Congress:
EuroSafe Imaging 2016
Keywords:
Action 3 - Optimisation, diagnostic reference levels, image quality, Action 2 - Clinical diagnostic reference levels (DRLs)
Authors:
H. Ducou le Pointe, J.-F. Chateil, J.-F. Meder
DOI:
10.1594/esi2016/ESI-0029
Description of activity and work performed
Why to published new guidelines?
In October 2014,
the IRSN (Institut de Radioprotection et sûreté Nucléaire) published a report on the exposure of the French population to ionizing radiation in relation to medical diagnostic procedures in 2012.
82 millions diagnostic procedures using ionizing radiation were carried out in France.
CT accounted for only 10.4% of the total number of examinations,
CT scans represented 71.3% of the total dose administered.
Despite this fact,
CT scans help practitioners in their daily practice to diagnose or rule out diseases,
and plan and monitor treatment.
Recent advancements are enhancing CT scan image quality while reducing radiation exposure to patients.
The SFR decided to help radiologists in their professional practice by publishing Practical CT Guidelines.
Wich organisations were involved in developing these CT-guidelines?
All French organ- and specialty-specific radiology societies,
the Radiation Safety working group of the SFR in cooperation with the ASN (Autorité de Sûreté Nucléaire),
the IRSN (Institut de Radioprotection et sûreté Nucléaire),
the SFPM (Société Française des Physiciens Médicaux) and numerous radiographers and technical assistants.
What is the content of these CT-guidelines?
These guidelines include recommendations based on expert consensus for 100 different types of commonly performed CT procedures organised as index cards.
Every index card includes the objectives of the examination,
the standard protocol as well as the optional complementary sequences appropriate for each organ pathology.
What does an index card look like?
We present here two examples:
The topic of the first card concerns "Optimisation in CT" (Fig.2-4).
The second one explains how to explore "Deafness in Children by CT" (Fig.5)