title: Bismuth breast and thyroid shield implementation for pediatric CT.
abstract: Studies have indicated that infants and children are as much as ten times more susceptible to carcinogenesis from radiation than adults. Because data show bismuth breast and thyroid shields decrease radiation dose to sensitive areas without changes in image quality, Children's Healthcare of Atlanta implemented the use of bismuth shields in all patients undergoing CTexaminations. Staff education regarding the use of bismuth shielding was key to the success of this program.Their understanding of the benefits would ultimately assist in their support of shield use in the CT department. This program was made possible through a grant from the AHRA & Toshiba Putting Patients First Program. Otherwise, the cost of bismuth shielding would be supported by the operating budget of the organization and, with the decline in CT volume reported at many healthcare institutions,this cost may be too high for many hospitals.
authors.affiliation: Children's Healthcare of Atlanta at Egleston, GA, USA. Melinda.Dobbs@choa.org
authors.forename: Melinda
authors.initials: M
authors.lastname: Dobbs
authors.forename: Renee
authors.initials: R
authors.lastname: Ahmed
authors.forename: L Ellen
authors.initials: LE
authors.lastname: Patrick
mesh_terms: D001729:Bismuth; D004496:Education, Continuing; D005845:Georgia; D006801:Humans; D009381:Neoplasms, Radiation-Induced / Q000517:prevention & control*; D010372:Pediatrics; D011482:Protective Devices; D011868:Radioisotopes / Q000009:adverse effects*; D017751:Safety Management; D013964:Thyroid Neoplasms / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed / Q000009:adverse effects*
chemical_list: D011868:Radioisotopes; D001729:Bismuth