Shielding Patients for X-rays Is No Longer Recommended
Cincinnati Children’s Hospital Medical Center (CCHMC) Radiology, like many other leading institutions, has moved away from using lead shielding during x-rays for most patients.
This shift is based on updated research and guidance from organizations like the American Association of Physicists in Medicine (AAPM)1 and the Image Gently Alliance2.
Here’s why this change is possible:
- Modern x-ray machines are more precise: They use much lower doses of radiation and better beam control, minimizing exposure to surrounding tissues.
- Shielding can interfere with image quality: It can obscure areas the radiologist needs to see or trigger repeat imaging if it blocks part of the anatomy.
- Shielding doesn’t protect internal organs effectively: Especially in pediatric imaging, internal scatter radiation can’t be significantly reduced by placing lead shields over the body.
- Evidence-based practice: Studies have shown that the benefit of shielding is minimal or even counterproductive, particularly as radiation doses have become so low.
CCHMC and other hospitals focus on optimizing imaging protocols to use the lowest necessary radiation dose (following the ALARA principle—As Low As Reasonably Achievable) without compromising diagnostic quality.
ODH (Ohio Department of Health) rules do require anyone who is not a patient and is within 6.5 feet of the Xray tube to wear an apron. We are required to follow this rule.
1 www.aapm.org
AAPM Position Statements, Policies and Procedures – Details
2 https://imagegently.org
FAQs for Parents and Other Care Providers