ArticleJournal of radiation research2018
Effectiveness of additional lead shielding to protect staff from scattering radiation during endoscopic retrograde cholangiopancreatography procedures.
Article in Journal of radiation research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- [Guideline for Minimizing Radiation Exposure of Interventionalists during Fluoroscopy-guided Interventional Procedures].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024Guideline
- Establishing discard criteria for lead aprons using deep learning-based quantification of defect area on X-ray fluoroscopic video.Radiological physics and technology · 2026Article
- Fundamental evaluation of a novel upright shield to protect medical personnel from scattered radiation during endoscopic retrograde cholangiopancreatography using a C-arm system.Journal of radiation research · 2026Article
- Development of a headgear-based eye protection device for physicians performing fluoroscopy-guided bronchoscopy.Journal of radiation research · 2025Article
- Effectiveness of Radiation Shields to Minimize Operator Dose in the Bronchoscopy Suite: A Phantom Study and Clinical Application.Journal of clinical medicine · 2025Article
- Development of a Dedicated X-Ray Fluoroscopic Apparatus for Therapeutic Pancreatobiliary Endoscopy: A Review.Journal of clinical medicine · 2025Review
- Effect of backscatter radiation on the occupational eye-lens dose.Journal of radiation research · 2024Article
- Effect of radioprotective curtain length on the scattered dose rate distribution and endoscopist eye lens dose with an over-couch fluoroscopy system.Physical and engineering sciences in medicine · 2024Article
- Spatial Scattering Radiation to the Radiological Technologist during Medical Mobile Radiography.Bioengineering (Basel, Switzerland) · 2023Article
- Awareness of Medical Radiologic Technologists of Ionizing Radiation and Radiation Protection.International journal of environmental research and public health · 2022Article
- New Radioprotective Device that can be Used for Fluoroscopic Exam: Possibility to Contribute to Staff Exposure Protection During VFSS.Dysphagia · 2022Article
- Minimizing radiation exposure in endoscopic retrograde cholangiopancreatography: a review for medical personnel.The Korean journal of internal medicine · 2022Review
- Comparison of Shielding Material Dispersion Characteristics and Shielding Efficiency for Manufacturing Medical X-ray Shielding Barriers.Materials (Basel, Switzerland) · 2022Article
- Development of a New Radiation Shield for the Face and Neck of IVR Physicians.Bioengineering (Basel, Switzerland) · 2022Article
- How should radiation exposure be handled in fluoroscopy-guided endoscopic procedures in the field of gastroenterology?Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2022Review
- What are useful methods to reduce occupational radiation exposure among radiological medical workers, especially for interventional radiology personnel?Radiological physics and technology · 2022Review
- Occupational eye dose correlation with neck dose and patient-related quantities in interventional cardiology procedures.Radiological physics and technology · 2022Article
- Evaluation of Peak Skin Doses and Lens Doses during Interventional Neuroradiology Using a Direct Measurement System.Journal of neuroendovascular therapy · 2022Article
- The radiation doses and radiation protection on the endoscopic retrograde cholangiopancreatography procedures.The British journal of radiology · 2021Review
- Non-Lead Protective Aprons for the Protection of Interventional Radiology Physicians from Radiation Exposure in Clinical Settings: An Initial Study.Diagnostics (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is often complex and involves long fluoroscopic times, with significant radiation exposure to medical staff. We investigated protective effects of an additional attached lead shielding device. The lead shielding device covered with the X-ray tube table (0.125 mm lead equivalent) during ERCP procedures. Fluoroscopy scatter radiation, with or without the lead shielding device, was measured using an acrylic phantom and a radiation survey meter. Measurements (25 points) were made at 50 cm intervals, at both 90 and 150 cm above the floor. We created radiation maps, with and without the additional lead shielding device. Moreover, we monitored annual staff exposure to radiation, before and after inclusion of the shielding device. Without additional shielding, exposure doses at the physician's position, 90 and 150 cm above the floor, were 1940 and 4040 (μSv/h) respectively. In contrast, with the shielding device, corresponding exposures were 270 and 450 (μSv/h) at 90 and 150 cm, respectively. Scattered radiation was decreased by 86.1% at 90 cm or 88.9% at 150 cm. However, with additional lead shielding in the middle, rather than hung over the operating table, scattered radiation was decreased by only ~10%. The staff's annual dose equivalents (DEs) were 12.2-29.8 mSv/year without and 3.8-8.4 mSv/year with lead shielding. With lead shielding, dose equivalent values for the staff were decreased by 41.0-76.5%. Thus, with additional lead shielding, properly used, scattered radiation would be decreased by ~90%, thus decreasing exposure doses to medical staff during ERCPs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.