Web-based platform for patient dose surveys in diagnostic and interventional radiology in Bulgaria: Functionality testing and optimisation |
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| Affiliation: | 1. National Centre of Radiobiology and Radiation Protection, Sofia, Bulgaria;2. Software Company Ltd, Sofia, Bulgaria;3. UMHAT “Saint Ekaterina”, Sofia, Bulgaria;4. National Cardiology Hospital, Sofia, Bulgaria;5. University Hospital “Aleksandrovska”, Sofia, Bulgaria;6. Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria;7. Medical University of Sofia, Sofia, Bulgaria;8. Regional Health Inspectorate, Ruse, Bulgaria;9. International Atomic Energy Agency, Vienna, Austria;1. Harvard Radiation Oncology Program, Boston, Massachusetts;2. Harvard Medical School, Boston, Massachusetts;3. Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina;4. Department of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio;6. University of Tennessee Health Science Center, Memphis, Tennessee;5. Harvard T.H. Chan School of Public Health, Boston, Massachusetts;7. Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts;1. Department of Radiology, Interventional Radiology Unit, Ain Shams University Hospitals, Abbasia, Cairo, Egypt;2. Department of Neuroradiology, National Institute of Neurology of Tunis, Tunis, Tunisia;3. Department of Interventional Radiology, Cheikh Zaid Hospital, Rabat, Morocco;4. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Grady Health System, Atlanta, Georgia;5. Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, Riyadh, Saudi Arabia;1. Division of Electrical and Electronic Engineering, Oita University, Oita 870-1192, Japan;2. Research Institute of Technology, Okayama University of Science, Okayama 700-0005, Japan;3. Department of Electric and Electronic Enginnering, National Institute of Technology Oita College, Oita 870-0152, Japan;1. McMaster eHealth Program, McMaster University, Hamilton, Ontario, Canada;2. Department of Computing and Software, McMaster University, Hamilton, Ontario, Canada;3. Department of Radiology, McMaster University, Hamilton, Ontario, Canada;1. Department of Radiology and Biomedical Imaging, University of California, San Francisco, California;2. Department of Public Health Sciences, University of California, Davis, California;3. Office of the Chief Medical Officer, Nemours Children''s Hospital, Orlando, Florida;4. Department of Epidemiology and Biostatistics, University of California, San Francisco, California;5. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California |
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| Abstract: | In the period 2013–2016 the National Centre of Radiobiology and Radiation Protection (NCRRP) at the Ministry of Health of Bulgaria has developed a web based platform for performing national patient dose surveys and establishing Diagnostic Reference Levels (DRLs). It is accessible via internet browser, allowing the users to submit data remotely. Electronic questionnaires, specific for radiography, fluoroscopy, image guided interventional procedures, mammography and CT, were provided. Short and clear manuals were added to guide users and minimise human errors. The web-based data collection platform is functional and is currently being used for performing the third national dose survey in Bulgaria, launched in 2016. Data analysis is facilitated due to the standardisation of collected data and their storing. Using the platform, the participating facilities can establish their typical dose levels based on the median value, and compare them to DRLs. A disadvantage of the platform is the need to enter data manually, but it is opened for future upgrades for automatic data harvesting and analysis. Various practical approaches were used to overcome the lack of qualified human resources and insufficient understanding of the DRL and dose tracking concept and to motivate facilities to submit data. |
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| Keywords: | Patient dose survey DRLs Web-based Optimisation |
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