EuroSafe Imaging launched the Working Group (WG) on “Dosimetry for imaging in clinical practice” in 2019, with the aim of helping to fulfil the dosimetric aspects required by the European Directive 2013/59/EURATOM [1]. Once the priorities of the dosimetric aspects for the implementation period of the European Directive were identified, several review papers were produced by the EuroSafe Imaging WGs to offer appropriate approaches to harmonise the application of the new regulations. The main items requiring additional efforts were identified as: a) Produce basic information...

For the transposition of the European Directive 2013/59/EURATOM [1], many Member States of the European Union have produced national regulations and the process for practical implementation will probably span several years. The main aspects identified as relevant by the dosimetry WG in 2020 [3] were: Information on radiation exposure for patients, practitioners and referrers, dosimetric (or image quality) alerts for optimisation actions, management of DRLs and the role of dose management systems (DMS). A follow up on the proposals made by the WG in the...

Advances in the practical aspects of the Dose Management System (DMS) In the context of radiation safety, a DMS is a practical tool to register, manage, and report on dosimetric information for patients, helpful with optimisation actions and keeping track on DRLs. The paper published in 2021 on DMS titled “Radiation dose management systems-requirements and recommendations for users from the ESR EuroSafe Imaging initiative” [4] comprises a useful guideline for imaging departments. In this paper, the EuroSafe Imaging WG on “Dose Management” provided insights and...

The use of DMS should be promoted and used to help in optimisation and fulfilment of national and European regulations on radiation protection. Alert levels for high patient dose values or for groups of procedures for the same clinical indication, when median values may be higher than the DRLs, should be automatically managed by a DMS when available. Basic information on dosimetric quantities and units should be available for patients, referrers and practitioners. It may be appropriate to estimate organ and effective doses for some...

Council Directive 2013/59/Euratom of 5 December 2013, laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation. Off J Eur Union L 13:73 (2014). Frija G, Damilakis J, Paulo G, Loose R, Vano E; European Society of Radiology (ESR). Cumulative effective dose from recurrent CT examinations in Europe: proposal for clinical guidance based on an ESR EuroSafe Imaging survey. Eur Radiol. 2021 Aug;31(8):5514-5523. doi: 10.1007/s00330-021-07696-1. Epub 2021 Mar 12. Vano E, Frija G, Stiller W, Efstathopoulos E, Granata C,...

E. Vaño: Nothing to disclose G. Frija: Nothing to disclose R. W. Loose: Nothing to disclose J. S. Andersson: Nothing to disclose G. Paulo: Nothing to disclose H. Delis: Nothing to disclose E. P. Efstathopoulos: Nothing to disclose C. Granata: Nothing to disclose L. Donoso Bach: Nothing to disclose