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The invisible room · a Rothband experience

You cannot see it. Now you can hear it.

A cath lab in the dark. Your finger is the detector. Sweep the room and it reveals itself in scatter: the colour tells you how much, the clicks tell you how fast. Find the five places it hides, then switch the Rothband kit on and listen to the room go quiet.

Switch on the detector → Sound on recommended · Works with touch · Five hotspots to find
  • SilentScattered X-rays make no sound, no light and no heat you can feel. Staff only know what they received when the dosimeter is read1
  • 1 → ¼Double your distance from the patient and the scatter reaching you falls to a quarter2
  • ×10Cine acquisition puts roughly ten times the dose rate of fluoroscopy into the patient, and the scatter follows1

The invisible room

Sweep the room. Find the scatter.

Press and drag anywhere in the dark. Where you touch, the room lights up in the colour of the scatter at that point and the detector clicks faster the hotter it gets. Five hotspots are hidden in the room. Find them all, then switch on the kit.

0/5
Hotspots foundSwitch the detector on and start sweeping.
Mode
The room
Sound

Turns the sound on. Then press and drag anywhere in the room.

–/100
Nothing under the detector0 clicks / s
Fluoroscopy · Unprotected
Press and drag to sweep

Peak scatter you recorded at each hotspot. Grey is the room with no protection; cyan is the room with Rothband kit on. Units are relative, not mSv. Sweep every hotspot in both modes to complete the comparison.

First hotspot All five found Heard it in cine Heard the quiet room Full comparison

The clicks are a Geiger counter metaphor. Real scatter is silent, and this is an indicative model built from published relationships (inverse square distance, tube-side scatter, cine versus fluoroscopy, typical attenuation of garments and shields). It is not a dosimetry measurement and not a substitute for a risk assessment with your Radiation Protection Adviser.

What you found

Five places scatter hides in a cath lab.

The hotspots in the room above are not random. Each one is a position where published guidance says staff dose concentrates, and each one has a Rothband answer.

1

The operator's hands and waist

Closest to where the beam enters the patient, on the tube side, for the whole case. Scatter falls with the square of distance, so the person at the access site takes the most by a wide margin.2 Answer: a wraparound two-piece apron giving 0.5 mm Pb at the front.

2

Under the table

With an under-table tube, the beam enters from below and scatter escapes under the table towards the legs of anyone at the table side, where the apron stops. Table-mounted lower body shields have been shown to significantly reduce lower extremity dose.2

3

The anaesthetist's head height

At the head end, further from the beam but often the least shielded person in the room, and usually facing the patient. A mobile barrier with a window at the right height is the fix.1

4

Eye level at the table

Roughly 0.5 to 5% of scatter gets through a 0.5 mm apron front, but eyes and thyroid sit above the apron. Lead glasses roughly halved eye lens dose in clinical use; the UK annual eye lens limit is 20 mSv.3,4

5

Behind the lead glass

The quiet spot. Lead-lined walls and lead glass stop almost everything, which is why the radiographer's reading is near zero in both modes. Structural shielding is the protection nobody has to remember to put on.

What made the room quiet

The Rothband kit in the protected room.

Made in Lancashire since 1911, NHS Supply Chain approved, core materials tested to IEC 61331.

Rothband TXRW wrap top

Torso · everyone at the table

TXRW Wrap Top + KXRW Wrap Kilt

Lightweight two-piece wraparound. Overlapping front panels give 0.5 mm Pb where scatter hits first; the weight is shared between shoulders and hips for long lists. Lightweight lead, Bilayer Earth or Bilayer Lead Free cores.

TXRW Wrap Top →
Rothband D-Type thyroid collar

Thyroid

D-Type Thyroid Collar (TPD / TPDM)

0.35 mm Pb lightweight lead collar covering the gland that sits exposed at the neckline of most aprons. Velcro or magnetic closure.

Thyroid collars →
Rothband Model 52 wraparound glasses

Eyes · 20 mSv annual lens limit

Model 52 wraparound glasses

Lead-equivalent lenses with side protection for the people closest to the patient. FitOver frames go over prescription glasses; Nike and Oakley frames for staff who want to actually wear them.

X-ray glasses →
Rothband lower body table shield

Legs · under the table

Lower Body Table Shield

Overlapping lead panels that hang from the table rail and fold down for access. Six lengths from 78 to 162 cm, plus a multi-use shield and under-couch frame.

Table-mounted shields →
Rothband variable height mobile barrier

Anaesthetist · head end

Variable Height Mobile Barrier

Wheeled lead barrier with a window adjustable from 115 to 188 cm, so the person behind it can see the patient and the monitors without standing in the scatter.

Mobile barrier →
Lead-lined walls
& lead glass

Control room · the quiet spot

Structural shielding

Lead-lined doors, partitions and viewing windows for the control area and the rooms next door. Rothband designs, supplies and installs.

Structural shielding →

Make your room quieter

Now find the hotspots in your actual lab.

Tell us about your room and your team. A Rothband specialist will come back to you with garment, eyewear and shielding options for the positions people really stand in.

  • What you found in the room above is sent with your request, so we start from your picture.
  • Garment style, core material and lead equivalence options aligned to your RPA's guidance.
  • Sizing for the whole team, table shields for your table, and a fitting session on request.

Rothband (WSR Medical Solutions Ltd) will use these details to respond to your request. No newsletters, no lists.

Thank you. Your review request has been received.

A Rothband specialist will be in touch shortly. What you found in the room has been attached.

Behind the room

What the model is built on

The room is a teaching model. These are the relationships it uses, and where they come from.

Why does the detector click faster near the table?

Distance. Scatter falls with the square of the distance from the patient. Step from half a metre to one metre and the rate drops to a quarter. The model places the beam entry point on the patient and scales everything from there.2

Why is cine so much louder?

Because acquisition runs put roughly ten times the dose rate of fluoroscopy into the patient, so the scatter reaching the team jumps the same way. In the real lab the fix is to step back during runs.1

What does the protected room assume?

Every table-side person in a wraparound apron, collar and glasses, a lower body table shield on the table, a mobile barrier at the head end. Aprons are modelled at around 5% transmission at the front, collars at 8%, glasses at a factor of two, the barrier at 10%, and the table shield at 20% for the legs. The table shield figure is a judgement; the literature says "significant" rather than giving one number.3,4,2

Is this a dose calculation?

No. It is a teaching model. Real doses are measured with personal dosimeters and depend on the room, the equipment and the procedure. Use it to understand where protection matters, then measure.

References

  1. International Atomic Energy Agency. Radiation protection of medical staff in interventional fluoroscopy (RPOP). iaea.org
  2. Radiation Protection in Interventional Radiology. Indian J Radiol Imaging. 2021 (PMC8817818). PMC
  3. Get Protected! Recommendations for Staff in IR. Cardiovasc Intervent Radiol. 2021 (PMC8034513). PMC
  4. van Rooijen BD, et al. Efficacy of radiation safety glasses in interventional radiology. Cardiovasc Intervent Radiol. 2014. springer.com

This experience was built by Rothband (WSR Medical Solutions Ltd), a UK radiation protection manufacturer since 1911. It is general guidance and not a substitute for your local rules, risk assessment or the advice of your Radiation Protection Adviser.