Gurumurthi Sri Hari Prasath, Rajasekar Vasanthaprabha
Department of Acute Medicine, Whiston Hospital, Prescot, UK.
Department of Nephrology, Liverpool University Hospital, Liverpool, UK.
J Med Phys. 2025 Jan-Mar;50(1):1-7. doi: 10.4103/jmp.jmp_152_24. Epub 2025 Mar 24.
The comparative effectiveness of traditional lead aprons versus newer generation lead-free alternatives in radiation protection is a critical area of investigation in medical safety. While lead aprons have long been the standard, concerns over weight and mobility have spurred interest in lead-free options, which incorporate materials such as antimony, bismuth, and barium sulfate. Understanding the relative performance of these apron types is essential for optimizing radiation protection protocols in medical settings. Relevant studies were identified through electronic database searches, with inclusion criteria focusing on comparative evaluations of apron types in terms of radiation shielding effectiveness and durability. Data extraction and risk of bias were performed to analyze key findings across the selected studies. Analysis of the included eleven studies revealed promising results for lead-free aprons, demonstrating comparable radiation protection to traditional lead aprons. In addition, thinner lead-free aprons were proven to be adequate for shielding while concerns related to weight and mobility. The systematic review highlights the evolving landscape of radiation protection in medical settings, with newer-generation lead-free aprons presenting promising alternatives to traditional lead aprons. In addition, shields composed of combined metals demonstrated more substantial attenuation and dose reduction in comparison to single-metal shields.
在医疗安全领域,传统铅围裙与新一代无铅替代品在辐射防护方面的比较有效性是一个关键的研究领域。虽然铅围裙长期以来一直是标准防护装备,但对其重量和灵活性的担忧促使人们对无铅防护装备产生了兴趣,这些无铅防护装备采用了锑、铋和硫酸钡等材料。了解这些围裙类型的相对性能对于优化医疗环境中的辐射防护方案至关重要。通过电子数据库搜索确定了相关研究,纳入标准侧重于根据辐射屏蔽效果和耐用性对围裙类型进行比较评估。进行数据提取和偏倚风险分析,以分析所选研究的关键结果。对纳入的11项研究的分析显示,无铅围裙取得了令人鼓舞的结果,证明其辐射防护效果与传统铅围裙相当。此外,较薄的无铅围裙被证明足以提供屏蔽作用,同时解决了与重量和灵活性相关的问题。该系统评价突出了医疗环境中辐射防护的不断变化的形势,新一代无铅围裙为传统铅围裙提供了有前景的替代方案。此外,与单金属屏蔽相比,由组合金属构成的屏蔽表现出更大的衰减和剂量降低效果。