The growing potential of diagnostic reference levels as a dynamic tool for dose optimization |
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| Affiliation: | 1. Department of Medical Physics, University of Crete, School of Medicine, Iraklion, Crete, Greece;2. Radiation Protection of Patients Unit, International Atomic Energy Agency, Vienna, Austria;1. Department of Radiography, Bayero University Kano, Nigeria;2. Department of Medical Radiography, University of Maiduguri, Borno State, Nigeria;3. Department of Radiography, Nnamdi Azikiwe University, Anambra State, Nigeria;4. Department of Radiography, Federal University Lafia, Nasarawa State, Nigeria;5. Department of Radiography, Ahmadu Bello University Zaria, Kaduna State, Nigeria;6. Imperial Diagnostic Center, Bauchi State, Nigeria;1. Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Sherbrooke, Québec, Canada;2. Centre intégré universitaire de santé et de services sociaux de l''Estrie - Centre hospitalier universitaire de Sherbrooke (CIUSSS de l’Estrie - CHUS), Sherbrooke, Québec, Canada;3. Department of Nuclear Medicine and Radiobiology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Canada;4. Radiology Department, Massachusetts General Hospital, Boston, MA, USA;1. Radiologic Sciences, College of Applied Medical Science, Taif University, P O Box 2425, Taif, 21944, Saudi Arabia;2. king Abdulaziz Specialist Hospital Taif Kash, Qurwa, 26521, Taif, Saudi Arabia;3. Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia;4. Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, P.O.Box 422, Alkharj, 11942, Saudi Arabia;1. Medical Physics Department, La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain;2. Vascular and Interventional Radiology Department, La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain;3. Radiology Department, Complutense University, Plaza de Ramón y Cajal, 28040 Madrid, Spain;1. Massachusetts General Hospital, 55 Fruit Str, Boston, MA 02114, USA;2. Imalogix Plc, Bryn Mawr, PA 19010, USA |
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| Abstract: | Diagnostic Reference Levels (DRLs) is an important tool that can improve radiation safety in medical imaging. However, there are certain aspects that need improvement and several obstacles that should be overcome before DRLs are fully implemented in practice. It is the authors belief that DRLs should be a dynamic tool that follows the development of clinical practice and technology advances. The establishment of adult and paediatric DRLs based on clinical indications should be considered as a priority. A common methodology and terminology is needed to allow for their clinical use. Dose monitoring systems can improve and accelerate the establishment, update and use of DRLs. However, certain steps need to be taken for proper collection. organization and analysis of big data. Availability of clinically qualified medical physicists in medical imaging departments, awareness on the importance of dose optimization and proper cooperation of relevant stakeholders are important prerequisites for the successful establishment and use of DRLs. |
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