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Policy number Policy name Policy date Sunset date
PS 3-B AAPM Position Statement on the Use of Bismuth Shielding for the Purpose of Dose Reduction in CT scanning 8/25/2022 12/31/2027
Section
Policy source
August 25, 2022 EXCOM Meeting
Policy text
Bismuth shields are easy to use and have been shown to reduce dose to anterior radiosensitive organs in CT scanning. However, several disadvantages exist, including wasted radiation, reduced image quality, and unpredictable results when combined with automatic exposure control, tube current modulation or dual-energy acquisitions. Alternative techniques exist that can provide equivalent anterior dose reduction at the same or superior image quality without the limitations of bismuth shields. The AAPM recommends that these alternatives to bismuth shielding be carefully considered, and implemented when possible, and that bismuth shields should not be used unless there is a clear need or clinical benefit.

Rationale for Policy

Policy version history
Policy number Policy name Policy date Sunset date Active?
PP 26-A Use of Bismuth Shielding for the Purpose of Dose Reduction in CT Scanning 2/7/2012 11/28/2017 Inactive
PP 26-B AAPM Position Statement on the Use of Bismuth Shielding for the Purpose of Dose Reduction in CT scanning 11/29/2017 12/31/2022 Inactive
PS 3-A AAPM Position Statement on the Use of Bismuth Shielding for the Purpose of Dose Reduction in CT scanning 11/29/2017 12/31/2022 Inactive
PS 3-B AAPM Position Statement on the Use of Bismuth Shielding for the Purpose of Dose Reduction in CT scanning 8/25/2022 12/31/2027 Active

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