During fluoroscopy, the Bucky tray is moved to the end of the examination table. What is the minimum lead equivalent that must automatically cover the opening at the gonadal level?

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The minimum lead equivalent that must automatically cover the opening at the gonadal level during fluoroscopy is 0.25 mm lead equivalent. This requirement is in place to ensure adequate protection for the gonads from scattered radiation during fluoroscopic procedures.

The selection of 0.25 mm is based on guidelines established by organizations like the National Council on Radiation Protection and Measurements (NCRP) and the American College of Radiology (ACR). These guidelines intend to provide sufficient shielding to minimize radiation exposure to sensitive reproductive organs, thereby reducing the risk of potential genetic damage or other harmful effects.

Shielding levels of lead are carefully determined based on the energy of the X-rays and the types of procedures performed. The 0.25 mm lead offers a compromise that balances adequate protection with practicality in terms of the weight and functionality of the shielding devices used during medical imaging.

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