Research summary, original research, 2025

Investigating the Performance of X-ray Protection of Various Elements and Alloy Compounds in Aprons for Interventional Radiology

Papie M, Mansi L, Kitson S, Cheki M. Advanced biomedical research. 2025

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In plain language

In a computer simulation of an interventional room, tungsten-based multilayer apron materials, especially gadolinium-tungsten, lowered modelled physician organ dose somewhat more than 0.5 mm lead. Real garments, weight and wear were not tested.

At a glance

Type of study
Original research, Phantom or simulation study
Who was studied
Phantom or simulation (no people)
Where
Iran
Summary based on
the full text

What it found

  • Tungsten and tungsten multilayers with gadolinium and bismuth gave the highest simulated protection for all physician organs at 80-120 kVp, with Gd-W and Gd-W-Bi showing the greatest reduction in transmission.

    Key figures: 80-120 kVp

  • A lead apron reduced simulated organ doses to under 1% of unshielded dose at 70 kVp, but protection fell at higher energy, with kidneys still receiving 7.7% of the unshielded dose at 120 kVp.

    Key figures: 0.87% at 70 kVp vs 7.7% at 120 kVp (kidneys)

  • At 70 kVp, only tungsten bilayers with antimony or tin outperformed lead in the upper and middle organs.

    Key figures: MRDD upper -0.424 to -0.136

  • Low-Z upstream/high-Z downstream bilayers (Gd-W, Sn-W) attenuated better than reversed configurations (W-Gd, W-Sn) for all organs.

    Key figures: RDD ratio about 2 at 70 kVp to about 1 at 120 kVp

  • A small uncovered gap at the top of the thyroid in the model raised simulated thyroid dose, underscoring the need for full neck coverage; upper leg bone coverage also mattered.

    Key figures: about 3 mm uncovered

Limits to keep in mind

Purely Monte Carlo simulation with stylized MIRD-type phantoms and a single modelled room, validated against one dosimeter measurement (calculated 140.74 µGy vs measured 111.4 µGy). Shields were compared at fixed 0.5 mm thickness, and several tungsten composites (e.g. Gd-W 6.8 kg/m2) are heavier per area than lead (5.68 kg/m2), so lighter-apron claims are untested.

How this summary was made

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Prepared November 3, 2026.