Radiation shielding materials and radiation scatter effects for interventional radiology (IR) physicians

2012 ◽  
Vol 39 (7Part1) ◽  
pp. 4537-4546 ◽  
Author(s):  
J. P. McCaffrey ◽  
F. Tessier ◽  
H. Shen
Author(s):  
Jim Hughes

The basics of radiation protection in theatre for the patient follow principles similar to those used in plain-film imaging. These include ensuring positive identification of the patient, justification of radiation exposure, avoiding irradiation of pregnant patients wherever possible, minimization and optimization of exposures performed (ALARP principle), protection of all staff involved, and recording and monitoring of all exposures performed. This chapter covers the aspects of protection from radiation for the patient, surgical team, and the radiographer when performing imaging during surgical interventions. Topics covered include the use of beam collimation, minimizing exposure to the patient and team, radiation scatter, and the use and requirements of radiation shielding such as lead aprons and barriers.


Cureus ◽  
2021 ◽  
Author(s):  
Mohamed T El-Diasty ◽  
Ahmed A Olfat ◽  
Ahmad S Mufti ◽  
Ahmed R Alqurashi ◽  
Mohammed J Alghamdi

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1613
Author(s):  
Mamoru Kato ◽  
Koichi Chida ◽  
Masato Munehisa ◽  
Tadaya Sato ◽  
Yohei Inaba ◽  
...  

Radiation protection/evaluation during interventional radiology (IVR) poses a very important problem. Although IVR physicians should wear protective aprons, the IVR physician may not tolerate wearing one for long procedures because protective aprons are generally heavy. In fact, orthopedic problems are increasingly reported in IVR physicians due to the strain of wearing heavy protective aprons during IVR. In recent years, non-Pb protective aprons (lighter weight, composite materials) have been developed. Although non-Pb protective aprons are more expensive than Pb protective aprons, the former aprons weigh less. However, whether the protective performance of non-Pb aprons is sufficient in the IVR clinical setting is unclear. This study compared the ability of non-Pb and Pb protective aprons (0.25- and 0.35-mm Pb-equivalents) to protect physicians from scatter radiation in a clinical setting (IVR, cardiac catheterizations, including percutaneous coronary intervention) using an electric personal dosimeter (EPD). For radiation measurements, physicians wore EPDs: One inside a personal protective apron at the chest, and one outside a personal protective apron at the chest. Physician comfort levels in each apron during procedures were also evaluated. As a result, performance (both the shielding effect (98.5%) and comfort (good)) of the non-Pb 0.35-mm-Pb-equivalent protective apron was good in the clinical setting. The radiation-shielding effects of the non-Pb 0.35-mm and Pb 0.35-mm-Pb-equivalent protective aprons were very similar. Therefore, non-Pb 0.35-mm Pb-equivalent protective aprons may be more suitable for providing radiation protection for IVR physicians because the shielding effect and comfort are both good in the clinical IVR setting. As non-Pb protective aprons are nontoxic and weigh less than Pb protective aprons, non-Pb protective aprons will be the preferred type for radiation protection of IVR staff, especially physicians.


VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 494-495 ◽  
Author(s):  
Peter Landwehr ◽  
Peter Reimer ◽  
Arno Bücker ◽  
Ansgar Berlis ◽  
Werner Weber

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