Image Wisely, a joint initiative of ACR, RSNA, ASRT and AAPM,
provides information to the medical community to promote safety in medical imaging.

January 13, 2021

NCRP Recommends Against Routine Gonadal Shielding

The National Council on Radiation Protection and Measurements (NCRP) today released Statement No. 13, NCRP Recommendations for Ending Routine Gonadal Shielding During Abdominal and Pelvic Radiography. This statement, along with an “Implementation Guidance for Ending Routine Gonadal Shielding During Abdominal and Pelvic Radiography” and accompanying trifold flyer, provides the scientific and practical reasons for moving away from the long-held practice, as well as helpful guidance for implementing the new recommendations.

“Image Wisely has supported this paradigm shift with informative Facebook Live events, and we look forward to continuing our support of the medical imaging community as we all begin updating our practices,” said Image Wisely Co-Chair, Diana Litmanovich, MD, FNASCI. Fellow Image Wisely Co-Chair, Beth A. Schueler, PhD, FACR, adds, “We all recognize that the new recommendations are contrary to what many people learned in their training and education programs. We understand those concerns, and we want people to understand that the new recommendations are rooted in decades of scientific research and understanding.”

NCRP Statement No. 13 and the accompanying guidance not only outlines the reasons for the shift for imaging practices, but also explains the benefits of changing patient care practices and how to communicate with patients about this topic.

NCRP states in the accompanying trifold that, “Based on over 70 years of research, medical experts now know that the best way to keep patients safe during imaging exams is to not use shields. This is true at any age, including for those who plan to have children in the future. We know this is different from how things have been done for a long time.”

The NCRP Statement No. 13, the implantation guide and the trifold are available to the public online.