ICRP Publication 147: Use of Dose Quantities in Radiological Protection

Harrison, John; Balonov, Mikhail; Bochud, F.; Martin, C J; Menzel, H-G.; Ortiz-López, P.; Smith‐Bindman, Rebecca; Simmonds, J. R.; Wakeford, Richard

doi:10.1177/0146645320911864

Cited by 96 publications

(45 citation statements)

References 119 publications

(87 reference statements)

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“…The ICRP has published a new document on the use of dose quantities in radiological protection, with a chapter on the use in medical exposures [9]. Several scientific papers have been published in the last years dealing with this topic [10][11][12][13][14][15].…”

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

“…The new ICRP publication [9] suggests using the terminology that ED allows "approximate indicator of possible risk" with the additional consideration of variation in risk with age, sex and population group.…”

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

“…The amount of radiation and its distribution within the tissues of the body can be very different for several imaging modalities, even when a similar region of the body is being exposed. Since dose distributions from x-ray and nuclear medicine procedures are very different, the effective dose is suitable for use in straightforward comparisons of doses from different techniques [9].…”

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

“…Modality-specific dose quantities (e.g., P KA , DLP, CTDI vol ) should be used for this purpose. However, in circumstances in which the dose distributions within the body may be substantially different between procedures, effective dose may provide an appropriate measure for comparison [9].…”

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

“…Lifetime risk of cancer incidence per Sv may be around twice as great for the 0-9 year's age at exposure group than for the 30-39 years group. For patients in their 60 s, the lifetime risks from most imaging examinations are estimated to be about half those for patients in their 30 s, falling to less than one-third for patients in their 70 s and about one-tenth for those in their 80 s [9].…”

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

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Dosimetric quantities and effective dose in medical imaging: a summary for medical doctors

et al. 2021

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This review presents basic information on the dosimetric quantities used in medical imaging for reporting patient doses and establishing diagnostic reference levels. The proper use of the radiation protection quantity “effective dose” to compare doses delivered by different radiological procedures and different imaging modalities with its uncertainties and limitations, is summarised. The estimates of population doses required by the European Directive on Basic Safety Standards is commented on. Referrers and radiologists should be familiar with the dose quantities to inform patients about radiation risks and benefits. The application of effective dose on the cumulative doses from recurrent imaging procedures is also discussed. Patient summary: Basic information on the measurement units (dosimetric quantities) used in medical imaging for reporting radiation doses should be understandable to patients. The Working Group on “Dosimetry for imaging in clinical practice” recommended that a brief explanation on the used dosimetric quantities and units included in the examination imaging report, should be available for patients. The use of the quantity “effective dose” to compare doses to which patients are exposed to from different radiological procedures and its uncertainties and limitations, should also be explained in plain language. This is also relevant for the dialog on to the cumulative doses from recurrent imaging procedures. The paper summarises these concepts, including the need to estimate the population doses required by the European Directive on Basic Safety Standards. Referrers and radiologists should be familiar with the dose quantities to inform patients about radiation risks and benefits.

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Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

Section: Different Diagnostic Examinations and Interventional Procedures;mentioning

confidence: 99%

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Dosimetric quantities and effective dose in medical imaging: a summary for medical doctors

et al. 2021

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Technical specifications of dose management systems: An international atomic energy agency survey

Tsalafoutas,

Arlany,

Titovich

et al. 2023

J Applied Clin Med Phys

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PurposeDose management systems (DMS) have been introduced in radiological services to facilitate patient radiation dose management and optimization in medical imaging. The purpose of this study was to gather as much information as possible on the technical characteristics of DMS currently available, regarding features that may be considered essential for simply ensuring regulatory compliance or desirable to fully utilize the potential role of DMS in optimization of many aspects of radiological examinations.MethodsA technical survey was carried out and all DMS developers currently available (both commercial and open source) were contacted and were asked to participate. An extensive questionnaire was prepared and uploaded in the IAEA International Research Integration System (IRIS) online platform which was used for data collection process. Most of the questions (93%) required a “Yes/No” answer, to facilitate an objective analysis of the survey results. Some free text questions and comments’ slots were also included, to allow participants to give additional information and clarifications where necessary. Depending on the answer, they were considered either as “Yes” or “No.”ResultsGiven the way that the questions were posed, every positive response indicated that a feature was offered. Thus, the percentage of positive responses was used as a measure of adherence. The percentages of positive answers per section (and sub‐section) are presented in graphs and limitations of this type of analysis are discussed in detail.ConclusionsThe results of this survey clearly exhibit that large differences exist between the various DMS developers. Consequently, potential end users of a DMS should carefully determine which of the features available are essential for their needs, prioritize desirable features, but also consider their infrastructure, the level of support required and the budget available before selecting a DMS.

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Quantifying and communicating radiation dose and risk from imaging procedures

Thomas¹

2023

J of Medical Radiation Sci

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ICRP Publication 147: Use of Dose Quantities in Radiological Protection

Cited by 96 publications

References 119 publications

Dosimetric quantities and effective dose in medical imaging: a summary for medical doctors

Dosimetric quantities and effective dose in medical imaging: a summary for medical doctors

Technical specifications of dose management systems: An international atomic energy agency survey

Quantifying and communicating radiation dose and risk from imaging procedures

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