{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:12:03Z","timestamp":1770754323204,"version":"3.50.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the impact of a protocol for standardized image capture during video urodynamics (VUD) on radiation exposure. Secondly, to categorize radiation exposure by condition warranting VUD and to identify clinical variables that correlate with increased radiation exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred fifty patients underwent VUD using our standardized protocol. All images were taken using low dose and pulsed settings. Four images are captured: one scout image, one filling image, one voiding image, and one post\u2010void image. If the patient is unable to void with the catheter in place, the catheter is removed and a second image is taken during an attempt at unintubated flow. If vesicoureteral reflux (VUR) is identified, an alternate protocol is entered to document parameters. The mean radiation exposure measured in dose area product (DAP), fluoroscopy time, and number of images were noted and compared with previously published fluoroscopy data collected at our institution before protocol implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean fluoroscopy exposure after the implementation of our protocol was 273.5\u2009mGy\/cm<jats:sup>2<\/jats:sup> taking 5.2 images in 4.5\u2009seconds. Protocol implementation leads to a 51.2% reduction in radiation exposure calculated by mean DAP (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001) and a 96.5% reduction in fluoroscopy time (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). The presence of VUR, fluoroscopy time, and body mass index (BMI)\u2009&gt;\u200925 were associated with higher radiation exposure (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation and adherence to a standardized protocol for fluoroscopy led to a reduction in radiation exposure fluoroscopy time. The presence of VUR, fluoroscopy time, and BMI\u2009&gt;\u200925 were associated with higher radiation exposure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24258","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T15:21:39Z","timestamp":1576596099000},"page":"715-720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Radiation exposure during videourodynamic testing: Is dose reduction possible using a standardized protocol?"],"prefix":"10.1002","volume":"39","author":[{"given":"Daniel","family":"Hoffman","sequence":"first","affiliation":[{"name":"Department of Urology University of South Florida  Tampa Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0719-9465","authenticated-orcid":false,"given":"Rachael D.","family":"Sussman","sequence":"additional","affiliation":[{"name":"Department of Urology New York University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique M.","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Urology New York University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott W.","family":"Smilen","sequence":"additional","affiliation":[{"name":"Department of Urology New York University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirit","family":"Rosenblum","sequence":"additional","affiliation":[{"name":"Department of Urology New York University Medical Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor W.","family":"Nitti","sequence":"additional","affiliation":[{"name":"Department of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery David Geffen School of Medicine at UCLA  Los Angeles 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