Radiation Scatter at Fluoroscopy-Guided Endoscopic Procedures: Building Toward Further Optimization
Ji Young Bang1, Robert Hawes, Shyam Varadarajulu
1Digestive Health Institute, Orlando Health, Orlando, Florida, USA .
The American Journal of Gastroenterology
|June 26, 2026
Summary
A new lead flap-enhanced artificial intelligence-enabled fluoroscopy (LE-AIF) system significantly reduces radiation scatter for endoscopy personnel. This innovation offers improved safety during fluoroscopy-guided procedures, minimizing health hazards from ionizing radiation.
Area of Science:
- Medical Imaging
- Radiation Safety
- Endoscopic Procedures
Background:
- Endoscopy personnel face significant health risks from ionizing radiation exposure during fluoroscopy-guided procedures.
- Minimizing radiation scatter is crucial for protecting healthcare professionals in endoscopic settings.
Purpose of the Study:
- To evaluate a novel lead flap-enhanced artificial intelligence-enabled fluoroscopy (LE-AIF) system.
- To assess the efficacy of LE-AIF in minimizing radiation scatter during endoscopic procedures.
Main Methods:
- A prospective study involving 218 patients undergoing fluoroscopy-guided endoscopic procedures.
- Comparison of radiation scatter between conventional artificial intelligence-enabled fluoroscopy (C-AIF) and LE-AIF systems.
- Primary outcome measure: radiation scatter to endoscopists.
Main Results:
- LE-AIF system demonstrated significantly lower radiation scatter to endoscopists and anesthesia personnel compared to C-AIF.
- Conventional AIF and increased fluoroscopy duration were identified as factors associated with higher radiation scatter.
Conclusions:
- The LE-AIF system is effective in significantly reducing radiation scatter during endoscopic procedures.
- Implementation of LE-AIF can enhance radiation safety for medical staff in endoscopy.
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