Radiation exposure (RE) has biological consequences and the risk is cumulative. There is increasing awareness regarding the risks of RE to patients and providers from endoscopic procedures that use fluoroscopic guidance.1,2 A major source of RE during fluoroscopy is radiation scattering from the patient as the incident beam makes contact with the body surface. Although the simplest way to reduce RE is by decreasing fluoroscopy time, this may not always be possible.3 We compared the performance of two fluoroscopy systems, fixed Eview…