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Patient shielding: The need for a European consensus statement.

P Gilligan1, J Damilakis1

  • 1Mater Private Hospital, Eccles St., Dublin 7, Ireland; University of Crete, Iraklion, Crete, Greece.

Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)
|March 8, 2021
PubMed
Summary
This summary is machine-generated.

Patient contact shielding, used for decades to prevent genetic effects and cancer, is now questioned due to advancements in radiographic technology. Major European bodies are urged to issue a consensus statement on its appropriate use in medical imaging.

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Area of Science:

  • Medical Physics
  • Radiology
  • Radiation Safety

Background:

  • Patient contact shielding has been standard practice for 60-70 years to mitigate genetic effects and cancer risks.
  • Recent literature since 2012 questions the necessity of routine shielding due to significant radiographic technology evolution.
  • Professional bodies like AAPM and BIR have issued guidance against routine patient shielding, with many societies endorsing these statements.

Discussion:

  • Major European organizations in diagnostic radiology and radiation safety have not yet released statements on patient shielding.
  • This commentary explores reasons for the lack of European consensus and advocates for its development.
  • The authors suggest building upon existing AAPM and BIR work to amplify, propagate, and refine the message on shielding.

Key Insights:

  • A joint working group (GAPS) involving EFOMP, Eurosafe Imaging (ESR), EFRS, EURADOS, and BIR has been formed.
  • The GAPS group aims to produce a unified statement on the correct application of patient shielding.
  • This initiative seeks to establish a European consensus on patient shielding practices in radiology.

Outlook:

  • Developing a European consensus statement is crucial for standardizing patient shielding practices.
  • Refining the message to address evolving questions and concerns since initial statements were published.
  • The GAPS working group's joint statement will provide updated guidance for diagnostic and interventional radiology.