Challenges Associated with Effective Implementation of CT Dose Check Standards and Radiation Monitoring Index in Computed Tomography: Healthcare Sector Experience

Autor: Entesar Zawam Dalah, Yousuf Mohammad Al Musfari, Badriya Mohd Hassan Ali, Anwaar Abdulrahim Al Hammadi, Hashim Abdul Azeez Beevi, Manal Ibrahim Jaber, Alyazya Akeel Al-Ali, Ayesha Khalid Alkharoossi, Fairooz Hussain Al Hashemi, Fatma Mahmood Alkhatib, Sabaa Anam Aqil Khan
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Healthcare, Vol 10, Iss 10, p 1970 (2022)
Druh dokumentu: article
ISSN: 2227-9032
DOI: 10.3390/healthcare10101970
Popis: Computed tomography (CT) radiation dose management tools should be used whenever possible, particularly with the increasing demand for acquiring CT studies. Herein, we aim to assess the advantages and challenges faced with implementing two CT dose management tools. A second aim was to highlight CT examinations exceeding dose notification values (NVs) and define the common set of causes. A total of 13,037 CT examinations collected over a six-month period, were evaluated, using two independent CT dose management tools, a CT Dose Notification prospective-view tool (PVT) following CT Dose Check standards and a retrospective statistical-based view tool (RSVT). Dose NVs were set to twice the Local Diagnostic Reference Levels. There was a significant discrepancy between dose NV counts registered with prospective (4.15%) and retrospective (7.98%) tools using T-Test. A core difference is the dose configuration setup, with PVT and RSVT being dose per series and whole study, respectively. Both prospective and retrospective dose management tools were equally useful despite their technical difference. Configuring the CT prospective dose notification check tool using NVs that is based on DRLs has limitations, and one needs to establish dose NVs per series to overcome this technical hurdle. Technical challenges make the implementation of CT Dose Check standards puzzling.
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