SIR ePoster Library

The effects of attenuating head caps and other common lead equivalent shields on operator brain exposures in the interventional environment.
SIR ePoster library. Gipson S. 03/04/17; 169860; 424
Sean Gipson
Sean Gipson
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Abstract
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Final ID
424

Type
Original Scientific Research-Oral or Pos

Authors
S Gipson1, V Weir2, M Shurafa1, C Rees1

Institutions
1Baylor University Medical Center at Dallas, Dallas, TX, 2Baylor Scott and White Department of Medical Physics, Dallas, TX

Purpose
Concerns about brain radiation exposures in interventionalists have led to recent studies of attenuating caps. Placement of dosimeters on the inner surface of the cap may have been more representative of scalp exposure than brain exposure. This study examines several common types of shields for their effects on simulated brain exposure.

Materials & Methods
An operator's head was simulated by an acrylic head phantom containing a dosimeter (RadeyeTM) in the intracranial cavity. The head was positioned relative to a scatter-producing acrylic patient phantom as during transfemoral angiography of the chest or abdomen, on a Philips Allura unit. Three sets of 60 second fluoroscopy exposures were performed and exposure data collected for each combination of operator shielding depicted in Table 1. T-test applied.

Results
Each shield combination reduced exposures significantly (p<.05) compared to unshielded (Table 1). Reductions with wearable shields ranged from 18% (cap) to 25% (cap + thyroid shield + glasses) without significant differences between any two combinations. Non-wearable shields reductions were 40% (SCS+USTS [with thyroid shield]) to 95% (SPRPS), with significant difference between them (p<.001) and for each vs. each wearable combination (p<.05).

Conclusions
Cap and other wearable shields produced modest reductions in exposure to brain location, without significant difference between thyroid shield or cap. Greater reductions occurred with non-wearable shields.

Final ID
424

Type
Original Scientific Research-Oral or Pos

Authors
S Gipson1, V Weir2, M Shurafa1, C Rees1

Institutions
1Baylor University Medical Center at Dallas, Dallas, TX, 2Baylor Scott and White Department of Medical Physics, Dallas, TX

Purpose
Concerns about brain radiation exposures in interventionalists have led to recent studies of attenuating caps. Placement of dosimeters on the inner surface of the cap may have been more representative of scalp exposure than brain exposure. This study examines several common types of shields for their effects on simulated brain exposure.

Materials & Methods
An operator's head was simulated by an acrylic head phantom containing a dosimeter (RadeyeTM) in the intracranial cavity. The head was positioned relative to a scatter-producing acrylic patient phantom as during transfemoral angiography of the chest or abdomen, on a Philips Allura unit. Three sets of 60 second fluoroscopy exposures were performed and exposure data collected for each combination of operator shielding depicted in Table 1. T-test applied.

Results
Each shield combination reduced exposures significantly (p<.05) compared to unshielded (Table 1). Reductions with wearable shields ranged from 18% (cap) to 25% (cap + thyroid shield + glasses) without significant differences between any two combinations. Non-wearable shields reductions were 40% (SCS+USTS [with thyroid shield]) to 95% (SPRPS), with significant difference between them (p<.001) and for each vs. each wearable combination (p<.05).

Conclusions
Cap and other wearable shields produced modest reductions in exposure to brain location, without significant difference between thyroid shield or cap. Greater reductions occurred with non-wearable shields.

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