DETERMINATION OF NATIONAL DIAGNOSTIC REFERENCE LEVELS IN COMPUTED TOMOGRAPHY EXAMINATIONS OF IRAN BY A NEW QUALITY CONTROL-BASED DOSE SURVEY METHOD

Autor: Masoumeh Parsi, Fereidoun A. Mianji, Mehdi Sohrabi
Rok vydání: 2017
Předmět:
Quality Control
Radiography
Abdominal

medicine.medical_specialty
Tomography Scanners
X-Ray Computed

Computed tomography
Iran
Radiation Dosage
Pelvis
030218 nuclear medicine & medical imaging
Medical physicist
03 medical and health sciences
Survey methodology
Radiation Protection
0302 clinical medicine
Reference Values
Ct examination
Surveys and Questionnaires
Humans
Medicine
Radiology
Nuclear Medicine and imaging

National level
Medical physics
Sinoatrial Node
Radiation
Radiological and Ultrasound Technology
medicine.diagnostic_test
Phantoms
Imaging

business.industry
Public Health
Environmental and Occupational Health

General Medicine
Reference Standards
medicine.anatomical_structure
030220 oncology & carcinogenesis
Ct scanners
Abdomen
Radiography
Thoracic

Radiology
Tomography
X-Ray Computed

business
Head
Zdroj: Radiation Protection Dosimetry. 179:206-215
ISSN: 1742-3406
0144-8420
DOI: 10.1093/rpd/ncx252
Popis: National diagnostic reference levels (NDRLs) of Iran were determined for the four most common CT examinations including head, sinus, chest and abdomen/pelvis. A new 'quality control (QC)-based dose survey method', as developed by us, was applied to 157 CT scanners in Iran (2014-15) with different slice classes, models and geographic spread across the country. The NDRLs for head, sinus, chest and abdomen/pelvis examinations are 58, 29, 12 and 14 mGy for CTDIVol and 750, 300, 300 and 650 mGy.cm for DLP, respectively. The 'QC-based dose survey method' was further proven that it is a simple, accurate and practical method for a time and cost-effective NDRLs determination. One effective approach for optimization of the CT examination protocols at the national level is the provision of an adequate standardized training of the radiologists, technicians and medical physicists on the patient radiation protection principles and implementation of the DRL concept in clinical practices.
Databáze: OpenAIRE