In this JACC Advances Author One-on-One podcast, Editor-in-Chief Dr. Dinesh Kalra and Associate Editor Dr. Purvi Parwani speak with Dr. Priscilla Wesley and Dr. Renuka Jain about their prospective study on occupational radiation exposure among interventional echocardiographers during structural heart procedures. The authors discuss findings from 230 TEE-guided interventions, including left atrial appendage occlusion, transcatheter mitral interventions, and transcatheter tricuspid procedures. The conversation highlights reassuring data on pelvic radiation exposure while addressing ongoing concerns about chest-level exposure, shielding strategies, and opportunities to improve safety in the structural heart cath lab. Tune in for an engaging discussion on radiation safety and the future of structural heart imaging.