Research summary, original research, 2016

Spot fluoroscopy: a novel innovative approach to reduce radiation dose in neurointerventional procedures

Borota L, Jangland L, Åslund PE, Ronne-Engström E, Nyberg C, Mahmoud E, et al.. Acta radiologica (Stockholm, Sweden : 1987). 2016

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In plain language

In 35 patients undergoing aneurysm coiling, spot fluoroscopy roughly halved fluoroscopic dose-area product without lengthening fluoroscopy time. Staff dose was not measured, though lower dose-area product (DAP) generally means less scatter for the fluoroscopy team.

At a glance

Type of study
Original research, Randomized trial
Who was studied
Patients
Size
n = 35 patients
Summary based on
the full text

What it found

  • Spot fluoroscopy roughly halved total fluoroscopic dose-area product compared with conventional fluoroscopy during aneurysm coiling.

    Key figures: 106.21 vs 51.80 Gycm2; p = 0.03884 (abstract reports p = 0.003884)

  • Fluoroscopic DAP rate was significantly lower with spot fluoroscopy.

    Key figures: 1.42 vs 0.83 Gycm2/min; p = 0.00106

  • Fluoroscopy time did not differ between groups.

    Key figures: p = 0.70782

  • Air kerma at the interventional reference point did not differ significantly, as skin dose is held constant by design.

    Key figures: 1.54 Gy vs 1.33 Gy; p = 0.48906

Limits to keep in mind

Small single-center trial stopped early (35 of planned 50 patients), non-blinded and operator-dependent; only patient dose indices were measured, so staff dose reduction is inferred rather than shown. Reported p-values and SDs are inconsistent between abstract and results.

How this summary was made

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Prepared November 3, 2026.