Single-use radio-attenuating gloves are devices protecting the operator's hand by reducing the exposition to scattered radiations during radiological-guided intervention. Expensive, these devices are important, as they contribute to lessen the annual dose to which personals are exposed to. However, inconsistencies in their protection value have been reported between theoretical and clinical practice. In this study, we aim to highlight the normative bias existing in standard norms for radioprotective assessments. Using thermoluminescent captors positioned inside and outside the glove, we designed an EN1331-1 norm-inspired bench test with five brands of radio-attenuating gloves. At 100 keV and 56 cm away from the source, we measured indirect beam and attenuated doses in a clinical setting. From the attenuation index measured, we deduced attenuation rates. We then compared our results to their commercial technical data sheets. The assessed attenuating rates of the tested references were 20%, 30%, 32%, 15%, and 25%. Theoretical rates are, respectively, 38%, 43%, 30%, 26%, and 35%. Only one reference showed no difference between commercial and technical attenuating values (p = 0.12). The inconsistencies between observed and theoretical attenuation value show the importance of the conditions in which protection is assessed. Without complete information, the choice of a protective device as simple as a glove is biased, and this may lead to inappropriate protection of the operator, which should raise concern, as interventional radiology is now widespread in routine practice.

References

References
1.
Valentin
,
J.
,
2000
, “
Avoidance of Radiation Injuries From Medical Interventional Procedures
,”
Ann. ICRP
,
30
, pp.
7
67
.
2.
Nusbacher
,
N.
,
Pollak
,
L.
, and
Bryk
,
D.
,
1978
, “
Shielding the Hand During Cross-Compression Angiography
,”
Radiology
,
128
(
8
), pp.
509
510
.
3.
Ullman
,
J. M.
,
1990
, “
Increasing the Usefulness of Disposable Lead Gloves
,”
Radiology
,
174
(
2
), p.
581
.
4.
Vano
,
E.
,
Fernandez
,
J. M.
,
Delgado
,
V.
, and
Gonzalez
,
L.
,
1995
, “
Evaluation of Tungsten and Lead Surgical Gloves for Radiation Protection
,”
Health Phys.
,
68
(
6
), pp.
855
858
.10.1097/00004032-199506000-00016
5.
Calder
,
P. R.
,
Tennent
,
T. D.
, and
Allen
,
P. W.
,
2003
, “
Assessment of the Efficacy of Proguard RR-2 Radio–Protective Gloves During Forearm Manipulation
,”
Injury
,
34
(
2
), pp.
159
161
.
6.
Guersen
,
J.
,
Donadille
,
L.
,
Rehel
,
J. L.
,
Charvais
,
A.
,
Zaknoune
,
R.
,
Cassagnes
,
L.
,
Chabrot
,
P.
, and
Boyer
,
L.
,
2011
, “
Potential of Radiation Attenuation Gloves in Interventional Radiology: An Experimental Evaluation
,”
Radioprotection
,
46
(
3
), pp.
387
397
.10.1051/radiopro/2011113
7.
Back
,
D. L.
,
Hilton
,
A. I.
,
Briggs
,
T. W.
,
Scott
,
J.
,
Burns
,
M.
, and
Warren
,
P.
,
2005
, “
Radiation Protection for Your Hands
,”
Injury
,
36
(
12
), pp.
1416
1420
.10.1016/j.injury.2004.09.024
8.
Challa
,
K.
,
Warren
,
S. G.
,
Danak
,
S.
, and
Bates
,
M. C.
,
2009
, “
Redundant Protective Barriers: Minimizing Operator Occupational Risk
,”
J. Interv. Cardiol.
,
22
(
6
), pp.
299
307
.10.1111/j.1540-8183.2009.00433.x
9.
Kelsey
,
C. A.
, and
Mettler
,
F. A.
,
1990
, “
Flexible Protective Gloves: The Emperor's New Clothes?
,”
Radiology
,
174
(
1
), pp.
275
276
.
10.
Synowitz
,
M.
, and
Kiwit
,
J.
,
2006
, “
Surgeon's Radiation Exposure During Percutaneous Vertebroplasty
,”
J. Neurosurg. Spine.
,
4
(
2
), pp.
106
109
.10.3171/spi.2006.4.2.106
11.
Clasper
,
J. C.
, and
Pinks
,
T.
,
1995
, “
Technical Note: An Assessment of X-Ray Protective Gloves
,”
Br. J. Radiol.
,
68
(
8
), pp.
917
919
.10.1259/0007-1285-68-812-917
12.
von Wrangel
,
A.
,
Cederblad
,
A.
, and
Rodriguez-Catarino
,
M.
,
2009
, “
Fluoroscopically Guided Percutaneous Vertebroplasty: Assessment of Radiation Doses and Implementation of Procedural Routines to Reduce Operator Exposure
,”
Acta Radiol.
,
50
(
6
), pp.
490
496
.10.1080/02841850902855391
13.
Robinson
,
J. C.
,
2008
, “
Value-Based Purchasing for Medical Devices
,”
Health Aff. (Millwood)
,
27
(
6
), pp.
1523
1531
.10.1377/hlthaff.27.6.1523
You do not currently have access to this content.