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Radiation dose management systems-requirements and recommendations for users from the ESR EuroSafe Imaging initiative.

Authors
  • Loose, Reinhard W1, 2
  • Vano, Eliseo3
  • Mildenberger, Peter4
  • Tsapaki, Virginia5
  • Caramella, Davide6
  • Sjöberg, Johan7
  • Paulo, Graciano8
  • Torresin, Alberto9
  • Schindera, Sebastian10
  • Frija, Guy11
  • Damilakis, John12
  • 1 Institute of Medical Physics, Hospital Nuremberg, Prof.-Ernst-Nathan-Str. 1, 90419, Nuremberg, Germany. [email protected] , (Germany)
  • 2 Institute of Radiology, University Hospital, Erlangen, Germany. [email protected] , (Germany)
  • 3 Radiology (Medical Physics), San Carlos University Hospital, Madrid, Spain. , (Spain)
  • 4 Department of Radiology, University Medical Center Mainz, Mainz, Germany. , (Germany)
  • 5 Medical Physics, Konstantopoulio General Hospital, Nea Ionia, Greece. , (Greece)
  • 6 Department of Radiology, University of Pisa, Pisa, Italy. , (Italy)
  • 7 Medical Radiation Physics and Nuclear Imaging, Karolinska Universitetssjukhuset, Stockholm, Sweden. , (Sweden)
  • 8 IPC - Escola Superior de Tecnologia da Saúde de Coimbra, Coimbra, Portugal. , (Portugal)
  • 9 Medical Physics Department, Ospedale Niguarda, Milan, Italy. , (Italy)
  • 10 Institute of Radiology, Cantonal Hospital, Aarau, Switzerland. , (Switzerland)
  • 11 Descartes University Paris, Paris, France. , (France)
  • 12 University of Crete Heraklion, Heraklion, Greece. , (Greece)
Type
Published Article
Journal
European Radiology
Publisher
Springer-Verlag
Publication Date
Apr 01, 2021
Volume
31
Issue
4
Pages
2106–2114
Identifiers
DOI: 10.1007/s00330-020-07290-x
PMID: 32959080
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The European Directive 2013/59/Euratom requires member states of the European Union to ensure justification and optimisation of radiological procedures and store information on patient exposure for analysis and quality assurance. The EuroSafe Imaging campaign of the European Society of Radiology created a working group (WG) on "Dose Management" with the aim to provide European recommendations on the implementation of dose management systems (DMS) in clinical practice. The WG follows Action 4: "Promote dose management systems to establish local, national, and European diagnostic reference levels (DRL)" of the EuroSafe Imaging Call for Action 2018. DMS are designed for medical practitioners, radiographers, medical physics experts (MPE) and other health professionals involved in imaging to support their tasks and duties of radiation protection in accordance with local and national requirements. The WG analysed requirements and critical points when installing a DMS and classified the individual functions at different performance levels. KEY POINTS: • DMS are very helpful software tools for monitoring patient exposure, optimisation, compliance with DRLs and quality assurance. • DMS can help to fulfil dosimetric aspects of the European Directive 2013/59/Euratom. • The EuroSafe WG analyses DMS requirements and gives recommendations for users.

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