Background/introduction
Computed tomography (CT) has become an essential tool for patient management due to its outstanding capabilities.
In the adult population,
CT is commonly used to evaluate patients as part of oncology follow up,
screening of asymptomatic patients and other conditions.
Despite these benefits,
the growing use of CT has raised concerns as radiation risks have been associated with radiation exposure [1].
Radiation dose from diagnostic imaging scans has been related to a slight increase in the patient’s lifetime risk in developing cancer [2,3].
Therefore,
each...
Description of activity and work performed
CT is commonly used in the diagnosis of cancer,
evaluation of treatment results and follow up.
Due to the evolution of technology and the development of new drugs,
cancer patients have a higher life expectancy than in the past and therefore management of the radiation dose from medical imaging is essential.
As a result of the proceedings of the latest workshop of the Dose Excellence country teams,
the standardized list of CT protocols for oncology patients’ follow up was reviewed and revised.
Each country participated...
Conclusion and recommendations
Patient safety being a priority,
requires identifying the perfect balance between the risk and benefit of the exposure.
Imaging of cancer patients as part of their follow up program must be optimized,
taking into account the frequency of the exposure to radiation and the higher life expectancy compared to the past.
Being a part of a unique international dose management program offers the advantage of using big data to evaluate protocols,
compare and apply best practice.
Personal/organisational information
Dr.
Lilla Kardos
Radiologist
Affidea Hungary
Prof.
Dr.
Rowland Illing,
DM MRCS FRCR
Radiologist,
Chief Medical Officer
Affidea BV Amsterdam,
The Netherlands
Milan Barati
Radiographer
Affidea Hungary
Katia Katsari,
MSc
Chief Medical Physicist
Affidea BV Amsterdam,
The Netherlands
Dr.
Athanasia Papachristodoulou
Consultant Radiologist
Affidea Greece Thessaloniki/GR
References
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Sahani DV.
Low-dose CT in clinical diagnostics.
Expert Opin Med Diagn.
2013; 7(5):501-10.
AAPM Medical Physics Practice Guideline 1.a: CT Protocol Management and Review Practice Guideline.
Journal of Applied Clinical Medical Physics.
2013; 14(5):3-13.
Mettler FA Jr.
Huda W,
Yoshizumi TT,
Mahesh M.
Effective doses in radiology and diagnostic nuclear medicine: a catalog.
Radiology.
2008; 248(1):254–63.
Smith-Bindman R,
Lipson J,
Marcus R,
Kim KP,
Mahesh M,
Gould R,
et al.
Radiation Dose Associated With Common Computed Tomography Examinations and the Associated Lifetime Attributable...