July 25, 2025 18 min read
X-ray cassette covers are single-use plastic sleeves that protect imaging plates from contamination and damage, helping to extend their usable life.These simple covers are made of clear, X-ray transparent material and slip over the cassette or digital detector before an X-ray is taken. By enclosing the cassette, they keep it shielded from bodily fluids, dust, and germs. In this article, we’ll explainwhat X-ray cassette covers are andwhy they matter – from their basic definition and materials to how they protect both equipment and patients. We’ll also look at practical use cases in hospitals, dental offices, and mobile imaging, and highlight whyRad Bags® cassette covers (with over 90 million sold!) are a top choice in the industry.
X-ray cassette covers aredisposable protective sleeves or bags designed to slip over an X-ray cassette or digital detector. The X-ray cassette (in traditional film radiography) or the digital imaging plate is the device that captures the image when you get an X-ray. During an imaging procedure, this cassette often comes into direct contact with the patient’s body – for example, a technologist might place it behind a patient’s back for a chest X-ray. A cassette cover acts like abarrier between the patient and the cassette, keeping the cassette clean and preventing any direct contact with skin or bodily fluids. Essentially, it’s a specialized plastic bag that ensures theimaging receptor stays dry and uncontaminated while still allowing X-rays to pass through.
These covers arethin, transparent to X-rays (radiolucent), and easy to use. You simply slide the cassette or flat-panel detector inside the cover before positioning it under or next to the patient. Once the X-ray is done, you can remove and discard the cover. This way,each patient gets a fresh, clean cover, which helps prevent any germs from hitching a ride from one patient to the next. Without a cover, cassettes would need thorough cleaning between patients, and there’s still a risk that some bacteria or fluids could remain. By using cassette covers, facilities maintain a higher standard of hygiene with minimal effort – just “bag it” and toss the used cover out after use. It’s a simple idea, but it makes a big difference in keeping both the equipment and the patients safe.
X-ray cassette covers might seem low-tech, but there are a few different materials and design features that set them apart. Themost common material is polyethylene, a type of plastic. Polyethylene covers are popular because they arestrong, lightweight, and radiolucent – X-ray beams pass right through without noticeably affecting the image quality. Polyethylene is also generally latex-free, which is important because it meansno risk of latex allergic reactions for patients or staff. The plastic is typically about2 mils (0.002 inches) thick, which is enough to be durable andimpervious to fluids, but thin enough not to impede the X-rays or add much bulk. In fact, a good cassette cover isdesigned to be nearly invisible to the X-ray machine, so the resulting images are just as clear as if no cover were used.
Some cassette covers are made fromvinyl or other plastics. Vinyl covers can be a bit thicker or more rigid, which might offer extra durability in certain situations. However, vinyl is less common for disposable covers because it’s generally stiffer and not as cost-effective as polyethylene. Most facilities favor the thin polyethylene bags that are flexible and easy to work with. No matter the material,virtually all medical cassette covers are latex-free (this is usually advertised on the box) to ensure they don’t cause latex sensitivity issues. The goal is a cover that is safe for everyone and meets hospital infection control standards.
In terms ofdesign, cassette covers come in a few styles. Many are simple“sandwich bag” style sleeves: an open-ended bag where you insert the cassette, then fold or flap the end closed. Some have adhesive strips or “peel-and-stick” flaps that seal the open end, ensuring the cover stays on securely and nothing leaks out. Others use azip-lock closure similar to a freezer bag, which can be handy for a tight seal. There are also different packaging formats. You can buy coversindividually pre-cut (each one a separate bag),on a roll (where you tear off a new cover as needed), or in our popularClump Gangs, which are bundled groups of covers designed for quick access and high-volume environments. Clump Gangs make it easy to grab what you need without slowing down, especially useful in trauma rooms and mobile X-ray setups. The covers come in various sizes to fit different cassette or detector dimensions (common sizes correspond to standard cassette sizes like 14x17 inch, 10x12 inch, etc.). For example, one vendor’s cassette covers are available in “the five cassette sizes” commonly used in radiography, and companies often offercustom sizes for odd-shaped or specialized plates.
Another design consideration is whether the cover issterile or non-sterile. Non-sterile disposable covers are fine for most general X-ray use (like routine chest X-rays or ward portable exams).Sterile cassette covers, on the other hand, are used in environments like the operating room. If a technologist needs to bring an X-ray detector into a sterile surgical field, a sterile cover ensures that no germs are introduced. These sterile covers usually come individually packaged and are a bit more expensive, so they’re used when sterility is critical. They are made of the same type of poly film, often with special folding or extra length to cover any cables, etc., and maintain the sterile barrier.
To summarize the typical materials and designs:
Polyethylene plastic: The go-to material – durable, fluid-proof, radiolucent, and latex-free. It provides a smooth, slick surface.
Vinyl or other plastics: Occasionally used for heavier-duty covers or special applications, but less common. Also latex-free.
Closure styles: Open-top “flap” bags, adhesive seal bags, or zip-lock style bags, all meant to be single-use and disposable.
Packaging: Sold in rolls or flat boxes; typically 100 or more per box for convenience.
Sterile vs. non-sterile: Non-sterile for everyday use; sterile versions available for surgeries and invasive procedures.
Latex-free: Standard across the board to avoid allergy issues.
Despite these differences, all cassette covers serve the same basic purpose: tocover and protect the cassette without getting in the way of the X-ray.
Using cassette covers is aboutprotecting both the imaging equipment and the people (patients and staff). Let’s break down why these covers are so important:
1. Infection Control – Stopping Cross-Contamination: Perhaps the biggest reason cassette covers matter is to prevent the spread of infections. X-ray cassettes and digital detectors are reused for many patients, and studies have shown they can become contaminated with bacteria and other pathogens if not protected. In fact, research has found that X-ray cassette surfaces often harbor bacteria; one study reported finding bacterial contamination on95% of cassette samples tested. Even more concerning, another study discovered that16% of X-ray cassettes carried MRSA (methicillin-resistantStaph. aureus) and over51% had MRSH (another antibiotic-resistant staph) on their surface. These are exactly the kinds of germs that cause hard-to-treat hospital infections. The researchers concluded that contaminated cassettes can act asfomites – objects that transfer microbes between patients or staff. This means if you don’t use precautions, an imaging plate that touched one patient could potentially spread bacteria to the next patient, or to the technologist handling it.
Cassette covers provide a simple solution: afresh, clean barrier for each patient. Instead of the patient’s body directly contacting the cassette (which may still harbor microbes even after cleaning), the patient contacts the disposable cover. After the X-ray, the cover (and any germs on it) gets thrown away. The cassette inside stays clean. This drasticallyreduces cross-contamination risk. In environments like hospitals where infection control is critical, this is a huge benefit. Disposable covers arehighly recommended wherever there’s a risk of spreading infection via the X-ray equipment. Even beyond bacteria, think about COVID-19 or other viruses – a cover adds an extra layer of protection that standard wipe-down cleaning might miss. It’s no surprise that infection control protocols in many imaging departments now include using cassette covers, especially for portable X-rays in ICU rooms, isolation units, or operating rooms.
It’s worth noting thatbacteria can survive on surfaces like X-ray plates for surprisingly long periods. So a cassette that isn’t properly disinfected could carry germs from patient to patient over the course of a day. By using a new cover each time, you’re effectively resetting the cleanliness for each exam. This not only protects patients from catching something from a previous patient, but also protects thestaff, who have to handle the cassette. Radiologic technologists don’t want to be exposed to bodily fluids or harmful bacteria any more than patients do. A cover means they can handle the cassette without gloves full of disinfectant each time, and be confident it’s clean.
2. Protecting the Equipment (and Your Investment): Beyond infection control, cassette covers alsoshield the imaging equipment itself from damage and wear. X-ray detectors (whether it’s a traditional film cassette or a modern digital panel) are expensive pieces of equipment. Fluids like blood, urine, or vomit canruin a cassette or digital detector if they seep in. Even dust, dirt, or spilled contrast media can cause issues or artifacts on images. By covering the cassette, youkeep out liquids, spills, and dirt, so the equipment stays dry and safe. This prolongs the life of the device. Hospitals have found that using covers is far cheaper than having to replace a $40,000 digital detector because fluid got inside of it during a trauma case.
Another aspect is protection fromscratches or impact. While the cover is just plastic, it can prevent minor scratches to the cassette’s surface (for example, from sliding under a rough surface or from grit on a patient’s bed). It can also contain any small broken bits – imagine an emergency where a cassette might get cracked or a glass imaging plate breaks; a cover would help contain shards or leakage. In daily use, covers alsoprotect against harsh cleaning chemicals. Normally, after a patient, a tech would have to wipe down the cassette with disinfectant wipes or sprays. Over time, those chemicals can degrade seals, plastic, or markings on the cassette. If you use a disposable cover, you don’t need to aggressively clean the cassette itself as often – you just throw away the dirty cover. This meansless chemical exposure to the device and potentially longer device lifespan.
3. Staff and Patient Safety – Easier Handling and Comfort:Surprisingly, cassette covers can also improve both safety and comfort by making the cassetteeasier to handle. Many covers — especially those made of high-grade polyethylene — have a smooth, slippery surface. That slickness is intentional. It allows technologists toslide the cassette under or behind a patient with far less friction.
For example, if a patient is injured or unable to move easily, a tech might need to position the X-ray detector under their back while they're lying in bed. A slippery cover lets the detectorglide smoothly into place without tugging on skin, sheets, or clothing. That meansless movement, less discomfort, and oftenno need to lift or roll the patient — especially important in trauma cases or when spinal injuries are a concern.
From the technologist’s perspective, a well-designed cover alsoreduces strain and injury risk. Wrestling detectors into position under a heavy or immobile patient can be physically taxing. Some cassette covers, likeRad Bags®, include a bit of extra material that acts as a handle. After the image is taken, the tech can simplypull the cassette out by the edge of the bag, avoiding awkward reaches or unnecessary contact. That small detail makes a big difference in daily workflows.
And when it comes to slippery —Rad Bags® set the standard. Since 1995, Rad Bags have been known across the industry asthe Gold Standard in Slippery. In the words ofJohn H. Moller, the inventor of Rad Bags and a registered technologist:
"We have — and always have had — the SLIPPERRIEST detector and cassette covers since 1995. There’s still no cover out there that’s SLIPPERYER."
—John H. Moller, Inventor, R.T.R., A.R.R.T.
That slipperiness isn’t just a fun claim — it’s a real, functional advantage that helps technologists get the job done more efficiently andreduces the amount of patient repositioning required, which improves safety and comfort for everyone involved.
4. Maintaining Image Quality:You might wonder, does putting a plastic cover over the cassette affect the X-ray image? A well-designed cassette cover willnot degrade image quality. As mentioned earlier, they use radiolucent materials that X-rays penetrate easily. The cover is thin and lies flat, so it typically doesn’t show up at all on the X-ray image (no artifacts or strange shadows). In fact, part of why polyethylene is used is because it doesn’t absorb X-rays significantly. The result is you get the infection control and equipment protection benefitswithout sacrificing any diagnostic quality in the images. This is crucial – hospitals wouldn’t use covers if they consistently interfered with exams. So you can have peace of mind that a chest X-ray or dental X-ray taken with a covered cassette will look just as good as one taken without a cover.
In summary, cassette covers protectpatients by preventing infections, protectequipment by preventing damage, and even protectstaff by making handling easier and safer. It’s a small accessory that delivers wide-ranging benefits in a medical imaging department.
Where exactly are X-ray cassette covers used? The short answer: pretty much anywhere you have X-ray equipment that’s shared between patients. Let’s look at a few common settings:
In hospitals, cassette covers are ubiquitous, especially forportable X-ray exams. Consider a busy hospital ward or intensive care unit (ICU) – patients can’t always be brought to the Radiology department, so technologists bring a portable X-ray machine to the bedside. They’ll slide a detector under the patient to take, say, a chest X-ray. Using a fresh cassette cover each time is now standard practice in many hospitals to ensureno germs from the last bedside visit end up on the next patient. This is vital in areas like the ICU, where patients may be on ventilators or very infection-prone. It’s also important in theEmergency Room (ER) and trauma situations. If a patient comes in with bleeding wounds or other bodily fluids present, the X-ray cassette could be exposed to those fluids during imaging. A cover will keep all that mess off the expensive detector – protecting it from blood or vomit – and also make cleanup faster (just dispose of the contaminated cover). ER techs often have a stack of cassette covers on hand because they never know what they’ll encounter.
Another big use in hospitals is duringsurgical procedures. In the operating room (OR), maintaining a sterile field is crucial. If surgeons need an X-ray mid-surgery (common in orthopedic surgeries, for example), the cassette or detector must be placed near the surgical site. Hospitals usesterile cassette covers in these cases – a scrub nurse will slip the sterile cover over the cassette so it can be used in the sterile field without introducing infection risk. After the imaging, the cover can be removed and the cassette never actually touched anything in the sterile field directly. These covers allow radiology to integrate into surgery smoothly, whether it’s an OR table shoot-through X-ray or a quick image in interventional radiology procedures. Essentially, in any hospital scenario where an X-ray plate touches multiple patients or could contact fluids, a cassette cover is the go-to solution. It’s telling thatover 2,100 hospitals rely on Rad Bags® X-ray cassette covers alone, which shows how commonplace this practice is in healthcare facilities.
Dental offices also make use of X-ray covers, though the setting is a bit different. In dentistry, the X-ray “cassettes” are usually much smaller digital sensors or imaging plates that go inside a patient’s mouth for intraoral X-rays. If you’ve ever had dental X-rays, you might recall the technician putting a little sensor in your mouth wrapped in a plastic sleeve – that’s essentially adental X-ray cassette cover (often just called a sensor sleeve). These aresingle-use plastic covers that fit over the dental X-ray sensor to keep saliva and oral germs off of it. With dozens of patients coming through a dental clinic, you definitely don’t want the sensor going from one mouth to another without a protective barrier. The disposable cover ensures each patient gets a clean sensor and there’s no cross-contamination (no one wants bacteria from another person’s mouth!). Dental sensor covers are typically made of similar materials – a thin plastic that doesn’t block the X-rays – and are obviouslylatex-free and safe to use in the mouth. They also protect the expensive digital sensors from moisture, since saliva could damage the electronics if it seeped in.
Beyond intraoral sensors, some dental and veterinary offices use larger cassette covers for things likepanoramic dental X-ray cassettes or phosphor plates. The concept is the same: any reusable imaging plate that touches a patient (even just externally against the cheek) should have a barrier cover if it’s used on multiple patients. Dental practices have embraced this because it’s a simple way to reassure patients about hygiene – they can see the staff putting a brand-new cover on the sensor. It’s worth noting that dental covers are one-time use and then thrown away, which is standard for infection control in dentistry (much like dentists use disposable gloves and instrument covers). So, whether it’s a small sensor cover or a full-size cassette cover, the dental field definitely relies on these to keep things clean and safe.
Mobile radiology refers to services that bring imaging to the patient outside of a traditional hospital radiology room. This could be amobile X-ray unit in a van or truck that travels to nursing homes, sports events, or rural areas to provide imaging on-site. It could also be technologists who do in-home X-rays for homebound patients, or even military field hospitals and disaster response teams with portable X-ray equipment. In all these cases, cassette covers are extremely useful. When you’re moving between locations (different patients in different places), you may not have the luxury of a fully controlled clean environment. A mobile X-ray tech might go from one patient in a nursing home room to another patient down the hall, then to a different facility later. Using a fresh cover each time means they’re not carrying germs from one site to the next on their detector. This is both for patient safety and the tech’s own safety as they might encounter patients with infectious diseases in various locations.
Mobile environments can also be less predictable in terms of cleanliness. For example, doing an X-ray in a patient’s home – you might have to set the cassette on a bed or a couch. A cover not only protects the patient, but alsoprotects the cassette from any dirt or spills in that environment. If you’re outdoors (say at a sports field or an accident scene), a cover will keep mud or rain off the equipment. Basically, it’s an extra layer of armor for the detector against the elements. Mobile and portable X-ray units often stock disposable cassette covers as a standard supply.
Even within a hospital, one could consider the portable X-rays done in different rooms as a form of “mobile” imaging, and as mentioned, covers are routine there. Any time an X-ray machine is not confined to a single dedicated room and is traveling patient-to-patient,the cassette cover becomes as important as wearing gloves in terms of hygiene practice. In fact, guidelines for mobile radiography often include using protective covers for the image receptor, especially if contact precautions are in place for infectious patients. It’s a quick step that saves a ton of cleanup. Imaging providers who domobile radiology services (in homes or nursing facilities) also tout the use of covers as a selling point – it shows they care about infection control just as much as a hospital would.
Mobile radiology techs have shared that cassette covers give them peace of mind: after finishing with a patient, they can peel off the dirty cover, disinfect any non-covered parts of the machine, and move on without worrying that the core detector surface is contaminated. This is huge when trying to maintain quality care on the go. Plus, carrying around covers is a lot easier than lugging heavy cleaning equipment or multiple detectors. It’s not an exaggeration to say that forany scenario in medical imaging – be it a high-tech hospital or a makeshift tent clinic – cassette covers are useful wherever cleanliness and equipment protection are concerns.
With the importance of cassette covers established, you might wonder which ones stand out.Rad Bags®, made by Radman Radiological, have emerged as a leading choice for many healthcare providers. In fact,over 90 million Rad Bags® have been sold, and they’re trusted in more than 2,100 hospitals worldwide. Those numbers speak to a track record of reliability. Here’s why Rad Bags® are often considered the “gold standard” of X-ray cassette covers:
Proven Performance: Rad Bags have been on the market since 1995, and in that time they’ve continually improved their product. They boast havingthe slipperiest surface among cassette covers – meaning it’s exceptionally easy to slide these covers under patients or into tight spots without friction. This slick exterior helpsreduce patient movement and discomfort because the cassette glides in place smoothly. For technologists, this can make a big difference when handling trauma cases or positioning under a heavy or immobile patient.
Infection Prevention Focus: These covers aredesigned to prevent cross-contamination at the highest level. They are single-use, durable bags that effectively seal off the cassette from any contact with the patient. Rad Bags emphasize that even with thorough cleaning, it’s nearly impossible to remove all pathogens from a cassette’s surface. Their covers solve that by acting as acomplete barrier. Hospitals and imaging centers using Rad Bags have confidence that each patient is getting a clean cassette cover, which helps maintain strict infection control protocols.
Custom Fit and Versatility: One size doesnot fit all in medical imaging, and Radman Radiological addresses this by offering Rad Bags® in a variety of sizes and formats. They providecustom-fit options for different detector models and can even manufacture special sizes if a facility has an unusual cassette size. Whether it’s a small 8x10 inch plate or a large 14x17 inch DR panel, there’s a Rad Bag to cover it. They also havedifferent styles – from individually cut bags to rolls, and even zip-lock versions – to suit different workflows. This flexibility is one reason so many facilities standardize on Rad Bags; they know they can get covers for all their needs from one source.
Trauma-Tested Durability:Trauma departments and busy ERs put products to the test, and Rad Bags® have been “trauma tested” to withstand the rigors of emergency imaging. The covers are made of a tough yet thin polyethylene that won’t easily rip or puncture, even when you’re quickly sliding a cassette under a patient who might have debris or sharp objects around. The durability meansno mid-procedure failures – the last thing you want is a cover tearing open in a messy scenario. It also means the cassette stays truly protected when it matters most.
Smooth Handling and Extra Features:Rad Bags have some thoughtful design touches. For example, as mentioned,excess material that acts like a handle on the open end so you can grab and pull the cassette out without sticking your fingers under the patient. The material is also not too slippery for the technologist’s hands – while it slides nicely against surfaces, you can still grip it. This balance of slickness and control likely comes from their proprietary plastic formula. Additionally, Rad Bags are100% recyclable and made in the USA, which appeals to facilities looking to reduce environmental impact and support domestic products.
With decades in the field, Rad Bags® have earned a strong reputation among radiology professionals. Many technologists specifically request Rad Bags by name — not just for their reliability, but for how much easier they make everyday imaging tasks.
Here’s whatTheodore Williams, Chief Imaging Manager atJohns Hopkins University, had to say:
“I would like to take this opportunity to comment on the quality of your product. First, the Rad Bag is both durable and practical. The bag is resistant to laceration and very well made. Moreover, the material used in the product makes it easier to place a cassette behind a patient.”
“The Rad Bag is outstanding in performing portable exams in all areas of the hospital. The task of performing portable exams in the ICU and OR is much easier with the use of your product. As you might guess, your product saves us time and reduces the need for lifting help. Of course, this saves us money and can only help in reducing the number of workers' compensation claims.”
“The nurses and technologists all say that the Rad Bag is ‘great.’ Finally, I want to congratulate you on being an innovator for producing a superior product.”
Testimonials like this highlight the real-world impact Rad Bags have across hospital departments — improving efficiency, reducing strain, and supporting safer care for patients and staff alike.
In the competitive world of medical supplies, Rad Bags® have positioned themselves as an authority on cassette covers – much like how certain brands become synonymous with quality in their niche. This aligns with Radman Radiological’s goal of being an authority in imaging protection solutions, as evidenced by their presence online (such asramanradiological.com, where they share information and innovations in this space). For someone researching “what is an X-ray cassette cover,” discovering a trusted brand like Rad Bags can be helpful, because it provides a concrete example of what to look for when evaluating products.
In summary, X-ray cassette covers may not be the first thing people think of in medical imaging, but they are an essential tool for modern healthcare. They keep our equipment safe from damage, help stop the spread of infections, and make the process of getting an X-ray more comfortable for patients and easier for techs. Whether it’s a trauma bay in a hospital, a routine dental X-ray, or a mobile imaging van, these unassuming plastic covers are working quietly in the background to maintain cleanliness and safety. And when it comes to choosing the right covers, options like Rad Bags® stand out for their proven reliability and user-friendly design, backed by millions of uses in the field. So the next time you get an X-ray and see the tech using a protective cover on the cassette, you’ll know exactly what it is and why it matters!
Works Cited
"Rad Bags® Disposable Cassette Covers."Radman Radiological.
https://www.ramanradiological.com
Charnock, Cathy, et al. "Microbial contamination of X-ray cassettes used in diagnostic radiography."The British Journal of Radiology, vol. 77, no. 915, 2004, pp. 318–320.
Siegel, Robert E. "Infection Control in Mobile Radiography."Radiologic Technology, vol. 77, no. 6, 2006, pp. 485–491.
Reddy, Bhaskara K., et al. "Evaluation of bacterial contamination of X-ray cassettes used in the intensive care unit."Journal of Infection and Public Health, vol. 8, no. 6, 2015, pp. 581–585.
"Portable Radiography Through Glass for COVID-19 Patients."Journal of Medical Imaging and Radiation Sciences, vol. 52, no. 2, 2021, pp. 252–257.