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Diagnostic Reference Levels in CT Scans

The document references various studies and reports related to diagnostic reference levels (DRLs) in medical imaging, particularly focusing on radiation doses from CT examinations. It emphasizes the importance of periodically updating DRLs to reflect changes in practice and highlights the role of national surveys in optimizing radiation doses. The establishment of DRLs is noted as a useful tool for standardization and optimization of radiation doses in medical imaging protocols.

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0% found this document useful (0 votes)
13 views5 pages

Diagnostic Reference Levels in CT Scans

The document references various studies and reports related to diagnostic reference levels (DRLs) in medical imaging, particularly focusing on radiation doses from CT examinations. It emphasizes the importance of periodically updating DRLs to reflect changes in practice and highlights the role of national surveys in optimizing radiation doses. The establishment of DRLs is noted as a useful tool for standardization and optimization of radiation doses in medical imaging protocols.

Uploaded by

Abdul Saeed Shah
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

References:

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ICRP. 1991; 21:1–201

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radiological protection Ann ICRP. 1996; 26:1–47.

4. Miller DL, Vano E, Rehani MM. Reducing radiation, revising reference levels J Am Coll

Radiol. 2015; 12:214–6

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establishment of diagnostic reference levels in CT Br J Radiol. 2003; 76:541–5

6. Pakistan Nuclear Regulatory Authority (PNRA), Regulations on Radiation Protection-

PAK/904(Rev.01); Schedule VIII, Table2: The Gazette of Pakistan, Extra, 31 st December,

2020.

7. Wall BF. Implementation of DRLs in the UK. Radiat Prot Dosimetry 2005; 114: 183–7.

8. Hart D, Hillier MC, Wall BF. National reference doses for common radiographic, fluoroscopic

and dental X-ray examinations in the UK. Br J Radiol 2009; 82: 1–12.

9. Hauge IHR, Bredholt K, Olerud HM. New diagnostic reference level for full-field digital

mammography units. Radiat Prot Dosimetry 2013; 157: 181–92.

10. Jarvinen H, Merimaa K, Seuri R, et al. Patient doses in paediatric CT: feasibility of setting

diagnostic reference levels. Radiat Prot Dosimetry 2011; 147: 142–6.

11. Nfaoui K, Bentayeb F, El Basraoui O, de Azevedo AC. Evaluation of paediatric X-ray doses in

Moroccan university hospitals. Radiat Prot Dosimetry 2010; 142: 238–43.


12. International Commission on Radiological Protection. Managing Patient Dose in Multi-

Detector Computed Tomography (MDCT). ICRP Publication 102. Elsevier, 2007, 86 p. Ann.

ICRP 37(1).

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diagnostic reference levels for adult CT: j Med Raiat Sci.2020 Mar;67(1):5-15.

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Evaluation of Radiation Dose in X-ray Computed Tomography (Report No.111), College Park

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15. P C Shrimpton 1, M C Hillier, M A Lewis, M Dunn, National survey of doses from CT in the

UK: 2003. Br J Radiol.2006 Dec;79(948):968-80. doi: 10.1259/bjr/93277434.

16. Muhogora WE, Ahmed NA, Almosabihi A, et al. Patient doses in radiographic examinations

in 12 countries of Asia, Africa and Eastern Europe: initial results from IAEA projects. AJR

2008; 190:1453–1461.

17. 2. Directorate-General, Environment, Nuclear Safe ty and Civil Protection, European

Commission. Radiation protection 109: guidance on diagnostic reference levels (DRLs) for

medical exposures (radiation protection).[Link]/energy/nu clear/radiation

protection/doc/publication/109_ [Link]. Published 1999. Accessed September 16, 2014

18. 3. Shrimpton PC, Jones DG, Hillier MC, Wall BF, Le Heron JC, Faulkner K. Survey of CT

practice in the UK. Part 2. Dosimetric aspects. Chilton, UK: National Radiological Protection

Board, 1991: report NRPB-R249.

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safe ty in medicine: ICRP publication 73. Ann ICRP 1996; 26:23–24.

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Table 1. CT scanning parameters used.
Parameters CT Head CT Chest CT Abdomen

Slice thickness (mm)

Detector Coverage (mm)

Tube current (mAs)

Tube voltage (kV)

Gantry rotation (s)

Pitch

In order for DRLs to remain relevant, they need to be periodically updated to reflect changes in
practice within the given jurisdiction. In the United Kingdom, national surveys of radiographic
facilities have been conducted every five years since the mid-1980s (14). Improved optimization has
resulted in an overall lowering of doses with each iteration of the dose review.8, 15

The DRLs are used to evaluate radiation dose parameters and determine whether the facility
radiation parameters are within the reference recommended range. The establishment of DRLs had
been proved to be useful tool in standardization and optimization of radiation doses received from
(8-13)
common medical imaging protocols . In order for DRLs to remain relevant, they need to be
periodically updated to reflect changes in practice within the given jurisdiction. In the United
Kingdom, national surveys of radiographic facilities have been conducted every five years since the
mid-1980s (14). Improved optimization has resulted in an overall lowering of doses with each iteration
of the dose review.8, 15
9. Wall BF. Implementation of DRLs in the UK. Radiat Prot Dosimetry 2005; 114: 183–7.

8. Hart D, Hillier MC, Wall BF. National reference doses for common radiographic, fluoroscopic
and dental X-ray examinations in the UK. Br J Radiol 2009; 82: 1–12.

10. Hauge IHR, Bredholt K, Olerud HM. New diagnostic reference level for full-field digital
mammography units. Radiat Prot Dosimetry 2013; 157: 181–92.

11 Jarvinen H, Merimaa K, Seuri R, et al. Patient doses in paediatric CT: feasibility of setting
diagnostic reference levels. Radiat Prot Dosimetry 2011; 147: 142–6.

12. Nfaoui K, Bentayeb F, El Basraoui O, de Azevedo AC. Evaluation of paediatric X-ray doses
in Moroccan university hospitals. Radiat Prot Dosimetry 2010; 142: 238–43.

13. International Commission on Radiological Protection. Managing Patient Dose in Multi-


detector Computed Tomography (MDCT). ICRP Publication 102. Elsevier, 2007, 86 p. Ann. ICRP
37(1).

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