Shielding during x-ray examination of pediatric female patients with developmental dysplasia of the hip

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2 Citations (Scopus)

Abstract

Patients with developmental dysplasia of the hip (DDH) generally undergo multiple x-ray examinations of both hip joints. During these examinations, the gonads are completely exposed to radiation, unless shielded. Although many types and sizes of gonad shields exist, they often do not provide adequate protection because of size and placement issues; additionally, these shields are frequently omitted for female patients. Our aim was to assess gonad protection during x-ray examination that is provided by gonad shields designed for individual female patients with DDH. We retrospectively retrieved data from the Picture Archiving and Communication System database; pelvic plain x-ray films from 766 females, 18 years old or younger, were included in our analysis. Based on x-ray measurements of the anterior superior iliac spine, we developed a system of gonad shield design that depended on the distance between anterior superior iliac spine markers. We custom-made shields and then examined shielding rates and shielding accuracy before and after these new shields became available. Standard (general-purpose) shields were used before our custom design project was implemented. The shielding rate and shielding accuracy were, respectively, 14.5% and 8.4% before the project was implemented and 72.7% and 32.2% after it was implemented. A shield that is more anatomically correct and available in several different sizes may increase the likelihood of gonad protection during pelvic x-ray examinations.

Original languageEnglish
Article number801
Pages (from-to)801-809
Number of pages9
JournalJournal of Radiological Protection
Volume34
Issue number4
DOIs
Publication statusPublished - 2014 Dec 1

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Hip Dislocation
Gonads
shield
X-Rays
Pediatrics
Spine
Radiology Information Systems
Hip Joint
Motion Pictures
Databases
Radiation

All Science Journal Classification (ASJC) codes

  • Waste Management and Disposal
  • Public Health, Environmental and Occupational Health

Cite this

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title = "Shielding during x-ray examination of pediatric female patients with developmental dysplasia of the hip",
abstract = "Patients with developmental dysplasia of the hip (DDH) generally undergo multiple x-ray examinations of both hip joints. During these examinations, the gonads are completely exposed to radiation, unless shielded. Although many types and sizes of gonad shields exist, they often do not provide adequate protection because of size and placement issues; additionally, these shields are frequently omitted for female patients. Our aim was to assess gonad protection during x-ray examination that is provided by gonad shields designed for individual female patients with DDH. We retrospectively retrieved data from the Picture Archiving and Communication System database; pelvic plain x-ray films from 766 females, 18 years old or younger, were included in our analysis. Based on x-ray measurements of the anterior superior iliac spine, we developed a system of gonad shield design that depended on the distance between anterior superior iliac spine markers. We custom-made shields and then examined shielding rates and shielding accuracy before and after these new shields became available. Standard (general-purpose) shields were used before our custom design project was implemented. The shielding rate and shielding accuracy were, respectively, 14.5{\%} and 8.4{\%} before the project was implemented and 72.7{\%} and 32.2{\%} after it was implemented. A shield that is more anatomically correct and available in several different sizes may increase the likelihood of gonad protection during pelvic x-ray examinations.",
author = "Yi-Shan Tsai and Yi-Sheng Liu and Ming-Tsung Chuang and Chien-Kuo Wang and Lai, {Cheng Shih} and Hong-Ming Tsai and Chii-Jeng Lin and Chia-Hsing Lu",
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AU - Tsai, Yi-Shan

AU - Liu, Yi-Sheng

AU - Chuang, Ming-Tsung

AU - Wang, Chien-Kuo

AU - Lai, Cheng Shih

AU - Tsai, Hong-Ming

AU - Lin, Chii-Jeng

AU - Lu, Chia-Hsing

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