envision Imaging technologist takes possible measures to make you comfortable. These could include:

• Conscious sedation: Medications to make you sleepy.
• Local anesthesia: These are numbing medications.
• General anesthesia: Medications that put you to sleep, so you don’t feel pain.

You may have other risks depending on your health status. When performed by highly skilled, board-certified radiologic technologists, medically appropriate fluoroscopy examination benefits often outweigh the risks. Further, the Food and Drug Administration (FDA) regulates all fluoroscopy machines, and they must meet specific criteria to be considered effective and safe.

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Journal of Medical Physics and Applied Sciences

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