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Changing the practice of routine gonadal shielding during radiography: ‘Y’?

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References

  1. Rossi RP, Hendee WR, Ahrens CR (1976) An evaluation of rare earth screen/film combinations. Radiology 121:465–471

    Article  CAS  Google Scholar 

  2. Ardran GM (1956) II. The dose to operator and patient in X-ray diagnostic procedures. Br J Radiol 29:266–269

    Article  CAS  Google Scholar 

  3. Sobol WT (2002) High frequency X-ray generator basics. Med Phys 29:132–144

    Article  Google Scholar 

  4. Jeukens CRLPN, Kütterer G, Kicken PJ et al (2020) Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation. Insights Imaging 11:15

    Article  Google Scholar 

  5. National Academies/National Research Council (2006) Health risks from exposure to low levels of ionizing radiation: BEIR VII phase 2. National Academies Press, Washington, DC

    Google Scholar 

  6. National Council on Radiation Protection and Measurements (2015) Statements. https://ncrponline.org/publications/statements/. Accessed 10 Sep 2021

  7. International Commission on Radiological Protection (2007) The 2007 recommendations of the International Commission on Radiological Protection, publication 103. International Commission on Radiological Protection, Elmsford

  8. Somasundaram E, Brady SL, Strauss KJ (2020) Achievable dose reductions with gonadal shielding for children and adults during abdominal/pelvic radiographic examinations: a Monte Carlo simulation. Med Phys 47:5514–5522

    Article  Google Scholar 

  9. Kaplan SL, Strauss KJ, Magill D et al (2020) Quantification of increased patient radiation dose when gonadal shielding is used with automatic exposure control. J Am Coll Radiol 17:1698–1704

    Article  Google Scholar 

  10. American Association of Physicists in Medicine (2019) AAPM position statement on the use of patient gonadal and fetal shielding. https://www.aapm.org/org/policies/details.asp?id=468&type=PP. Accessed 10 Sep 2021

  11. Marsh RM, Silosky M (2019) Patient shielding in diagnostic imaging: discontinuing a legacy practice. AJR Am J Roentgenol 212:755–757

    Article  Google Scholar 

  12. Strauss KJ, Gingold EL, Frush DP (2017) Reconsidering the value of gonadal shielding during abdominal/pelvic radiography. J Am Coll Radiol 14:1635–1636

    Article  Google Scholar 

  13. American Association of Physicists in Medicine (2019) Patient gonadal and fetal shielding in diagnostic imaging: frequently asked questions. https://www.aapm.org/org/policies/documents/CARES_FAQs_Patient_Shielding.pdf. Accessed 10 Sep 2021

  14. American Registry of Radiologic Technologists (2021) ARRT issues statement on gonadal and fetal shielding. https://www.arrt.org/pages/arrts-position-on-gonadal-and-fetal-shielding. Accessed 10 Sep 2021

  15. American Society of Radiologic Technologists (2021) ASRT statement on fetal and gonadal shielding. https://www.asrt.org/main/news-publications/news/article/2021/01/12/asrt-statement-on-fetal-and-gonadal-shielding. Accessed 10 Sep 2021

  16. Office of the Federal Register, National Archives and Records Administration (1976) Federal Register Vol. 41, No. 143, July 23, 1976. United States Government. https://www.govinfo.gov/app/details/FR-1976-07-23. Accessed 10 Sep 2021

  17. Gilligan P, Damilakis J (2021) Patient shielding: the need for a European consensus statement. Phys Med 82:266–268

    Article  CAS  Google Scholar 

  18. Mettler FA, Mahesh M, Chatfield MB et al (2019) Report No. 184 — medical radiation exposure of patients in the United States (2019). National Council on Radiation Protection and Measurements, Bethesda

  19. Frush DP, Sorantin E (2021) Radiation use in diagnostic imaging in children: approaching the value of the pediatric radiology community. Pediatr Radiol 51:532–543

    Article  Google Scholar 

  20. International Society of Radiology (n.d.) ISR Quality and Safety Alliance (ISRQSA). https://www.isradiology.org/quality. Accessed 10 Sep 2021

  21. Kaplan SL, Magill D, Felice MA et al (2018) Female gonadal shielding with automatic exposure control increases radiation risks. Pediatr Radiol 48:227–234

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Duke University Medical Center, Room #2568, 40 Duke Medicine Circle, Red Zone, Duke South, Box 3808, Durham, NC, 27710, USA

    Donald P. Frush

  2. Department of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Keith J. Strauss

Authors
  1. Donald P. Frush
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  2. Keith J. Strauss
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Correspondence to Donald P. Frush.

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Frush, D.P., Strauss, K.J. Changing the practice of routine gonadal shielding during radiography: ‘Y’?. Pediatr Radiol 52, 7–9 (2022). https://doi.org/10.1007/s00247-021-05230-5

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  • DOI: https://doi.org/10.1007/s00247-021-05230-5

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