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.
AAPM Position Statements, Policies and Procedures – Details
FAQs for Parents and Other Care Providers
About the author: Cara Trimble
Cara Trimble is focused on enhancing the patient and family experience at Cincinnati Children’s. With a passion for health care and a deep commitment to community, she assist families by answering questions, providing hospital policy information, and connecting them with essential resources. Originally from Gallipolis, Ohio, Cara brings small-town warmth and extensive experience to her work. Outside of the hospital, she enjoys family life in Monroe, Ohio, with her husband and two daughters, balancing home projects, photography, and live music with her love for helping others.
About the editor: Glenn Miñano
Glenn Miñano is a media specialist in the Department of Radiology, providing graphic design, photography, printing, video services, and administration of the department’s online properties. His works have been published in several medical articles, such as the American Journal of Radiology and the American Institute of Ultrasound. He has been providing these services to the Radiology Department since 1996.
