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    Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents

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    Authors
    Candela-Juan, C.
    Ciraj-Bjelac, O.
    Sans Merce, M.
    Dabin, J.
    Faj, D.
    Gallagher, A.
    de Las Heras Gala, H.
    Knežević, Ž.
    Malchair, F.
    De Monte, F.
    Simantirakis, G
    Theodorakou, Chrysoula
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    Affiliation
    Centro Nacional de Dosimetría (CND), Instituto Nacional de Gestión Sanitaria, Valencia, Spain.
    Issue Date
    2021
    
    Metadata
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    Abstract
    The use of patient contact-shielding has become a topic of intensive scientific debate. While it has been common practice during the last decades, some studies have questioned the efficiency of using such shielding while others have highlighted the inconsistencies in its application. The objective of this work is to review current recommendations and legislative documents on the use of out-of-field shielding in X-ray imaging, including those from national authorities and from international and national organisations and professional bodies. The review, performed within the framework of the activities of EURADOS Working Group 12, covers available recommendations on use of contact shielding in adult, pregnant and paediatric patients in general radiography, fluoroscopy, computed tomography, mammography and dental radiology. It includes a comprehensive search of 83 documents from 32 countries and 6 international organisations over the last 39 years. In general, using shielding is recommended only under two conditions: if it does not compromise the diagnostic task and the performance of the procedure and/or if it reassures the patient and comforters that they are appropriately protected against potentially harmful effects of radiation. There are very few specific regulatory requirements to use shielding in a particular imaging modality, although they may consider use of shielding either as part of good radiological practice or as requirements for availability of protective or ancillary tools, without further specification of their use. There is a wide variety of positions among documents that recommend out-of-field shielding, those that do not recommend it and those that are not specific. Therefore, evidence-based consensus is still needed to ensure best and consistent practice.
    Citation
    Candela-Juan C, Ciraj-Bjelac O, Sans Merce M, Dabin J, Faj D, Gallagher A, et al. Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents. Physica Medica. 2021 Jun;86:44–56.
    Journal
    Physics in Medicine
    URI
    http://hdl.handle.net/10541/624117
    DOI
    10.1016/j.ejmp.2021.05.017
    PubMed ID
    34052671
    Additional Links
    https://dx.doi.org/10.1016/j.ejmp.2021.05.017
    Type
    Other
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejmp.2021.05.017
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