Justification, which is a principle of radiation protection (GSR Part 3, International BSS), is implemented more effectively as part of the medical process of determining the appropriateness of a radiological procedure. This is an evidence based process to choosing the best test for a given clinical scenario, with account taken of the diagnostic efficacy of the proposed procedure, as well as of alternative procedures that do not use ionizing radiation. This applies to procedures for symptomatic and asymptomatic individuals, as well as to the screening...

The meeting was attended by 45 participants from 20 countries from the region Europe of the Technical cooperation program of the IAEA, including: Armenia, Azerbaijan, Bosnia and Herzegovina, Bulgaria, Croatia, Estonia, Georgia, Kazakhstan, Latvia, Lithuania, Montenegro, Poland, Republic of Moldova, Romania, Russian Federation, The former Yugoslav Republic of Macedonia, Turkey, Ukraine, Portugal, and experts from United Kingdom, as well as representatives of IAEA, ESR and WHO. The participants represented national radiological professional societies, health authorities and radiation protection regulatory bodies (fig. 1). The programme combined...

Among the issues most commonly citedwere the availability and accessibility of evidence-based and up-to-date referral guidelines in clinical practice to aid referrers and practitioners in the justification process. The IAEA andESR consider referral guidelines for medical imaging essential for improving appropriateness and justification of radiological procedures. The meeting recommended the following next steps: 1. National or local implementation of justification tools: Adopting oradapting Imaging Referral Guidelines from a trusted source (professional societies, regulatory competent authorities); Support from regulators, health ministries, medical societies (radiological and clinical,...

Jenia Vassileva Radiation Protection Specialist Radiation Protection of Patients Unit Division of Radiation, Transport and Waste Safety International Atomic Energy Agency Vienna International Centre, PO Box 100, 1400 Vienna, Austria| Email: [email protected] Valentin Sinitsyn Professor, MD, Ph.D., FACR, EBCR President of Russian Society of Radiology (RSR) Head of Radiology Department Federal Center of Medicine and Rehabilitation Ivan'kovskoye sh., 3 125367 Moscow Russia Email: [email protected] Boris Brkljačić Prof.dr.sc. ESR 2nd Vice-President Professor of Radiology, Medical School, University of Zagreb Department of Diagnostic and Interventional Radiology University...

EC, FDA, IAEA, ILO, OECD/NEA, PAHO, UNEP, WHO. Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards, IAEA Safety Series No. GSR Part 3, IAEA, Vienna (2014). International Atomic Energy Agency. Justification of medical exposure in diagnostic imaging : proceedings of an International Workshop on Justification of Medical Exposure in Diagnostic Imaging / organized by the International Atomic Energy Agency in cooperation with the European Commission and held in Brussels, 2–4 September 2009, IAEA, Vienna (2011).