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Medical radiological procedures: which information would be chosen for the report?

  • Samantha Cornacchia
  • Rosangela Errico
  • Rosario Francesco Balzano
  • Vincenzo Fusco
  • Arcangela Maldera
  • Elena Pierpaoli
  • Cristina Ferrari
  • Giuseppe Rubini
  • Giuseppe GuglielmiEmail author
MEDICAL PHYSICS
  • 7 Downloads

Abstract

Aims and objectives

The aim of this study was to properly define the information regarding patient exposure to Ionizing Radiations in the radiological report, according to the European Directive 2013/59/EURATOM (EU 2013/59 art.58(b)). For this purpose, we evaluated the results from other Member States EU 2013/59 transpositions and from Guidelines recommendation published by International Organizations involved in diagnostic radiology. A practical way for implementing art.58 is also traced.

Materials and methods

Dosimetric quantities, such as exposure, absorbed dose and effective dose which may be included in radiological report, were first analyzed; then, in order to define international state of art of Member States EU 2013/59 transposition, a Web research using French, English, Spanish and German key words was performed.

Results

EU 2013/59 transposition for 5 Member States was reported. Especially regarding art.58, a European project reports that few European countries (11 of 28) have identified the dose metrics to be used in radiological report. Scientific organizations supporting clinical radiologists and medical physicists have published Guidelines reporting parameters useful to quantify the radiation output and to assess patient dose.

Conclusions

Our research revealed that there is not a shared interpretation of patient exposure information to be included in radiological report. Nevertheless, according to scientific community, authors believe that the exposure is the most appropriate information that could be included in radiological report. Alternatively, but with more expensiveness, a risk index based on effective dose could be used. Moreover, the systematic exposure information recorded could be useful for dose estimates of population from medical exposure.

Keywords

Dose index EU Directive 2013/59 transposition Patient exposure information Radiological report Radiological equipment 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Italian Society of Medical Radiology 2019

Authors and Affiliations

  1. 1.ASL BT, Medical PhysicsBarlettaItaly
  2. 2.RadiologyUniversity of FoggiaFoggiaItaly
  3. 3.Radiation OncologyIRCCS—CROBRionero in VultureItaly
  4. 4.Medical PhysicsASUR Marche AV 5Ascoli PicenoItaly
  5. 5.Nuclear Medicine UnitUniversity of Bari “Aldo Moro”BariItaly

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