Radiation Dose Management System in Computed Tomography Procedures: A Systematic Review

Garba, Ilelah Kabiru; Engel‐Hills, Penelope; Davidson, Florence F.; Ismail, Anas

doi:10.1093/rpd/ncad124

Cited by 2 publications

(1 citation statement)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was one of the reasons to offer the software system to the OPRIPALC project as part of a scientific cooperation with the WHO-PAHO and the IAEA programme. Other DMSs may also be used in some hospitals in the region and sharing dosimetric data between different management systems will be an option in the coming years [14,17,18].…”

Section: Experience With the Dms Dolqamentioning

confidence: 99%

Improving a regional project on diagnostic reference levels for interventional procedures (OPRIPALC) with the support of a dose management system for the protection of patients and staff

Vano,

Fernández-Soto,

Sánchez-Casanueva

et al. 2024

J. Radiol. Prot.

View full text Add to dashboard Cite

Interventional radiology is a clinical practice with important benefits for patients, but which involves high radiation doses. The optimisation of radiation protection for paediatric interventional cardiology is a priority for both patients and staff. The use of diagnostic reference levels (DRLs) has been proposed by the International Commission on Radiological Protection to improve radiation protection in imaging procedures. Dose management systems (DMSs) allow the automatic collection of dosimetric, geometric and technical data to assist the optimisation process, with a continuous audit of the procedures, generating alerts to implement corrective actions when necessary. Patient dose indicators may be analysed individually and for different radiation events (fluoroscopy and cine runs). Occupational doses per procedure may be analysed (if electronic dosimeters are available) and linked with patient doses for an integrated approach to radiation protection. Regional optimisation programmes require data collection and processing from several countries to set and periodically update the DRLs. Patient data is anonymised, and each participating hospital has access to their data in a central computer server. Using DMSs may be one of the best ways to support these programs in the collection and analysis of data, raising alerts about high patient and occupational doses and suggesting optimisation actions.

show abstract

Section: Experience With the Dms Dolqamentioning

confidence: 99%

Improving a regional project on diagnostic reference levels for interventional procedures (OPRIPALC) with the support of a dose management system for the protection of patients and staff

Vano,

Fernández-Soto,

Sánchez-Casanueva

et al. 2024

J. Radiol. Prot.

View full text Add to dashboard Cite

show abstract

Prospective dose monitoring using a manual dose management system: experience in brain computed tomography from a tertiary hospital in Nigeria

Garba,

Penelope,

Davidson

et al. 2024

Radiation Protection Dosimetry

View full text Add to dashboard Cite

A manual radiation dose management system was developed to track the radiation dose and scan parameters of patients for brain computed tomography (CT). Radiation dose in volume computed tomography dose index (CTDIvol) and dose length product (DLP) were monitored to identify procedures that may require optimisation using notification values. The data were analysed and compared with national and international diagnostic reference levels (DRLs). A total of 596 brain CTs were monitored and grouped as <1: 36, 1–<5: 38, 5–<10: 25, 10–<15: 31 and adult: 466. The CTDIvol notification value identified the following number of examinations having high CTDIvol in <1 y: 1, 1–<5: 1, 5–<10: 0, 10–<15: 0 and adult (>15): 11. Furthermore, the DLP notification values identified the following examinations with high DLP in <1 y: 1, 1–<5:1, 5–<10:1, 10–<15: 1 and adults (>15): 18. The established local paediatric DLP DRLs were 2–3 times higher than the international paediatric DLP DRLs. This calls for a total protocol review and optimisation considering the local CT practices for paediatric imaging.

show abstract

Radiation Dose Management System in Computed Tomography Procedures: A Systematic Review

Cited by 2 publications

References 33 publications

Improving a regional project on diagnostic reference levels for interventional procedures (OPRIPALC) with the support of a dose management system for the protection of patients and staff

Improving a regional project on diagnostic reference levels for interventional procedures (OPRIPALC) with the support of a dose management system for the protection of patients and staff

Prospective dose monitoring using a manual dose management system: experience in brain computed tomography from a tertiary hospital in Nigeria

Contact Info

Product

Resources

About