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Revista chilena de radiología

versão On-line ISSN 0717-9308

Resumo

MATURANA Q., Pablo; ARAVENA V., Marcela; UBILLA H., María  e  ALLENDE N., Felipe. The end of gonadal protection in pelvic radiography: A review. Rev. chil. radiol. [online]. 2020, vol.26, n.2, pp.40-45. ISSN 0717-9308.  http://dx.doi.org/10.4067/S0717-93082020000200040.

Gonadal protection has long been an important factor in addressing the ALARA “as low as reasonably possible” requirement. This article performs a systematic review on the usefulness of gonadal protection in pelvic radiography, in which the factors that have to do with its daily performance have been highlighted, that is, radiation dose involved, the radiosensitivity of the gonads, the position of the gonadal shielding and the psychological factor of the population in relation to its use. The incorporation of modern equipment, with optimized dose and protocols, transforms the benefit of gonad shielding into an issue that is at least debatable. While some continue to support the measure, other agencies and authors no longer support it. It is necessary to reconsider current practices based on scientific consensus that may be obsolete and consider the factor of cultural change based on these new consensus for its implementation, without generating major concern in the population.

Palavras-chave : Gonad shielding; Paediatric radiology; Pelvic x-ray; Radiosensitivity; Radiation dose.

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