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Published in: Insights into Imaging 1/2022

Open Access 01-12-2022 | Radiation Protection | Original Article

Integrity of personal radiation protective equipment (PRPE): a 4-year longitudinal follow-up study

Authors: Pieter-Jan Kellens, An De Hauwere, Tim Gossye, Sven Peire, Ingrid Tournicourt, Luc Strubbe, Jan De Pooter, Klaus Bacher

Published in: Insights into Imaging | Issue 1/2022

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Abstract

Background

Personal radiation protective equipment (PRPE) such as lead aprons minimises radiation exposure of operators using X-ray systems. However, PRPE might be prone to cracks in the attenuating layer resulting in inadequate radiation protection. This study aims to investigate the prevalence, qualification and quantification of PRPE integrity during a longitudinal follow-up study.

Methods

All PRPE of a large, general hospital was evaluated yearly in the period 2018–2021. The equipment was inspected on a tele-operated X-ray table, and tears were qualified and quantified using an X-ray opaque ruler. Rejection criteria of Lambert & McKeon, with an extra rejection criterion of 15 mm2 for individual tears, were applied to accept or reject further use of the PRPE.

Results

Over the 4-year follow-up period, a total of 1011 pieces of PRPE were evaluated. In total, 47.3% of the PRPE showed tears of which 31% exceeded the mentioned rejection criteria. Remarkably, of the 287 newly registered pieces of PRPE, 6.0% showed tears in the first year of use of which 88.2% needed to be rejected. Also, 48% of the repaired PRPE was rejected again in the consecutive year.

Conclusions

PRPE is prone to cracks. Up to 50% of PRPE showed tears and cracks resulting in 31% rejections. Newly purchased PRPE is not guaranteed to remain free of cracks and tears in the first year of use. Repair does not guarantee a long-term solution for prolonging the lifespan. Regular X-ray-based integrity analysis of PRPE is needed to ensure adequate radioprotection for operators using X-ray systems.
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Metadata
Title
Integrity of personal radiation protective equipment (PRPE): a 4-year longitudinal follow-up study
Authors
Pieter-Jan Kellens
An De Hauwere
Tim Gossye
Sven Peire
Ingrid Tournicourt
Luc Strubbe
Jan De Pooter
Klaus Bacher
Publication date
01-12-2022
Publisher
Springer Vienna
Published in
Insights into Imaging / Issue 1/2022
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-022-01323-3

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