A simplified shielding approach for limiting fetal dose during radiation therapy of pregnant patients

Int J Radiat Oncol Biol Phys. 2001 Apr 1;49(5):1469-73. doi: 10.1016/s0360-3016(01)01447-x.

Abstract

Purpose: To investigate the effectiveness of a simple and practical shielding device to reduce fetal dose for a patient undergoing radiation therapy of nasopharyngeal carcinoma.

Methods and materials: Using 5-cm-thick lead bricks and a heavy-duty steel cart, a 50 x 50-cm portable shield was designed and fabricated to reduce fetal dose due to collimator scatter and head leakage radiation. With the gantry at 90 degrees /270 degrees the shield can be easily positioned between the machine head and the fetus to reduce peripheral dose. Dose measurements for 6-MV X-rays and 9-MeV electrons have been made, utilizing a Rando phantom, to quantify the effect of the shield.

Results: Measurements show that the peripheral dose to the fetus can be reduced by 60% when the simple shielding device is used.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Squamous Cell / radiotherapy*
  • Equipment Design
  • Female
  • Fetus*
  • Humans
  • Nasopharyngeal Neoplasms / radiotherapy*
  • Phantoms, Imaging
  • Physical Phenomena
  • Physics
  • Pregnancy
  • Pregnancy Complications, Neoplastic / radiotherapy*
  • Radiation Protection / instrumentation*
  • Radiotherapy Dosage
  • Scattering, Radiation