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Indexof te3n 201610/31/2023 ![]() ![]() The measurements in the periphery (scattered radiation) with and without a protective glove resulted in a dose autoregulation up to 48 kV and 3 mAs. ![]() In the direct X-ray beam, there was a significant increase of the radiation exposure both for the patient and the examiner. Furthermore, the dose on the examiner’s hand showed an increase with the protection device: 143 to 221.8 μSv (p<0.001). ![]() Significant increase of the dose area product was observed with the protection device: 1084.2 to 1603 mGy*cm 2 (p<0.001). Comparing the dose values with and without a protection glove. The purpose of this prospective study was to evaluate the use of lead-free X-ray protective gloves in clinical practice in terms of shielding and sense of touch. The exposure can be reduced by active application of the known procedural rules of radiation protection, according to X-ray regulations, by consistently applying the protective measures (lead skirt, thyroid gland protection, protective goggles, lead lamellae at the examination table, lead glass protection, etc.) and by increasing improvement of the interventional techniques (learning curve). Bismuth metal is considered environmentally friendly, but there is limited information on the effects on the environment.Īngiographic interventions represent a high radiation exposure for the examiner, which is predominantly caused by scattered radiation. The new generation of radiation protection gloves is primarily made based on the requirement to use less lead and thus protect the environment from heavy metal. Due to this composition, it is possible to produce a substance which, in addition to its absorption properties, also retains its flexibility. Bismuth is used as an alternative material because it possesses shielding properties. These gloves contain a metal-polymer composite, consisting of a binder (elastomer, e.g., epoxy resin), and a filler (e.g., bismuth). The newer generation X-ray gloves are characterized by the use of lead-free material (for example bismuth oxide) and by a high flexibility. This is difficult to realize in everyday clinical practice. The shielding of the hands from X-ray represents a rarely used option of radiation reduction. The risk of biological deterministic effects of radiation on the exposed skin increases with the effective dose and has effects ranging from an erythema, to epilation and as far as skin necrosis. ![]()
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