Background The mandatory revised European Basic Safety Standards Directive (2018) intends to protect the general population from unnecessary radiation exposure by strengthening radiation protection in Europe: http://www.eurosafeimaging.org/wp/wp-content/uploads/2015/03/European-BSS-Directive_Simeonov.pdf . Summary of requirements in medical imaging: Record all CT doses Follow your local DRLs Investigate / justify dose excess Standardize protocols Optimize protocols (ALARA) Collaboration with...
Description of activity and work performed
Anticipation of major challenges Before starting such a project, anticipation of needs and difficulties are a prerequisite. - Occupational: Allocating resources and time to setup a quality project in a private multicentre setting Creating a dose team in each centre to ensure continuous follow-up of an ongoing quality process Transforming anatomy-based radiology to patient based specific clinical imaging Empowering radiographers towards a more clinical approach Defining what is optimum:...
Conclusion and recommendations
The methodology used to determine clinical DRLs ( Fig. 1 ) enabled our multicentre medical imaging group to: Harmonize and optimize CT scanner protocols according to clinical indication Deliver “the right dose for the right diagnosis” without impairing image quality Comply with the European Basic Safety Standards Directive by protecting the general population from unnecessary radiation exposure Achieve excellence in terms of quality and safety in medical imaging Produce high quality...
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International Commission on Radiological Protection (2017) ICRP publication 135: Diagnostic reference levels in medical imaging.
ICRP 46 (1). European Commission (1999) European guidelines on quality criteria for computed tomography.
Available via http://www.drs.dk/guidelines/ct/quality/index.htm .
Accessed 10 September 2018. Racine D,
Verdun FR (2016) Objective assessment of low contrast detectability in computed tomography with...