In what scenario might you opt to not use a grid in fluoroscopy?

Opting not to use a grid in fluoroscopy can be particularly relevant in scenarios where patient dose reduction is critical. Grids are designed to improve image quality by reducing scatter radiation, but they can also lead to an increase in the radiation dose to the patient. This occurs because the use of a grid may require higher exposure settings to achieve the desired image quality, thus increasing the amount of radiation that the patient receives.

In cases where minimizing radiation exposure is a priority, such as when dealing with sensitive populations or when repeated imaging is necessary, avoiding the grid can help keep patient doses lower while still enabling acceptable image quality under certain conditions. This approach becomes especially significant in pediatric imaging or when patients are at risk of radiation-induced complications. Hence, focusing on patient safety by prioritizing lower doses often means forgoing the use of grids, even if there might be a compromise in image quality.