Patient Shielding

Lead Shielding No Longer Recommended for Routine X-Rays

At WakeMed, patient safety and clear, accurate imaging are always our top priorities. That’s why we’ve updated our X-ray practices to no longer include the use of lead aprons (also called shields).

A Brief History on Lead Shields

For decades, lead aprons were given to patients – especially children and women of childbearing age – during X-rays. At the time, this was considered the best way to protect sensitive organs from radiation. Advances in medical imaging technology have greatly reduced the amount of radiation required to create a quality image. Today’s imaging equipment uses up to 95% less radiation than older machines. That means exposure is already very small, even for pediatric patients. Research now shows that lead shields no longer add meaningful protection and, in some cases, can cause problems.

Why We Are Shedding the Shield

Modern studies and national radiology experts have identified several issues with lead shielding:

  • It can interfere with the exam. If the shield slips or covers part of the body, it can block important anatomy the doctor needs to be able to see and make images unclear.
  • It may cause repeat scans. A blocked image often means another picture has to be taken, which increases exposure rather than reduces it.
  • It can confuse the machine. Modern scanners automatically adjust settings. A misplaced shield may trick the machine into using more radiation than needed.

By moving away from routine shielding, WakeMed ensures patients – adults and children alike – get the clearest images with the lowest possible radiation exposure in the safest and most comfortable way.

What This Means for You

  • Your exam will be quicker and more comfortable. You’ll receive high-quality images the first time, reducing the need for repeat scans
  • You and your family are still protected – today’s machines deliver very low doses of radiation without the need for a shield
  • In special circumstances, shielding may still be used after discussion with your care team

For More Information

This policy change is being implemented at other top health care systems across the country, and is supported by leading medical imaging groups:

  • American Association of Physicists in Medicine
  • American College of Radiology
  • The National Council on Radiation Protection and Measurements
  • Image Gently & Image Wisely

For more information, read the FAQs from the American Association of Physicists in Medicine.