Contrary to common perception, the advent of third- and fourth-generation scanners has lead to a significant increase in
radiation dose to the patient per computed tomography (CT) head scan. With that in mind, a pilot study was designed with the
objective of assessing the effectiveness of a dental-style protective bib in reducing the dose to the radiosensitive organs
of the neck and thorax. Radiation doses over the thyroid gland and breast were measured with thermoluminenscent dosemeters
and an ionization chamber respectively in 110 patients undergoing routine head scans. Half the patients wore the protective
bib and collar. With lead protection, the thyroid measurements were reduced by an average of 45 % and the breast measurements
by an average of 76 %. Similar results were seen in phantom measurements.
Key words: Radiation dose reduction - Head CT - Breast - Thyroid - Protective lead shielding
Received 23 May 1997; Revision received 22 August 1997; Accepted 19 September 1997