Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12530/41333
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dc.contributor.authorJärvinen, Hannu
dc.contributor.authorVassileva, Jenia
dc.contributor.authorSamei, Ehsan
dc.contributor.authorWallace, Anthony
dc.contributor.authorVano, Eliseo
dc.contributor.authorRehani, Madan
dc.date.accessioned2019-08-01T12:01:31Z-
dc.date.available2019-08-01T12:01:31Z-
dc.date.issued2017-07
dc.identifier.citationJ Med Imaging (Bellingham).2017 Jul;(4)3:031214
dc.identifier.issn2329-4302
dc.identifier.urihttps://hdl.handle.net/20.500.12530/41333-
dc.description.abstractOptimization is one of the key concepts of radiation protection in medical imaging. In practice, it involves compromising between the image quality and dose to the patient; the dose should not be higher than necessary to achieve an image quality (or diagnostic information) needed for the clinical task. Monitoring patient dose is a key requirement toward optimization. The concept of diagnostic reference level (DRL) was introduced by the International Commission on Radiological Protection as a practical tool for optimization. Unfortunately, this concept has not been applied consistently worldwide. To review the current strengths and weaknesses worldwide and to promote improvements, the International Atomic Energy Agency organized a Technical Meeting on patient dose monitoring and the use of DRLs on May 2016. This paper reports a summary of the findings and conclusions from the meeting. The strengths and weaknesses were generally different in less-developed countries compared with developed countries. Possible improvements were suggested in six areas: human resources and responsibilities, training, safety and quality culture, regulations, funding, and tools and methods. An overall conclusion was that radiation protection requires a patient-centric approach and a transfer from purely reactive to increasingly proactive optimization, whereby the best outcome is expected from good teamwork.
dc.language.isoeng
dc.rightsopenAccess-
dc.subjectdiagnostic reference levels
dc.subjectmedical imaging
dc.subjectoptimization
dc.subjectpatient dose monitoring
dc.titlePatient dose monitoring and the use of diagnostic reference levels for the optimization of protection in medical imaging: current status and challenges worldwide.
dc.typeArtículo
dc.identifier.pubmedID29021989
dc.format.volume4
dc.format.page031214
dc.identifier.journalJournal of medical imaging (Bellingham, Wash.)
dc.identifier.doi10.1117/1.JMI.4.3.031214
dc.format.number3
dc.identifier.pmcPMC5627781
dc.pubmedtypeJournal Article
Appears in Collections:Fundaciones e Institutos de Investigación > IIS H. U. Clínico San Carlos > Artículos

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