Practical recommendations for the application of DE 59/2013

  • Alberto TorresinEmail author
  • Stephen Evans
  • Domenico Lizio
  • Luisa Pierotti
  • Michele Stasi
  • Sergio Salerno


The changes introduced with Council Directive 2013/59/Euratom will require European Member States adapt their regulations, procedures and equipment to the new high standards of radiation safety. These new requirements will have an impact, in particular, on the radiology community (including medical physics experts) and on industry. Relevant changes include new definitions, a new dose limit for the eye lens, non-medical imaging exposures, procedures in asymptomatic individuals, the use and regular review of diagnostic reference levels (including interventional procedures), dosimetric information in imaging systems and its transfer to the examination report, new requirements on responsibilities, the registry and analysis of accidental or unintended exposure and population dose evaluation (based on age and gender distribution). Furthermore, the Directive emphasises the need for justification of medical exposure (including asymptomatic individuals), introduces requirements concerning patient information and strengthens those for recording and reporting doses from radiological procedures, the use of diagnostic reference levels, the availability of dose-indicating devices and the improved role and support of the medical physics experts in imaging.


BSS European Directive Euratom Medical exposures Radiation protection Radiodiagnostic and radiotherapeutic procedures 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

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

  • Alberto Torresin
    • 1
    Email author
  • Stephen Evans
    • 2
  • Domenico Lizio
    • 1
  • Luisa Pierotti
    • 3
  • Michele Stasi
    • 4
  • Sergio Salerno
    • 5
  1. 1.Struttura Complessa di Fisica SanitariaASST GOM NiguardaMilanItaly
  2. 2.WindsorUK
  3. 3.Direzione Fisica SanitariaAzienda Ospedaliera Universitaria di BolognaBolognaItaly
  4. 4.Azienda Ospedaliera Ordine Mauriziano di Torino, Corso Re Umberto, 109TurinItaly
  5. 5.Dipartimento di Biomedicina, Neuroscienze e Diagnostica AvanzataPoliclinico Università di PalermoPalermoItaly

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