Modified design of x‐ray protective clothing to enhance radiation protection for interventional radiologists.

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Title: Modified design of x‐ray protective clothing to enhance radiation protection for interventional radiologists.
Authors: Choi, Tae Won1 (AUTHOR), Chung, Jin Wook2,3,4 (AUTHOR) chungjw@snu.ac.kr, Kwon, Yohan1 (AUTHOR)
Source: Medical Physics. Jun2023, Vol. 50 Issue 6, p3825-3832. 8p.
Subjects: Protective clothing, X-rays, Radiation exposure, Radiologists, Radiation protection, Patients' rights, Interventional radiology, Bone marrow
Abstract: Background: In interventional radiology procedures, the operator typically stands on the right side of the patient's right thigh to manipulate devices through the femoral sheath. Because the standard x‐ray protective clothing is designed as sleeveless and scatter radiations from the patient are mainly incident from the left‐anterior direction to the operator, the arm hole of the clothing may be a significant unprotected area, contributing to an increase in the operator's organ doses and effective dose. Purpose: This study aimed to compare the organ doses and effective dose received by the interventional radiologist when wearing the standard x‐ray protective clothing and when wearing the modified clothing with an additional shoulder guard. Methods: The experimental setup aimed to simulate actual clinical practice in interventional radiology. The patient phantom was located at the beam center to generate scatter radiation. An adult female anthropomorphic phantom loaded with 126 nanoDots (Landauer Inc., Glenwood, IL) was used to measure organ and effective doses to the operator. The standard wrap‐around type x‐ray protective clothing offered 0.25‐mm lead‐equivalent protection, and the frontal overlap area offered 0.50‐mm lead‐equivalent protection. The shoulder guard was custom‐made with a material providing x‐ray protection equivalent to lead of 0.50 mm thickness. The organ and effective doses were compared between the operator wearing the standard protective clothing and the one wearing the modified clothing with a shoulder guard. Results: After adding the shoulder guard, doses to the lungs, bone marrow, and esophagus decreased by 81.9%, 58.6%, and 58.7%, respectively, and the effective dose to the operator decreased by 47.7%. Conclusions: Widespread use of modified x‐ray protective clothing with shoulder guards can significantly decrease the overall occupational radiation risk in interventional radiology. [ABSTRACT FROM AUTHOR]
Copyright of Medical Physics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Modified design of x‐ray protective clothing to enhance radiation protection for interventional radiologists.
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  Data: <searchLink fieldCode="AR" term="%22Choi%2C+Tae+Won%22">Choi, Tae Won</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chung%2C+Jin+Wook%22">Chung, Jin Wook</searchLink><relatesTo>2,3,4</relatesTo> (AUTHOR)<i> chungjw@snu.ac.kr</i><br /><searchLink fieldCode="AR" term="%22Kwon%2C+Yohan%22">Kwon, Yohan</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Physics%22">Medical Physics</searchLink>. Jun2023, Vol. 50 Issue 6, p3825-3832. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Protective+clothing%22">Protective clothing</searchLink><br /><searchLink fieldCode="DE" term="%22X-rays%22">X-rays</searchLink><br /><searchLink fieldCode="DE" term="%22Radiation+exposure%22">Radiation exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Radiologists%22">Radiologists</searchLink><br /><searchLink fieldCode="DE" term="%22Radiation+protection%22">Radiation protection</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+rights%22">Patients' rights</searchLink><br /><searchLink fieldCode="DE" term="%22Interventional+radiology%22">Interventional radiology</searchLink><br /><searchLink fieldCode="DE" term="%22Bone+marrow%22">Bone marrow</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: In interventional radiology procedures, the operator typically stands on the right side of the patient's right thigh to manipulate devices through the femoral sheath. Because the standard x‐ray protective clothing is designed as sleeveless and scatter radiations from the patient are mainly incident from the left‐anterior direction to the operator, the arm hole of the clothing may be a significant unprotected area, contributing to an increase in the operator's organ doses and effective dose. Purpose: This study aimed to compare the organ doses and effective dose received by the interventional radiologist when wearing the standard x‐ray protective clothing and when wearing the modified clothing with an additional shoulder guard. Methods: The experimental setup aimed to simulate actual clinical practice in interventional radiology. The patient phantom was located at the beam center to generate scatter radiation. An adult female anthropomorphic phantom loaded with 126 nanoDots (Landauer Inc., Glenwood, IL) was used to measure organ and effective doses to the operator. The standard wrap‐around type x‐ray protective clothing offered 0.25‐mm lead‐equivalent protection, and the frontal overlap area offered 0.50‐mm lead‐equivalent protection. The shoulder guard was custom‐made with a material providing x‐ray protection equivalent to lead of 0.50 mm thickness. The organ and effective doses were compared between the operator wearing the standard protective clothing and the one wearing the modified clothing with a shoulder guard. Results: After adding the shoulder guard, doses to the lungs, bone marrow, and esophagus decreased by 81.9%, 58.6%, and 58.7%, respectively, and the effective dose to the operator decreased by 47.7%. Conclusions: Widespread use of modified x‐ray protective clothing with shoulder guards can significantly decrease the overall occupational radiation risk in interventional radiology. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Physics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/mp.16309
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 3825
    Subjects:
      – SubjectFull: Protective clothing
        Type: general
      – SubjectFull: X-rays
        Type: general
      – SubjectFull: Radiation exposure
        Type: general
      – SubjectFull: Radiologists
        Type: general
      – SubjectFull: Radiation protection
        Type: general
      – SubjectFull: Patients' rights
        Type: general
      – SubjectFull: Interventional radiology
        Type: general
      – SubjectFull: Bone marrow
        Type: general
    Titles:
      – TitleFull: Modified design of x‐ray protective clothing to enhance radiation protection for interventional radiologists.
        Type: main
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          Name:
            NameFull: Choi, Tae Won
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            NameFull: Chung, Jin Wook
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            NameFull: Kwon, Yohan
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          Dates:
            – D: 01
              M: 06
              Text: Jun2023
              Type: published
              Y: 2023
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              Value: 50
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              Value: 6
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            – TitleFull: Medical Physics
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