Should We Keep the Lead in the Aprons? 2018

Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
Department of Medical Imaging and Interventional Radiology, Meir Medical Center, Kfar Saba 44281, Sackler Medical School, Tel Aviv University, Tel Aviv, Israel. Electronic address: gbartal@gmail.com.

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 making purchasing decisions related to protective garments. Each interventionist should choose garments that are appropriately protective for that individual's practice. Review of past personal dosimetry results and consultation with a medical physicist can help the IR make the best decision. This article will help the reader to understand why all protective garments are not created equally, and provides some practical tools that will allow safe and healthy practice in FGIP.

UI MeSH Term Description Entries
D007587 Job Description Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee. Position Description,Description, Job,Description, Position,Descriptions, Job,Descriptions, Position,Job Descriptions,Position Descriptions
D007854 Lead A soft, grayish metal with poisonous salts; atomic number 82, atomic weight 207.2, symbol Pb.
D011481 Protective Clothing Clothing designed to protect the individual against possible exposure to known hazards. Clothing, Protective
D011829 Radiation Dosage The amount of radiation energy that is deposited in a unit mass of material, such as tissues of plants or animal. In RADIOTHERAPY, radiation dosage is expressed in gray units (Gy). In RADIOLOGIC HEALTH, the dosage is expressed by the product of absorbed dose (Gy) and quality factor (a function of linear energy transfer), and is called radiation dose equivalent in sievert units (Sv). Sievert Units,Dosage, Radiation,Gray Units,Gy Radiation,Sv Radiation Dose Equivalent,Dosages, Radiation,Radiation Dosages,Units, Gray,Units, Sievert
D011832 Radiation Injuries Harmful effects of non-experimental exposure to ionizing or non-ionizing radiation in VERTEBRATES. Radiation Sickness,Radiation Syndrome,Injuries, Radiation,Injury, Radiation,Radiation Injury,Radiation Sicknesses,Radiation Syndromes,Sickness, Radiation,Sicknesses, Radiation,Syndrome, Radiation,Syndromes, Radiation
D011835 Radiation Protection Methods and practices adopted to protect against RADIATION. Protection, Radiation
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069079 Radiation Exposure Phenomenon in which organisms are subjected to radiation. Exposure, Radiation
D000072177 Radiologists Physicians specializing in the use of x-ray and other forms of radiant energy to diagnose and treat disease. Radiologist

Related Publications

Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
November 1999, Occupational medicine (Oxford, England),
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
January 2012, Diagnostic and interventional radiology (Ankara, Turkey),
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
December 1995, Anaesthesia,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
April 1974, American heart journal,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
July 1973, Journal of the American Dental Association (1939),
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
September 2003, SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
January 2002, The American journal of surgical pathology,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
June 2011, Biosecurity and bioterrorism : biodefense strategy, practice, and science,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
March 2016, Journal of clinical epidemiology,
Gabriel Bartal, and Anna M Sailer, and Eliseo Vano
October 2001, The Journal of clinical psychiatry,
Copied contents to your clipboard!