scholarly journals Radiology patient dosage monitoring for local diagnostic reference level

Author(s):  
Ida Bagus Made Suryatika ◽  
Gusti Ngurah Sutapa ◽  
I Gde Antha Kasmawan

The utilization of radiation for health in Indonesia shows a significant increase, it can be seen from the increasing number of modalities of ionizing radiation sources used and the types of medical actions carried out with the help of radiation. The use of radiation must be monitored to ensure the protection and safety of workers, patients, and the community. In Government Regulation No. 33/2007 which regulates radiation safety for workers, the community and the environment, it can be seen that one of the protection requirements that must be met in the utilization of radiation is the optimization of radiation protection and safety. In diagnostic and interventional radiology, optimization can be interpreted as an attempt to make the dose received by patients as low as possible while maintaining optimum image quality. In this study, the effort to optimize patient dose is carried out on general radiography with the application of Si-INTAN (National Patient Dose Data Information System).

2021 ◽  
Author(s):  
Rini Marini ◽  
◽  
Saleh Budi Santoso ◽  
Angga Tomala ◽  
Candra Setiawan ◽  
...  

Radiation safety is an action taken to protect workers, community members, and the environment from radiation hazards. The purpose of writing is to realize the best practice of radiation safety culture at Hermina Hospital Karawang. This descriptive study conducted interviews, observations, discussions, and direct measurements from 2020 to 2021. Using the Thermoluminescence Dosemeter (TLD) badge for radiation workers in 2020, 80% of all radiation workers used the TLD badge, and 20% did not because officers forgot and limited use when working in the covid room area. Radiation danger signs have been posted at all examination doors and radiology registration windows. Radiologists always turn on the lights every time they do an X-ray examination. All radiology employees at Hermina Hospital have performed routine health checks at least once a year. The test results of the apron pass fit for use; there is no visible damage in the form of tears, waves, or other damage. The results of the radiation exposure test in the conventional radiology room in the operator's room were 0.063µSv/h, behind the operator's door 0.143 Sv/h, in the administration room 0.087 Sv/h, at the radiology entrance 0.057 Sv/h, the medical gas room and parking area of 0.029 Sv/h and 0.08 Sv/h. The results of radiation exposure test in the area for the CT Scan, namely in the operator's room of 0.046 Sv/h, behind the operator's door 0.118 Sv/h, the entrance to the CT Scan room 0.204 Sv/h, in the poly room and parking area of 0.125 Sv/h, and 0.041 Sv/ h. The results of the exposure test were declared safe from radiation leakage. Radiation Protection Officer (RPO) Hermina Karawang Hospital has participated in online PPR requalification in 2021. The local Diagnostic Reference Level (DRL) value of Hermina Karawang Hospital for non-contrast head CT, namely with CTDIvol = 38.26 mGy and DLP = 777.29 mGy.cm. The implementation of radiation safety best practices at Hermina Hospital has been carried out routinely following applicable regulations regarding radiation safety. It takes consistency and high discipline for radiation workers and hospital management in maintaining the quality of hospital radiation safety. Keywords: Radiation safety, best practice, Diagnostic Reference Level (DRL)


2007 ◽  
Vol 129 (4) ◽  
pp. 463-468 ◽  
Author(s):  
P. Cho ◽  
B. Seo ◽  
T. Choi ◽  
J. Kim ◽  
Y. Kim ◽  
...  

2012 ◽  
Vol 22 (6) ◽  
pp. 1240-1249 ◽  
Author(s):  
R. Zotova ◽  
J. Vassileva ◽  
J. Hristova ◽  
M. Pirinen ◽  
H. Järvinen

2010 ◽  
Vol 62 (6) ◽  
pp. 523 ◽  
Author(s):  
Myung Jin Chung ◽  
Kwang Yong Lee ◽  
Byung Young Lee ◽  
Hyeog Ju Kim ◽  
Hyo Keun Lim

2018 ◽  
Vol 183 (4) ◽  
pp. 432-443
Author(s):  
L O’Hora ◽  
M L Ryan ◽  
L Rainford

Abstract Interventional radiology is a rapidly evolving speciality with potential to deliver high patient radiation doses, as a result high standards of radiation safety practice are imperative. IR radiation safety practice must be considered before during and after procedures through appropriate patient consent, dose monitoring and patient follow-up. This questionnaire-based study surveyed fixed IR departments across Ireland and England to establish clinical practice in relation to radiation safety. Pre-procedure IR patient consent includes all radiation effects in 11% of cases. The patient skin dose surrogate parameter of Kerma to air at a reference point (Kar) is under-reported. Only 39% of respondents use a substantial radiation dose level and inform patients after these have been reached. Poor compliance with unambiguous, readily available best practice guidance was observed throughout highlighting patient communication, patient dose quantification and subsequent patient dose management concerns.


2020 ◽  
Vol 191 (4) ◽  
pp. 439-451
Author(s):  
Hyemin Park ◽  
Yongsu Yoon ◽  
Jungmin Kim ◽  
Jungsu Kim ◽  
Hoiwoun Jeong ◽  
...  

Abstract The International Electrotechnical Commission introduced the concepts of exposure index (EI), target exposure index (EIT) and deviation index (DI) to manage and optimize patient dose in real time. In this study, we have proposed an appropriate method for setting the EIT based on the Korean national diagnostic reference levels (DRLs). Furthermore, we evaluated the use of clinical EI, EIT and DI as tools for patient dose optimization in clinical environments by observing the changes in DI with those in EIT. According to the Korean national exposure conditions, we conducted experiments on three representative radiographic examinations (chest posterior–anterior, lateral and abdomen anterior–posterior) of clinical environments. As the exposure conditions and DRLs varied, the clinical EI, EIT and DI also varied. These results reveal that the clinical EI, EIT and DI can be used as tools for optimizing the patient dose if EIT is periodically and properly updated.


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