SC 4-11: Gonadal Shielding During Abdominal and Pelvic Radiography


Gonadal shielding was introduced approximately 60 y ago, and has been widely accepted as good radiologic practice since that time. However, about 10 y ago, the value of this practice began to be questioned. The intent of this document is to provide guidance and an authoritative statement that addresses newer information and current understanding of the possible health effects of gonadal exposures and to make recommendations regarding best practices and appropriate regulation. The statement will be of value to a wide variety of groups, including state regulators, radiologic technologists, radiologic technology training programs, pediatricians, imaging professionals (i.e., radiologists), imaging trainees, referring practitioners, administrators and decision makers, the radiation protection community, members of the public, patients and those that care for them.


To provide recommendations, based on scientific evidence, on whether gonadal shielding should continue to be used routinely. The proposed statement will address whether changes to existing regulations are needed.


Donald P. Frush


is the John Strohbehn Professor of Radiology, and an Associate Faculty Member, Medical Physics Graduate Program at Duke University Medical Center. Dr. Frush earned his undergraduate degree from the University of California Davis, MD from Duke University School of Medicine, was a pediatric resident at University of California San Francisco, completed a radiology residency at Duke Medical Center, and a fellowship in pediatric radiology at Children’s Hospital in Cincinnati. Professional roles included more than 25 y on the Duke Medical Center faculty, with a subsequent nearly 2 y appointment as a Professor of Radiology at Lucile Packard Children’s Hospital at Stanford. He returned to Duke in 2020. Dr. Frush’s research interests are predominantly involved with pediatric body computed tomography (CT), including technology assessment, techniques for pediatric CT examinations, assessment of image quality, radiation dosimetry, and radiation protection and risk communication in medical imaging. Other areas of investigation include CT applications in children and patient safety in radiology.

Donald P. Frush , Chair

Keith J. Strauss

is an Associate Professor at the University of Cincinnati School of Medicine and the head of the Section of Clinical Medical Physics within the Radiology Department of Cincinnati Children’s Hospital Medical Center. Mr. Strauss received a BA degree in physics from the University of Manchester and an MSc degree in radiologic physics from the University of Chicago. He began his career as a Diagnostic Medical Physicist at Michael Reese Hospital in Chicago before focusing on pediatric Radiology in Boston and Cincinnati since 1984.

Mr. Strauss’ research interests are predominantly focused on altered clinical configurations of x-ray imaging equipment designed to manage the pediatric patient’s radiation dose while maintaining good quality imaging. International affiliations include the International Atomic Energy Agency and pediatric hospitals associated with Project HOPE. Mr. Strauss is active on committees within the American Association of Physicists (AAPM) in Medicine and American College of Radiology (ACR). He is currently the Vice Chair of the Image Gently Alliance, a Fellow of the ACR, and a Fellow of the AAPM.

Keith J. Strauss , Vice Chair


Goldin E

is a radiation safety specialist with over 40 y of experience in power reactor health physics. He earned a BS in Nuclear Engineering from The University of Arizona and an MS in Nuclear Engineering/Health Physics from Texas A&M University. He completed a PhD in Biomedical Sciences at the University of Texas Graduate School of Biomedical Sciences, Houston. Dr. Goldin has been a member of NCRP Program Area Committee 2 since 2004, participating in report writing for Scientific Committees 46-17, 2-4, 2-5, and 2-7. He is an active member of the Health Physics Society, served on the Board of Directors, several committees and sections, and held officer positions of Secretary and President, and on the American Board of Health Physics (ABHP).

Dr. Goldin has been certified by the ABHP since 1984 and was awarded HPS Fellow status in 2012. Dr. Goldin's radiological engineering experience includes ALARA (as low as reasonably achievable) programs, instrumentation, radioactive waste management, emergency planning, dosimetry, decommissioning, licensing, effluents, and environmental monitoring. In addition, he taught graduate/upper division level courses in radiation biology, radiological assessment, and power reactor health physics at San Diego State University for over 20 y and assisted in the development and implementation of a Radiation Protection Technician training program at MiraCosta College. Dr. Goldin retired from Southern California Edison in 2012 and currently provides technical support and decommissioning planning to the San Onofre Nuclear Generating Station.

eric m. goldin

Rebecca Milman

is an Imaging Medical Physicist and Associate Professor at the University of Colorado School of Medicine in Aurora, Colorado. Dr. Marsh is a graduate of the University of Texas Graduate School of Biomedical Sciences in Houston, Texas, and completed her imaging residency at M.D. Anderson Cancer Center. She is certified by the American Board of Radiology in Diagnostic Medical Physics.

Dr. Marsh participates in a wide range of volunteer activities with the American Association of Physicists in Medicine and the American Board of Radiology. Currently, she provides clinical services for x-ray-based imaging modalities and has a specific interest in promoting sensibility in the practice of clinical medical physics. Her primary professional goal is to help provide healthcare professionals and patients with accurate and consistent information about radiation risk from diagnostic imaging procedures.

Rebecca Milman

Sarah McKenney

is a Medical Physicist within the Department of Health Physics and an Associate Professor Volunteer Clinical Faculty within the Department of Radiology at the University of California, Davis (UCD) Medical Center in Sacramento.

Dr. McKenney received a BS and BA in Physics and Studio Art from the University of Maryland, College Park. She obtained her PhD in Biomedical Engineering from UCD and completed her medical physics residency at Henry Ford Hospital. Dr. McKenney is a board certified Diagnostic Medical Physicist by the American Board of Radiology. She provides quality assurance for diagnostic imaging systems including general x ray, fluoroscopy, mammography, and computed tomography.

Dr. McKenney is Vice Chair of the Pediatric Imaging Subcommittee within the American Association of Physicists in Medicine and she is a steering committee member of Image Gently. Her research interests include imaging quality and dose optimization, particularly for pediatric populations.

Sarah McKenney


is the Chief Medical Officer for the Office of Radiological Health at the Food and Drug Administration’s (FDA) Center for Devices and Radiological Health. He earned a BA from Yale University and an MD from New York University, and completed a residency in diagnostic radiology and a fellowship in interventional radiology at New York University Medical Center. He is board certified in Diagnostic Radiology and Vascular and Interventional Radiology. Prior to joining FDA, he practiced interventional radiology for three decades at the National Institutes of Health and the National Naval Medical Center in Bethesda, Maryland.

Dr. Miller was elected to NCRP in 2006. He currently serves on the Board of Directors and as Chair of Program Area Committee 4 (Radiation Protection in Medicine). He is an author of NCRP Reports Nos. 168, 172, 177, 180, 184, and 185, and Statements Nos. 11 and 13. He served on the International Commission on Radiological Protection (ICRP) Committee 3 (Protection in Medicine) as a member from 2010 to 2013, and as Vice-Chair from 2013 to 2017. He is an author of ICRP Publications 117, 120, 135, and 139. He was Vice-Chair for the U.S. Environmental Protection Administration’s Federal Guidance Report No. 14, is a consultant to the International Atomic Energy Agency, and is a member of the World Health Organization’s Core Group of Experts on radiation protection of patients and staff.

Dr. Miller was Professor of Radiology at the Uniformed Services University in Bethesda, Maryland from 1993 to 2012. He has served as Associate Editor of Radiology and the Journal of Vascular and Interventional Radiology and is an author of more than 200 papers in peer-reviewed journals and more than 40 book chapters and reports. He is a Fellow of the Society of Interventional Radiology (SIR) and the American College of Radiology (ACR), and an Honorary Member of both the American Association of Physicists in Medicine and the International Organization for Medical Physics. He chaired SIR’s Safety and Health Committee from 1999 to 2011 and the ACR Guidelines Interventional Committee from 2008 to 2012. His research interests have centered on radiation protection in medicine.

donald l. miller

Angela Shogren

is the Deputy Director of the U.S. Environmental Protection Agency's (EPA) Office of Web Communications. Formerly in EPA’s Center for Radiation Information and Outreach, Ms. Shogren has spent the majority of her career collaborating on radiation risk communication and radiation data visualization projects. Ms. Shogren supported EPA's communication efforts during the 2011 Fukushima Daiichi nuclear accident and has facilitated international panels on radiation risk communication in pediatric medical imaging, with a focus on patient advocacy and effective communication methods. Ms. Shogren was a key member of the expert working group led by the World Health Organization that developed the 2016 practical reference document, Communicating Radiation Risk in Paediatric Medical Imaging: Information to Support Healthcare Discussions About Benefit and Risk.

Angela Shogren
Mary Ann Spohrer


Wagner L

completed his PhD thesis in Experimental Nuclear Physics at the Los Alamos Scientific Laboratories and received his degree from The Florida State University, Tallahassee in 1976. He performed his postgraduate training at Memorial-Sloan Kettering Cancer Center in New York. He has been on faculty at the University of Texas-Houston Medical School since 1978 where he is presently a Tenured Professor of Radiological Sciences. He is Chief Physicist over diagnostic and interventional uses of ionizing radiations and is Radiation Safety Officer for two major hospitals in Houston, Texas. He has over 60 peer reviewed journal articles, is author of several books, and has published more than 20 chapters in books ranging in topics from pediatric imaging to pain management and interventional cardiology. His focus of interest is in the medical management of radiation in diagnostic and interventional imaging, including management of the pregnant patient, with the purpose of assessing and improving the benefit/risk ration for patients undergoing ionizing radiation procedures. Dr. Wagner has been invited as a guest lecturer to 18 international audiences and over 150 meetings of domestic professional groups and societies. He is a Fellow of the American Association of Physicists in Medicine and a Fellow of the American College of Radiology.

louis k. wagner
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Last modified: December 20, 2018