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Comparative Effectiveness of 2 Next-Generation Scatter Radiation Shielding Systems
Robert F Riley1, Stephen Kidd2, Juliette Power2
1Division of Cardiology, Overlake Medical Center, Bellevue, Washington.
Journal of the Society for Cardiovascular Angiography & Interventions
|September 29, 2025
Summary
The EggNest Complete shielding system significantly reduced scatter radiation for staff in x-ray rooms compared to the Rampart IC system. EggNest Complete offered superior protection at the head of the bed and for nursing staff.
Area of Science:
- Medical Physics
- Radiological Sciences
- Biomedical Engineering
Background:
- Scatter radiation poses a significant health risk to personnel in fluoroscopically guided interventional suites.
- Evaluating advanced radiation shielding systems is crucial for enhancing staff safety during medical imaging procedures.
Purpose of the Study:
- To compare the efficacy of two next-generation radiation shielding systems in reducing scatter radiation exposure.
- To assess the performance of the Rampart IC and EggNest Complete shielding systems in a simulated catheterization laboratory environment.
Main Methods:
- Radiation survey meters were placed at six positions around an anthropomorphic phantom on an imaging table.
- Scatter radiation levels (μSv/h) were measured under three conditions: no shielding, Rampart IC shielding, and EggNest Complete shielding.
- Fluoroscopy was performed using a Philips Allura C-arm with ClarityIQ software across various angulations.
Main Results:
- Scatter radiation distribution was uneven, with higher doses at the head of the table and on the left side.
- Both EggNest Complete and Rampart IC systems significantly reduced scatter radiation for operator and assistant positions.
- EggNest Complete demonstrated substantially greater scatter radiation reduction at the head of the bed and nursing positions compared to Rampart IC (P < .01).
Conclusions:
- Both tested shielding systems effectively lower radiation exposure for primary procedural staff.
- The EggNest Complete system provides superior scatter radiation protection for personnel at the head of the bed and nursing positions.
- Next-generation shielding systems offer enhanced safety measures for healthcare professionals working with X-ray equipment.
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