publication . Article . 2017

Radioprotection to the Gonads in Pediatric Pelvic Radiography: Effectiveness of Developed Bismuth Shield

Vahid Karami; Mansour Zabihzadeh; Nasim Shams; Mehrdad Golami;
Open Access English
  • Published: 01 Jun 2017 Journal: International Journal of Pediatrics, volume 5, issue 6, pages 5,153-5,166 (issn: 2345-5047, eissn: 2345-5055, Copyright policy)
  • Publisher: Mashhad University of Medical Sciences
Abstract
Background: The use and effectiveness of traditional lead gonad shields in pediatric pelvic radiography has been challenged by several literatures over the past two decades. The aim of this study was to develop a new radioprotective gonad shields to be use in pediatric pelvic radiography. Materials and Methods: The commercially available 0.06 mm lead equivalent bismuth garment has cropped squarely and used as ovarian shield to cover the entire region of pelvis. In order to prevent deterioration of image quality due to beam hardening artifacts, a 1-cm foam as spacer was located between the shield and patients pelvis. Moreover, we added a lead piece at the cranial...
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Subjects
free text keywords: Bismuth, Gonad shielding, lead, Pediatric pelvic radiography, Radiation protection, lcsh:Pediatrics, lcsh:RJ1-570
Related Organizations
29 references, page 1 of 2

12. Hall EJ. Lessons we have learned from our children: cancer risks from diagnostic radiology. Pediatric radiology 2002;32(10):700-6.

13. Culp MP, Barba JR, Jackowski MB. Shield Placement: Effect on Exposure. Radiologic technology 2014;85(4):369-76.

14. Karami V, Zabihzadeh M, Gholami M. Gonad shielding for patients undergoing conventional radiological examinations: Is there cause for concern? Jentashapir J Health Res. 2016;7(2):1-4.

15. Wainwright A. Shielding reproductive organs of orthopaedic patients during pelvic radiography. Annals of the Royal College of Surgeons of England 2000;82(5):318. [OpenAIRE]

16. McCarty M, Waugh R, McCallum H, Montgomery RJ, Aszkenasy OM. Paediatric pelvic imaging: improvement in gonad shield placement by multidisciplinary audit. Pediatric radiology 2001;31(9):646-9.

17. Bardo DM, Black M, Schenk K, Zaritzky MF. Location of the ovaries in girls from newborn to 18 years of age: reconsidering ovarian shielding. Pediatric radiology 2009;39(3):253-9.

18. Fawcett S, Gomez A, Barter S, Ditchfield M, Set P. More harm than good? The anatomy of misguided shielding of the ovaries. The British Journal of Radiology 2014;85(2012):442-7.

19. Silva C, Silva P, Ventura SMR, editors. The use and relevance of gonad protection shields in children during hips radiography. 1th Congresso Internacional da Saúde Gaia-Porto; 2010: Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto-Politema. Available at: http://recipp.ipp.pt/handle/10400.22/3252.

20. Frantzen MJ, Robben S, Postma AA, Zoetelief J, Wildberger JE, Kemerink GJ. Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Insights into imaging 2012;3(1):23-32. [OpenAIRE]

21. Kenny N, Hill J. Gonad protection in young orthopaedic patients. BMJ. 1992;304(6839):1411-3.

22. Gürsu S, Gürsu T, Camurcu Y, Yıldırım T, Gürsu A, Şahin V. Efficacy of 29. European Union. European Commission. Directorate-General XII-Science R, Development. European guidelines on quality criteria for diagnostic radiographic images in paediatrics: Office for Official Publications of the European Communities; 1996.

30. Hohl C, Wildberger J, Süß C, Thomas C, Mühlenbruch G, Schmidt T, et al. Radiation dose reduction to breast and thyroid during MDCT: effectiveness of an in-plane bismuth shield. Acta Radiologica 2006;47(6):562-7.

31. Martin C, Farquhar B, Stockdale E, MacDonald S. A study of the relationship between patient dose and size in paediatric radiology. The British journal of radiology 1994;67(801):864-71.

32. Kyriou J, Fitzgerald M, Pettett A, Cook J, Pablot S. A comparison of doses and techniques between specialist and nonspecialist centres in the diagnostic X-ray imaging of children. The British journal of radiology 1996;69(821):437-50.

33. McDonald S, Martin C, Darragh C, Graham D. Dose-area product measurements in paediatric radiography. The British journal of radiology 1996;69(820):318-25.

29 references, page 1 of 2
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