Quality Assurance of Personal Radiation Shield for Kilovoltage Photon: A Multicentre Experience

PURPOSE: To optimize the maintenance of radiation shields, this study aims to analyze annual inspection files to assess the integrity of radiation shields and their associated factors with regard to defects in radiation shields in clinical settings. METHODS: A multicenter cross-sectional study was conducted at hospitals in Saudi Arabia. The data from annual inspection files of 1019 clinical lead radiation shields were analyzed. The factors of shield shape, unit where a shield is used, shield thickness, short-term use and number of users were examined. In addition to the inspection file analysis, radiation attenuation measurements were obtained for a subset of shields to compare newly purchased shields with older shields. Statistical analyses were performed using Fisher’s exact test and a t-test. RESULTS: The results show that the highest percentage of failing shields were found in the emergency unit, fluoroscopy unit and operation room with a failure of approximately 7.14%, 5.61%, and 3.98%, respectively, of these shields. Fluoroscopy and operation room units were statistically significantly associated with shield defects. There was no association between shield damage and shape of shield, shield thickness, short-term use or number of users. Radiation attenuation measurements were similar for new and older shields. CONCLUSION: As fluoroscopy units and operating rooms have a higher percentage of damaged shields, it is recommended that the shields employed in these units should be regularly inspected more frequently than once a year. The study highlights that the shields’ age, transmission measurements that confirm that the correct shields are purchased according to the required kVp, physical appearance, and cleanliness should be recorded in annual inspection files. This study highlights the need for uniform inspection files of radiation shields across hospitals. National and international organizations may apply these findings to develop appropriate recommendations.