Background/introduction
Computed tomography (CT)is considered as one of the greatest advancements in medicine.Although,
it provides very valuable diagnostic information that considerably affect clinical management of many diseases,
the relatively high level of ionizing radiation inherent to the technique,
may cause adverse biological effects on human cells.
In modern practice,
the magnitude of patient exposure is much below the levels for acute deterministic effects -such as acute radiation sickness,
to be observed.Late stochastic effects,
on the other hand,are inevitable,
as they have no dose treshold in individuals....
Description of activity and work performed
Institution
As the largest provider of health services in Turkey,
the Ministry of Health is segmented into multiple hospital associations including the 2ndHealthcare Region of Istanbul Province (a.k.a.Anatolia North,which consists of 13 hospitals and 6 dental hospitals/centers.
In Anatolia North 3 million residents are being served; 11.1 millions outpatient admissions and 250 thousands surgical operations are being performed annually.
The annual number of radiologic procedures in Anatolia North are more than 4 milion and roughly represents 1/1.000th of world radiological services.
FSM is a mid-size...
Conclusion and recommendations
The concept of DRL is beginning to be a well-defined tool in many countries and is used to reduce patient dose during medical interventions and examinations.All countries should therefore try to develop concepts in order to implement and use diagnostic reference level to ensure patient doses are reduced as much as possible.
Results shown in FSM are quite promising regarding patient and population health.
Ourkey success factor was the adoption of a wing to wing approach in dose management encompassing the whole imaging cycle.
Standardization...
Personal/organisational information
About the primary author:Prof.
Hakki Muammer Karakas,
MD.,
is the Chief Officer and Chairman of Istanbul Provincial Public Imaging Services where 1/200hof world’s radiological services are conducted.He is also the Chairman of Radiology at FSM Research and Training Hospital,
Istanbul,
and professor of radiology at Health Sciences University of Turkey.
About the institutions:The presentation include data from FSM Hospital.
The institution belongs to and is the administrative center of 2ndHealthcare Region of Istanbul Province (a.k.a.Anatolia North).
Radiology clinics of these hospitals are currentlyfunctioning as units...
References
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Radiologic and nuclear medicine studies in the United States and worldwide: frequency,
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Goldberg-Stein S,
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Body CT during pregnancy: utilization trends,
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4.
Data extracted on...