References
Sechopoulos I, Trianni A, Peck D (2015) The DICOM radiation dose structured report: what it is and what it is not. JACC 12(7):712–713
Boos J, Meineke A, Bethge OT, Antoch G, Kröpil P (2016) Dose monitoring in radiology departments: status quo and future perspectives. Rofo 188(5):443–450
D.Lgs.187 (2000) Attuazione della direttiva 97/43/EURATOM in materia di protezione sanitaria delle persone contro i pericoli delle radiazioni ionizzanti connesse ad esposizioni mediche
The Council of the European Union (2013) Council Directive 2013/59/Euratom of 5 December 2013 on basic safety standards for protection against the dangers arising from exposure to ionising radiation and repealing Directives 89/618/Euratom, 90/641/Euratom, 96/29/Euratom, 97/43/Euratom and 2003/122/Euratom
Directorate-General, Environment, Nuclear Safety and Civil Protection, European Commission (1999) Radiation protection 109: guidance on diagnostic reference levels (DRLs) for medical exposures (radiation protection). https://ec.europa.eu/energy/sites/ener/files/documents/109_en_0.pdf. Accessed 30 Nov 2017
Vañó E, Miller DL, Martin CJ et al (2017) ICRP PUBLICATION 135: diagnostic reference levels in medical imaging. Ann ICRP 46(1):1–44
American College of Radiology (2017) National radiology dose index registry. American College of Radiology Website. https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/NRDR/DIR/DIRSampleReport.pdf. Accessed 30 Nov 2017
Rehani MM, Frush DP (2011) Patient exposure tracking: the IAEA smart card project. RadiatProtDosim 147:314–316
Demb J, Chu P, Nelson T et al (2017) Optimizing radiation doses for computed tomography across institutions dose auditing and best practices JAMA. Intern Med 177(6):810–817
Shrimpton P, Hillier M, Lewis M, Dunn M (2005) Doses from computed tomography (CT) examinations in the UK-2003 (NRPB-W67). National Radiological Protection Board, Chilton
Brady SL, Mirro AE, Moore BM, Kaufman RA (2015) How to appropriately calculate effective dose for CT using either size-specific dose estimates or dose-length product. AJR 204:953–958
Torresin Alberto et al (2016) Technical report: I sistemi di “registrazione della dose”, report AIFM n.13
IAEA (2011) Quality assurance programme for computed tomography: diagnostic and therapy applications. IAEA, Vienna
Palorini F, Origgi D, Granata C, Matranga D, Salerno S (2014) Adult exposures from MDCT including multiphase studies: first Italian nationwide survey. EurRadiol 24:469–483
Parakh A, Euler A, Szucs-Farkas Z, Schindera ST (2017) Transatlantic comparison of CT radiation doses in the era of radiation dose-tracking software. AJR Am J Roentgenol 209(6):1302–1307
Lee RK, Sun JY, Lockerby S, Soltycki E, Matalon T (2017) Reducing variability of radiation dose in CT: the new frontier in patient safety. J Am Coll Radiol [Epub ahead of print]
Harri PA, Moreno CC, Nelson RC, Fani N, Small WC, Duong PA, Tang X, Applegate KE (2014) Variability of MDCT dose due to technologist performance: impact of posteroanterior versus anteroposterior localizer image and table height with use of automated tube current modulation. AJR Am J Roentgenol 203(2):377–386. https://doi.org/10.2214/ajr.13.11608
Sookpeng S, Martin CJ, Gentle DJ, Lopez-Gonzalez MR (2014) Relationships between patient size, dose and image noise under automatic tube current modulation systems. J Radiol Prot 34(1):103–123
Thomas P, Hayton A, Beveridge T, Beveridge T, Wallace A (2015) Evidence of dose saving in routine CT practice using iterative reconstruction derived from a national diagnostic reference level survey. Br J Radiol 88(1053):20150380
Ghetti C, Ortenzia O, Palleri F, Sireus M (2017) Definition of local diagnostic reference levels in a radiology department using a dose tracking software. RadiatProtDosimetry 175:38–45
Acknowledgements
The authors would like to thank Guido Catolla, Barbara Mongero, Enrico Rinaldi of Tecnologie Avanzate (Turin, Italy) for providing the RDIM software to participants of the study. The authors also express their appreciation for the support given by AIFM Presidents, Luisa Begnozzi and Michele Stasi for the initiative.
Collaborators
Pintacuda Giovanna(14), Aliberti Camillo(15), Andreini Daniele(16), Argiolas Giovanni Maria(17), Bassani Laura(18), Dedola Giovanni Luca(19), Fasolini Giorgio(20), Figoli Davide(21), Gallo Teresa(22), Gigliotti Carmen Rosaria(7), Lafe Elvis(23), Loria Alessandro(7), Profili Stefano(24), Rosenberg Ilan(25), Scomazzoni Francesco(26), Solitro Federica(27), Stefanini Teseo(28)
(14) Veneto Institute of Oncology IOV-IRCCS, Padua, Italy, Radiology Department; (15)Azienda Ospedaliera Università di Padova, S.C. Radiologia, Padua, Italy; (16)Centro Cardiologico Monzino IRCCS, Cardiovascular CT Unit, Milano, Italy; (17)Azienda Ospedaliera G. Brotzu, Radiology Department, Cagliari, Italy; (18)USL Toscana Nord Ovest, Radiation Diagnostics Department, Lucca, Italy; (19)USL Toscana Centro- Firenze S.O.C. RADIOLOGIA San Giovanni Dio DIGD, Firenze, Italy; (20)ASST Papa Giovanni XXIII Bergamo, Dipartimento Immagini, Bergamo, Italy; (21)A.U.S.L. Piacenza, Radiology Department, Piacenza, Italy; (22)A.O. Mauriziano, Radiology Department, Torino, Italy; (23)Fondazione IRCCS Policlinico San Matteo, UOC Radiologia e Neuroradiologia, Pavia, Italy; (24)AOU Sassari, SC Radiologia, Diagnostica e Interventistica, Sassari, Italy; (25)ASL n.5 “Spezzino”, S.C. Radiologia Ospedale S. Bartolomeo, Sarzana, Italy; (26) Istituto Scientifico San Raffaele, Neuroradiology Department, Milano, Italy; (27)A.O.U. San Luigi Gonzaga, SCDU Radiodiagnostica, Orbassano (TO), Italy; (28)ASL n.5 “Spezzino”, S.C. Radiologia Ospedale S. Andrea, La Spezia, Italy.
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The study was evaluated by the institutional review board as integrant part of the hospitals’ quality assurance, and informed consent was waived.
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Riccardi, L., De Monte, F., Cretti, F. et al. Use of radiation dose index monitoring software in a multicenter environment for CT dose optimization. Radiol med 123, 944–951 (2018). https://doi.org/10.1007/s11547-018-0925-0
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DOI: https://doi.org/10.1007/s11547-018-0925-0