Radiographers’ use and opinion of gonad contact shielding in digital projection radiography

Abstract

Purpose: The purpose of this study was to evaluate the use and opinion of local radiographers on the use of gonad contact shielding in digital projection radiography. Objectives: The objectives of this study were to determine local radiographers' use and explore their opinion on gonad contact shielding in digital projection radiography and evaluate whether radiographers’ use was associated with their gender, highest educational qualification, and years of experience as radiographers. Methodology: The researcher formulated a 20-item online questionnaire to evaluate local radiographers’ use and opinion on the practice of gonad contact shielding in digital projection radiography. This questionnaire was distributed to radiographers currently employed in Malta via e-mail (to SRM members) and local social media (SRM and UM Radiography Facebook pages). Data were analysed using IBM-SPSS Statistics 23. Results: Approximately half of the radiographers working in Malta (n = 101) answered the questionnaire. More than half of participants (56.4%) perceived GCS as an effective tool to help reduce the radiation dose to the gonads in digital projection radiography. Similarly, 56.4% indicated that they used GCS aligned with local rules and/or departmental protocols, with 58.4% who claimed to use GCS for both genders, mainly for children (0–12) and patients of reproductive age (12–55). It was also noted some misconceptions amongst local radiographers regarding the benefits and risks of using GCS. No statistically significant association was noted between radiographers’ use of GCS and their gender, highest educational qualification, and years of experience. Conclusions: Local imaging departments could look into their protocols and assess whether there is a need for updating in line with the latest recommendations. The University and Society could assist these local departments during the updating process and organize training sessions with radiographers, explaining the new guidelines and how these new recommendations could be implemented in practice.