scholarly journals Development of A Modified List for Standardized Study Descriptions in The Implementation of Dose Management Systems in Radiology

2020 ◽  
Vol 23 (1) ◽  
pp. 51-62
Author(s):  
SOLEEN ALSOFI ◽  
◽  
MARTIN FIEBICH ◽  
Keyword(s):  
Management Systems ◽  
Dose Management

scholarly journals A comparison of manually populated radiology information system digital radiographic data with electronic dose management systems

2020 ◽  
Vol 93 (1111) ◽  
pp. 20200055
Author(s):  
Nathan Dickinson ◽  
Matthew Dunn
Keyword(s):  
Information System ◽  
Radiology Information System ◽  
Management Systems ◽  
Percentage Agreement ◽  
Altman Analysis ◽  
Slight Improvement ◽  
Unique Identifier ◽  
Dose Management ◽  
Area Product ◽  
Radiographic Data

Objective: To assess the accuracy and agreement of radiology information system (RIS) kerma–area product (KAP) data with respect to automatically populated dose management system (DMS) data for digital radiography (DR). Methods: All adult radiographic examinations over 12 months were exported from the RIS and DMS at three centres. Examinations were matched by unique identifier fields, and grouped by examination type. Each centre’s RIS sample completeness was calculated, as was the percentage of the RIS examination KAP values within 5% of their DMS counterparts (used as an accuracy metric). For each centre, the percentage agreement between the RIS and DMS examination median KAP values was computed using a Bland–Altman analysis. At two centres, up to 42.5% of the RIS KAP units entries were blank or invalid; corrections were attempted to improve data quality in these cases. Results: Statistically significant intersite variation was seen in RIS data accuracy and the agreement between the uncorrected RIS and DMS median KAP data, with a Bland–Altman bias of up to 11.1% (with a −31.7% to 53.9% 95% confidence interval) at one centre. Attempts to correct invalid KAP units increased accuracy but produced worse agreement at one centre, a slight improvement at another and no significant change in the third. Conclusion: The RIS data poorly represented the DMS data. Advances in knowledge: RIS KAP data are a poor surrogate for DMS data in DR. RIS data should only be used in patient dose surveys with an understanding of its limitations and potential inaccuracies.

Benefits and limitations for the use of radiation dose management systems in medical imaging. practical experience in a university hospital

2022 ◽  
Author(s):  
Eliseo Vano PhD ◽  
José M Fernández ◽  
José I. Ten ◽  
Roberto M. Sanchez
Keyword(s):  
Medical Imaging ◽  
Radiation Dose ◽  
Practical Experience ◽  
Patient Dose ◽  
Public Hospitals ◽  
University Hospital ◽  
Management Systems ◽  
Clinical Indication ◽  
High Dose ◽  
Dose Management

Objectives: Radiation dose management systems (DMS) are currently to help improve radiation protection in medical imaging and interventions. This study presents our experience using a homemade DMS called DOLQA (Dose On-Line for Quality Assurance). Methods: Our DMS is connected to 14 X-ray systems in a university hospital linked to the central data repository of a large network of 16 public hospitals in the Autonomous Community of Madrid, with 6.7 million inhabitants. The system allows us to manage individual patient dose data and groups of procedures with the same clinical indications, and compare them with diagnostic reference levels (DRLs). The system can also help to prioritize optimisation actions. Results: This study includes results of imaging examinations from 2020, with 3,7601 procedures and 28,6471 radiation events included in the radiation dose structured reports (RDSR), for computed tomography (CT), interventional procedures, positron emission tomography-CT (PET-CT) and mammography. Conclusions: The benefits of the system include: automatic registration and management of patient doses, creation of dose reports for patients, information on recurrent examinations, high dose alerts, and help to define optimisation actions. The system requires the support of medical physicists and implication of radiologists and radiographers. DMSs must undergo periodic quality controls and audit reports must be drawn up and submitted to the hospital’s quality committee. The drawbacks of DMSs include the need for continuous external support (medical physics experts, radiologists, radiographers, technical services of imaging equipment and hospital informatics services) and the need to include data on clinical indication for the imaging procedures. Advances in knowledge: DMS perform automatic management of radiation doses, produces patient dose reports, and registers high dose alerts to suggest optimisation actions. Benefits and limitations are derived from the practical experience in a large university hospital.

scholarly journals Radiation dose management systems—requirements and recommendations for users from the ESR EuroSafe Imaging initiative

2020 ◽  
Author(s):  
Reinhard W. Loose ◽  
◽  
Eliseo Vano ◽  
Peter Mildenberger ◽  
Virginia Tsapaki ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Medical Physics ◽  
Management Systems ◽  
The European Union ◽  
Patient Exposure ◽  
Medical Practitioners ◽  
European Directive ◽  
Systems Requirements ◽  
Dose Management ◽  
The Individual

Abstract The European Directive 2013/59/Euratom requires member states of the European Union to ensure justification and optimisation of radiological procedures and store information on patient exposure for analysis and quality assurance. The EuroSafe Imaging campaign of the European Society of Radiology created a working group (WG) on “Dose Management” with the aim to provide European recommendations on the implementation of dose management systems (DMS) in clinical practice. The WG follows Action 4: “Promote dose management systems to establish local, national, and European diagnostic reference levels (DRL)” of the EuroSafe Imaging Call for Action 2018. DMS are designed for medical practitioners, radiographers, medical physics experts (MPE) and other health professionals involved in imaging to support their tasks and duties of radiation protection in accordance with local and national requirements. The WG analysed requirements and critical points when installing a DMS and classified the individual functions at different performance levels. Key Points • DMS are very helpful software tools for monitoring patient exposure, optimisation, compliance with DRLs and quality assurance. • DMS can help to fulfil dosimetric aspects of the European Directive 2013/59/Euratom. • The EuroSafe WG analyses DMS requirements and gives recommendations for users.

scholarly journals [P007] Patient dose management systems. Our experience in the CT department

2018 ◽  
Vol 52 ◽  
pp. 101
Author(s):  
Virginia Tsapaki ◽  
Niki Fitousi ◽  
Dimitrios Niotis ◽  
Chariklia Triantopoulou ◽  
Petros Maniatis
Keyword(s):  
Patient Dose ◽  
Management Systems ◽  
Dose Management

scholarly journals How to Measure/Calculate Radiation Dose in Patients?

2021 ◽  
Author(s):  
Reinhard Loose ◽  
Michael Wucherer
Keyword(s):  
Radiation Dose ◽  
Digital Imaging ◽  
Adverse Reactions ◽  
Management Systems ◽  
Skin Dose ◽  
Skin Injuries ◽  
Threshold Doses ◽  
Dose Management ◽  
Dose Levels ◽  
Peak Skin Dose

AbstractPatients in fluoroscopically guided interventions (FGI) may be exposed to substantial radiation dose levels (SRDL). The most commonly reported adverse reactions are skin injuries with erythema or necrosis. It is therefore important for the interventional radiologist to know deterministic effects with their threshold doses. If possible all relevant modality parameters should be displayed on the interventionalists screen. Dosimetric parameters should be displayed in digital imaging and communications in medicine (DICOM) units and stored as DICOM Radiation Dose Structured Report (RDSR). The peak skin dose (PSD) is the most relevant risk parameter for skin injuries. Dose management systems (DMS) help optimising radiation exposure of patients. However, their calculation of skin dose maps is only available after a FGI. Therefore, dose maps and PSD should preferably be calculated and displayed in real time by the modality.

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