February’s paper by Warlow, Walker-Birch and Cosson looks at female paediatric gonadal shielding and concludes it is “neither effective nor beneficial” and recommends that the practice should be abandoned.
Further, is shielding in diagnostic imaging generally “a legacy practice” that should be left in the past? If we opt not to shield, how should we deal with patient questions and concerns?
Warlow, T, Walker-Birch P, Cosson P. Gonad shielding in paediatric pelvic radiography: Effectiveness and practice. Radiography. 20(3); 178-182
1. Do you use shielding on your patients? If yes, what exams do you shield for?
3. Does your hospital/clinic/department have a policy around shielding?
2. As a Radiographer do you have the skills to communicate relative dose risk and image optimisation with patients?
4. Are radiographers practicing evidence based care when optimising imaging and dose?
Marsh R M, Silosky M. Patient Shielding in Diagnostic Imaging: Discontinuing a Legacy Practice. AJR. 1-3.
Frantzen MJ et al. Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Insights Imaging. 2012 Feb;3(1):23-32
Karami V et al. Gonad Shielding during Pelvic Radiography: A Systematic Review and Meta-analysis. Arch Iran Med. 2017 Feb 1;20(2):113-123.
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