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    44 views2 pages

    Asrt Essential Education Article

    Uploaded by

    api-295740145

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    © All Rights Reserved
    Download as PDF or read online from Scribd
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    asrty essentialeducation Current Issues in Radiation Dose Monitoring and Reporting Anne M Scott, BSRS, R-T(R) Minimizing radiation exposure while optimizing image quality iseritical in diagnostic medical imaging, Radiologic After completing this article, the reader should be able to: Describe the purpose of dose monitoring at facility and national levels. Review dose metrics and curtent nomenclature for risk assessment. Discuss dose estimation techniques for radiography, computed tomography, address the rapid increase inthe use of ‘medical imaging examinations that rely ‘on ionizing radiation, especially with relatively high-dose procedures such as. CT and fluoroscopy-guided interven: tional examinations and therapy. Both technologists face comple interventional radiography, and nuclear medicine studies. chalegeswhen implementing | OSU calerges of nd solitons for dose ackng in each modality deve montorngandreprtng | * Cescibe dow optmzaton taeges er each moa ‘tonto adlton reece || eda reports ofradation include commuricating he injuries from medical imag. risks of radiation exposure, ag ecxrninstons tare | ase public awarenes handingrrconsin dose | bout nk sociated with ong merseont ties | adaton: ‘The eal eatndutryha responded with safety cam- standardized nomencaturefor | Fo amend «examination types. With increasing attention on radiation safety, many solutions have been presented. team approach to dose optimization with professionals tions that deliver the highest doses, namely computed tomography (CT) and fluoroscopy.” Efforts also include creation of dose databases to optimize ‘examination techniques, assess individ- nationwide can help establish | al patient risk, and gather data.* «culture of radiation safetyin Determining and gathering data on ‘medical imaging patient dose can be challenging, however. Selecting the most accurate dosimetric value to estimate dose varies among modalities. Effective dose provides the ‘most accurate measure for comparing relative dose for the same body part among examinations, but effective dose is not accurate for estimating an indi- vidual patient’s dose.* Developing patient dose monitor- ing methods and implementing dose index registries are a few strategies to This article isa Directed Reading, Your access to Directed Reading quizzes for continuing education edits determined by your membership status and CE preference. RADIOLOGIC TECHNOLOGY, Maydune 2014 Yolume 85, Number 5 paigns, beginning with efforts to address radiation safety for examina. 4 “There is no way to predict the likel patient safety and quality improvement programs can benefit from monitoring and reporting patient dose data for all procedures using ionizing radiation.** Goals of monitoring and reporting patient radiation dose include bet- ter tracking of each patient’ lifetime exposure to ionizing radiation for more accurate risk assessment and improved patient safety initiatives within medical imaging facilities. hood of radiation-induced effects in a patient without knowing the patient's history of radiation exposure." Tracking patient dose in an electronic health record would allow physicians to con- sider radiation risk when selecting ‘maging exams.* For example, inter- ventional studies that deliver relatively high doses toa specific anatomical region might cause deterministic injury 501

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