• Bismuth Shields for CT Dose Reduction Do They Help or Hurt?

    j.jacr.2011.09.001

    Cynthia H. McCollough, PhD, Jia Wang, PhD, Lincoln L Berland, MD

    Bismuth shielding has been used to reduce the dose from CT to superficial radiosensitive organs, such as the breast, lens of the eye, and thyroid [1]. Bismuth-impregnated latex shields are placed over the organ of interest to attenuate the x-ray beam entering the patient. Although studies have con¬firmed a reduction in superficial dose [2-5], the disadvantages of using bismuth shielding have not been widely recognized. We summarize here the primary arguments for and against its use in CT.