Should We Keep the Lead in the Aprons?

Techniques in Vascular and Interventional Radiology
Gabriel BartalE Vano

Abstract

Medical staff should not be exposed to the primary X-ray beam during fluoroscopy-guided interventional procedures (FGIP). The main source of staff exposure is scatter radiation from the patient, which can be significant. Although many aspects of X-ray exposure to the patient as well as occupational exposure to interventional radiologists and other staff are strongly regulated and monitored in most countries, it is surprising how loosely the labeling and testing of the protective aprons is regulated. Interventional radiologists (IRs) have to be experts in interventional radiology as well as in basic facts regarding ways to provide a satisfactory level of protection from occupational exposure. IRs, however, are not familiar with the apron testing methods. The accompanying documents provided with aprons by manufacturers may not be informative enough. Vendors often report apron effectiveness at a single beam quality and attenuation. The vendor reports repeatedly disagree with independent reports, which clearly show that the attenuation of these garments at other important unreported energies may be lower than expected. Better trust no one and check your protective garment yourself, or, better yet, consult a medical physicist when m...Continue Reading

Citations

Jan 10, 2020·Journal of Applied Clinical Medical Physics·Richard Ryan WargoPei-Jan Paul Lin
Jun 23, 2019·Current Cardiology Reports·Samia MassalhaJohn A Kennedy
Aug 23, 2020·International Journal of Environmental Research and Public Health·Maria Grazia Lourdes MonacoStefano Porru
Mar 26, 2021·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·H Eder, H Schlattl
Apr 11, 2021·Cardiovascular and Interventional Radiology·Gabriel BartalGraciano Paulo
Oct 13, 2021·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Monique N MayerNiels K Koehncke

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