TY  - JOUR
AU  - Candela-Juan, Cristian
AU  - Ciraj-Bjelac, Olivera
AU  - Sans Merce, Marta
AU  - Dabin, Jérémie
AU  - Faj, Dario
AU  - Gallagher, Aoife
AU  - de las Heras Gala, Hugo
AU  - Knežević, Željka
AU  - Malchair, Françoise
AU  - De Monte, Francesca
AU  - Simantirakis, George
AU  - Theodorakou, Chrysoula
PY  - 2021
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/9822
AB  - The use of patient contact-shielding has become a topic of intensive scientific debate. While it has been common practice during the last decades, some studies have questioned the efficiency of using such shielding while others have highlighted the inconsistencies in its application. The objective of this work is to review current recommendations and legislative documents on the use of out-of-field shielding in X-ray imaging, including those from national authorities and from international and national organisations and professional bodies. The review, performed within the framework of the activities of EURADOS Working Group 12, covers available recommendations on use of contact shielding in adult, pregnant and paediatric patients in general radiography, fluoroscopy, computed tomography, mammography and dental radiology. It includes a comprehensive search of 83 documents from 32 countries and 6 international organisations over the last 39 years. In general, using shielding is recommended only under two conditions: if it does not compromise the diagnostic task and the performance of the procedure and/or if it reassures the patient and comforters that they are appropriately protected against potentially harmful effects of radiation. There are very few specific regulatory requirements to use shielding in a particular imaging modality, although they may consider use of shielding either as part of good radiological practice or as requirements for availability of protective or ancillary tools, without further specification of their use. There is a wide variety of positions among documents that recommend out-of-field shielding, those that do not recommend it and those that are not specific. Therefore, evidence-based consensus is still needed to ensure best and consistent practice.
T2  - Physica Medica
T1  - Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents
VL  - 86
SP  - 44
EP  - 56
DO  - 10.1016/j.ejmp.2021.05.017
ER  - 

@article{
author = "Candela-Juan, Cristian and Ciraj-Bjelac, Olivera and Sans Merce, Marta and Dabin, Jérémie and Faj, Dario and Gallagher, Aoife and de las Heras Gala, Hugo and Knežević, Željka and Malchair, Françoise and De Monte, Francesca and Simantirakis, George and Theodorakou, Chrysoula",
year = "2021",
abstract = "The use of patient contact-shielding has become a topic of intensive scientific debate. While it has been common practice during the last decades, some studies have questioned the efficiency of using such shielding while others have highlighted the inconsistencies in its application. The objective of this work is to review current recommendations and legislative documents on the use of out-of-field shielding in X-ray imaging, including those from national authorities and from international and national organisations and professional bodies. The review, performed within the framework of the activities of EURADOS Working Group 12, covers available recommendations on use of contact shielding in adult, pregnant and paediatric patients in general radiography, fluoroscopy, computed tomography, mammography and dental radiology. It includes a comprehensive search of 83 documents from 32 countries and 6 international organisations over the last 39 years. In general, using shielding is recommended only under two conditions: if it does not compromise the diagnostic task and the performance of the procedure and/or if it reassures the patient and comforters that they are appropriately protected against potentially harmful effects of radiation. There are very few specific regulatory requirements to use shielding in a particular imaging modality, although they may consider use of shielding either as part of good radiological practice or as requirements for availability of protective or ancillary tools, without further specification of their use. There is a wide variety of positions among documents that recommend out-of-field shielding, those that do not recommend it and those that are not specific. Therefore, evidence-based consensus is still needed to ensure best and consistent practice.",
journal = "Physica Medica",
title = "Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents",
volume = "86",
pages = "44-56",
doi = "10.1016/j.ejmp.2021.05.017"
}

Candela-Juan, C., Ciraj-Bjelac, O., Sans Merce, M., Dabin, J., Faj, D., Gallagher, A., de las Heras Gala, H., Knežević, Ž., Malchair, F., De Monte, F., Simantirakis, G.,& Theodorakou, C.. (2021). Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents. in Physica Medica, 86, 44-56.
https://doi.org/10.1016/j.ejmp.2021.05.017

Candela-Juan C, Ciraj-Bjelac O, Sans Merce M, Dabin J, Faj D, Gallagher A, de las Heras Gala H, Knežević Ž, Malchair F, De Monte F, Simantirakis G, Theodorakou C. Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents. in Physica Medica. 2021;86:44-56.
doi:10.1016/j.ejmp.2021.05.017 .

Candela-Juan, Cristian, Ciraj-Bjelac, Olivera, Sans Merce, Marta, Dabin, Jérémie, Faj, Dario, Gallagher, Aoife, de las Heras Gala, Hugo, Knežević, Željka, Malchair, Françoise, De Monte, Francesca, Simantirakis, George, Theodorakou, Chrysoula, "Use of out-of-field contact shielding on patients in medical imaging: A review of current guidelines, recommendations and legislative documents" in Physica Medica, 86 (2021):44-56,
https://doi.org/10.1016/j.ejmp.2021.05.017 . .