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Updated: Dec 31, 2025

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Published on: January 7, 2019
Evaluation and verification of a simplified lead equivalency measurement method
Richard Ryan Wargo1, Areej Fawzi Aljabal2, Pei-Jan Paul Lin1
1Department of Radiology, Virginia Commonwealth University, Richmond, VA, USA.
This study introduces an affordable tool and method for assessing lead equivalency in digital radiography. The technique accurately measures lead shielding, offering a cost-effective solution for clinical settings.
Area of Science:
- Medical Imaging
- Radiation Protection
- Radiography Equipment
Background:
- Ensuring adequate lead equivalency in radiation protection apparel is crucial for patient and staff safety.
- Traditional methods for verifying lead equivalency can be costly and time-consuming.
- Digital radiography (DR) systems offer potential for novel quality assurance methods.
Purpose of the Study:
- To present an inexpensive tool and method for determining lead equivalency using digital radiography (DR) x-ray equipment.
- To validate the accuracy of the developed tool and method against known lead thicknesses and manufacturer specifications.
- To assess the lead equivalency of common radiation protection apparel.
Main Methods:
- A test tool was fabricated using lead foil tape with nine varying thicknesses (0.1-1.0 mm).
- The tool was imaged using a DR plate and portable x-ray unit across various energies (60-120 kVp) and beam filtrations.
- Lead equivalency was calculated by correlating detector dose with pixel values, with validation against caliper measurements and apparel manufacturer data.
Main Results:
- The developed method demonstrated a measurement difference of -9.7% to 7.1% for known lead thicknesses across different energy and filtration conditions.
- Measurements of protective eyewear, thyroid shields, and lead aprons showed a range of -6% to 20% compared to manufacturer values.
- The accuracy was consistent across various energies and beam filtrations, including a 1-mm copper filtered beam.
Conclusions:
- The developed tool and methodology provide an inexpensive and effective alternative for checking lead equivalency in clinical settings.
- This approach is largely equipment-independent, requiring only basic prerequisites for implementation.
- The findings support the routine use of this method for quality assurance of radiation protection materials.
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