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RADIATION DOSAGE TO FEMALE GONADS DURING DIAGNOSTIC ROENTGENOGRAPHIC PROCEDURES FREE

George Cooper, Jr., M.D.; Kenneth Williams, M.S.
[+] Author Affiliations

Read in the Symposium on Radiation Hazards before the Joint Meeting of the Section on Obstetrics and Gynecology and the Section on Radiology at the 107th Annual Meeting of the American Medical Association, San Francisco, June 24, 1958.


Charlottesville, Va.

From the Department of Radiology, University of Virginia Hospital and School of Medicine.


JAMA. 1959;170(7):766-769. doi:10.1001/jama.1959.03010070006002
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There is, at present, no practical way to determine routinely the exact ovarian x-ray dosage delivered to each patient as she is examined. The greatest opportunity for reduction of such dosage lies in strict evaluation of the need for roentgenographic investigation of the gastrointestinal tract, the gallbladder, and the lumbar region of the spine in young women and of repeated roentgenographic examination in the handling of hip disease in young girls. Shields can be used to advantage to protect the ovary from the direct beam. Similar shielding can almost completely eliminate significant irradiation of the male gonads.

REFERENCES

Hodges, P. C.:  Health Hazards in Diagnostic Use of X-ray , J. A. M. A. 166:577-584 ( (Feb. 8) ) 1958;.
Neel, J. V.:  Delayed Effects of Ionizing Radiation , J. A. M. A. 166:908-916 ( (Feb. 22) ) 1958;.
Glass, B.:  Genetic Hazards of Nuclear Radiations , Science 126:241-246 ( (Aug. 9) ) 1957;.
Webster, E. W., and Merrill, O. E.:  Radiation Hazards: II. Measurements of Gonadal Dose in Radiographic Examinations , New England J. Med. 257:811-819 ( (Oct. 24) ) 1957;.
Haybittle, J. L.:  Effect of Field Size on Dose to Patient in Diagnostic Radiology , Brit. J. Radiol. 30:663-665 ( (Dec.) ) 1957;.
Lincoln, T. A., and Gupton, E. D.:  Radiation Dose to Gonads from Diagnostic X-ray Exposure , J. A. M. A. 166:233-239 ( (Jan. 18) ) 1958;.
Taylor, L. S.:  Practical Suggestions for Reducing Radiation Exposure in Diagnostic Examinations , Am. J. Roentgenol. 78:983-987 ( (Dec.) ) 1957;.
Laughlin, J. S.; Meurk, M. L.; Pullman, I.; and Sherman, R. S.:  Bone, Skin and Gonadal Doses in Routine Diagnostic Procedures , Am. J. Roentgenol. 78:961-982 ( (Dec.) ) 1957;.
Stanford, R. W., and Vance, J.:  Quantity of Radiation Received by Reproductive Organs of Patients During Routine Diagnostic X-ray Examinations , Brit. J. Radiol. 28: 266-273 ( (May) ) 1955;.
Martin, J. H.:  Radiation Doses to Gonads in Diagnostic Radiology and Their Relations to Long-Term Genetic Hazard , M. J. Australia 2:806-810 ( (Nov. 12) ) 1955;.
Billings, M. S.; Normal, A.; and Greenfield, M. A.: Gonad Dose During Routine Roentgenography , University of California School of Medicine, AEC Project (UCLA-340), (July 25) , 1955;, pp. 1-16
Medical Research Council: Hazards to Man of Nuclear and Allied Radiations, London, Her Majesty's Stationery Office, June, 1956.
Haas, R. L.; Lautourette, H. B.; and Whitehouse, W. M.:  Clinical Applications of Obstetric Radiology , Surg. Gynec. & Obst. 99:462-468 ( (Oct.) ) 1954;.
Berman, R., and Sonnenblick, B. P.:  Intravaginal Measurement of Radiation Dose Incident to X-ray Pelvimetry and Hysterosalpingography , Am. J. Obst. & Gynec. 74:1-12 ( (July) ) 1957;.
Russell, L. B., and Russell, W. L.:  Radiation Hazards to Embryo and Fetus , Radiology 58:369-376 ( (March) ) 1952;.

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Hodges, P. C.:  Health Hazards in Diagnostic Use of X-ray , J. A. M. A. 166:577-584 ( (Feb. 8) ) 1958;.
Neel, J. V.:  Delayed Effects of Ionizing Radiation , J. A. M. A. 166:908-916 ( (Feb. 22) ) 1958;.
Glass, B.:  Genetic Hazards of Nuclear Radiations , Science 126:241-246 ( (Aug. 9) ) 1957;.
Webster, E. W., and Merrill, O. E.:  Radiation Hazards: II. Measurements of Gonadal Dose in Radiographic Examinations , New England J. Med. 257:811-819 ( (Oct. 24) ) 1957;.
Haybittle, J. L.:  Effect of Field Size on Dose to Patient in Diagnostic Radiology , Brit. J. Radiol. 30:663-665 ( (Dec.) ) 1957;.
Lincoln, T. A., and Gupton, E. D.:  Radiation Dose to Gonads from Diagnostic X-ray Exposure , J. A. M. A. 166:233-239 ( (Jan. 18) ) 1958;.
Taylor, L. S.:  Practical Suggestions for Reducing Radiation Exposure in Diagnostic Examinations , Am. J. Roentgenol. 78:983-987 ( (Dec.) ) 1957;.
Laughlin, J. S.; Meurk, M. L.; Pullman, I.; and Sherman, R. S.:  Bone, Skin and Gonadal Doses in Routine Diagnostic Procedures , Am. J. Roentgenol. 78:961-982 ( (Dec.) ) 1957;.
Stanford, R. W., and Vance, J.:  Quantity of Radiation Received by Reproductive Organs of Patients During Routine Diagnostic X-ray Examinations , Brit. J. Radiol. 28: 266-273 ( (May) ) 1955;.
Martin, J. H.:  Radiation Doses to Gonads in Diagnostic Radiology and Their Relations to Long-Term Genetic Hazard , M. J. Australia 2:806-810 ( (Nov. 12) ) 1955;.
Billings, M. S.; Normal, A.; and Greenfield, M. A.: Gonad Dose During Routine Roentgenography , University of California School of Medicine, AEC Project (UCLA-340), (July 25) , 1955;, pp. 1-16
Medical Research Council: Hazards to Man of Nuclear and Allied Radiations, London, Her Majesty's Stationery Office, June, 1956.
Haas, R. L.; Lautourette, H. B.; and Whitehouse, W. M.:  Clinical Applications of Obstetric Radiology , Surg. Gynec. & Obst. 99:462-468 ( (Oct.) ) 1954;.
Berman, R., and Sonnenblick, B. P.:  Intravaginal Measurement of Radiation Dose Incident to X-ray Pelvimetry and Hysterosalpingography , Am. J. Obst. & Gynec. 74:1-12 ( (July) ) 1957;.
Russell, L. B., and Russell, W. L.:  Radiation Hazards to Embryo and Fetus , Radiology 58:369-376 ( (March) ) 1952;.
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