Some Hospitals Are Ditching Lead Aprons During X-Rays 104
pgmrdlm shares a report from ABC News: Some hospitals are ditching the ritual of covering reproductive organs and fetuses during imaging exams after prominent medical and scientific groups have said it's a feel-good measure that can impair the quality of diagnostic tests and sometimes inadvertently increase a patient's radiation exposure. The about-face is intended to improve care, but it will require a major effort to reassure regulators, health care workers and the public that it's better not to shield.
Lead shields are difficult to position accurately, so they often miss the target area they are supposed to protect. Even when in the right place, they can inadvertently obscure areas of the body a doctor needs to see -- the location of a swallowed object, say -- resulting in a need to repeat the imaging process, according to the American Association of Physicists in Medicine, which represents physicists who work in hospitals. Shields can also cause automatic exposure controls on an X-ray machine to increase radiation to all parts of the body being examined in an effort to "see through" the lead. Moreover, shielding doesn't protect against the greatest radiation effect: "scatter," which occurs when radiation ricochets inside the body, including under the shield, and eventually deposits its energy in tissues. "In April, the physicists' association recommended that shielding of patients be 'discontinued as routine practice,'" the report adds. "Its statement was endorsed by several groups, including the American College of Radiology and the Image Gently Alliance, which promotes safe pediatric imaging. However, experts continue to recommend that health care workers in the imaging area protect themselves with leaded barriers as a matter of occupational safety."
Lead shields are difficult to position accurately, so they often miss the target area they are supposed to protect. Even when in the right place, they can inadvertently obscure areas of the body a doctor needs to see -- the location of a swallowed object, say -- resulting in a need to repeat the imaging process, according to the American Association of Physicists in Medicine, which represents physicists who work in hospitals. Shields can also cause automatic exposure controls on an X-ray machine to increase radiation to all parts of the body being examined in an effort to "see through" the lead. Moreover, shielding doesn't protect against the greatest radiation effect: "scatter," which occurs when radiation ricochets inside the body, including under the shield, and eventually deposits its energy in tissues. "In April, the physicists' association recommended that shielding of patients be 'discontinued as routine practice,'" the report adds. "Its statement was endorsed by several groups, including the American College of Radiology and the Image Gently Alliance, which promotes safe pediatric imaging. However, experts continue to recommend that health care workers in the imaging area protect themselves with leaded barriers as a matter of occupational safety."