EuroSafe Imaging 2020
Not applicable, Education and training, Dosimetric comparison, Technical aspects, Radiation safety, Fluoroscopy, CT, Conventional radiography, Radioprotection / Radiation dose, Radiation physics, Action 5 - Performance indicators for radiation protection management
E. Vano, G. Frija, E. Efstathopoulos, C. Granata, R. W. Loose, G. Paulo, D. Pekarovic, J. Sjöberg, L. Donoso, W. Stiller
Conclusion and recommendations
From the topics initially selected by the WG, and for the one concerning the information on patient exposure, it has been suggested that the easiest option will be to use the exposure values reported by the X-systems (validated periodically by a medical physics expert). The WG also proposed to prepare educational material for patients, on the dosimetric quantities.
Individual optimisation is also a challenge, especially for high-dose procedures (e.g. some interventional procedures), and exposure of staff should be considered together with patient exposures. DRLs need to be taken into account (with periodic patient dose audits) and trigger levels should be established to avoid skin radiation injuries . In the case of accidental or unintended exposures, a report should be produced for the Quality Assurance programme together with an educational note to avoid the repetition of the incidents.
The dose registry and management systems should allow fulfilling the regulatory requirements of the national and European regulations and should help to extract the basic information on exposure parameters for the practitioners and referrers.
It should be noted as a limitation of this initial step, that not all of the 11 members of the WG have been able to complete the survey and probably the opinion of the experts have not been formally contrasted with other colleagues in their respective countries or scientific or professional societies.
A working group on “Dose management systems” was launched recently by Eurosafe Imaging and the recommendations included in this paper will be considered therein.