CT Radiation Dose Management: A Comprehensive Optimization Process for Improving Patient Safety

被引:48
|
作者
Parakh, Anushri [1 ]
Kortesniemi, Mika [2 ,3 ]
Schindera, Sebastian T. [1 ]
机构
[1] Univ Basel Hosp, Clin Radiol & Nucl Med, Petersgraben 4, CH-4031 Basel, Switzerland
[2] Univ Helsinki, Dept Radiol, HUS Med Imaging Ctr, Helsinki, Finland
[3] Helsinki Univ Hosp, Helsinki, Finland
关键词
TUBE CURRENT MODULATION; COMPUTED-TOMOGRAPHY; ITERATIVE RECONSTRUCTION; AUTOMATED EXTRACTION; CANCER-RISK; EXPOSURE; INDEX; TRACKING; SCANS; IMPLEMENTATION;
D O I
10.1148/radiol.2016151173
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Rising concerns of radiation exposure from computed tomography have caused various advances in dose reduction technologies. While proper justification and optimization of scans has been the main focus to address increasing doses, the value of dose management has been largely overlooked. The purpose of this article is to explain the importance of dose management, provide an overview of the available options for dose tracking, and discuss the importance of a dedicated dose team. The authors also describe how a digital radiation tracking software can be used for analyzing the big data on doses for auditing patient safety, scanner utilization, and productivity, all of which have enormous personal and institutional implications. (C) RSNA, 2016
引用
收藏
页码:663 / 673
页数:11
相关论文
共 50 条
  • [1] Enhancing Patient Safety in Today's Healthcare Environment: Radiation Dose and Contrast Optimization in CT Imaging
    Mahesh, Mahadevappa
    Tanenbaum, Lawrence N.
    Sahani, Dushyant V.
    Hellinger, Jeffrey C.
    APPLIED RADIOLOGY, 2015, 44 (11) : 56 - 60
  • [2] Reducing Variability of Radiation Dose in CT: The New Frontier in Patient Safety
    Lee, Ryan K.
    Sun, Joel Y.
    Lockerby, Samantha
    Soltycki, Eric
    Matalon, Terence
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (11) : 1633 - 1641
  • [3] CT radiation dose management
    Shrestha, Rasu B.
    APPLIED RADIOLOGY, 2013, 42 (09) : 21 - 24
  • [4] Radiation Dose Metrics in CT: Assessing Dose Using the National Quality Forum CT Patient Safety Measure
    Keegan, Jillian
    Miglioretti, Diana L.
    Gould, Robert
    Donnelly, Lane F.
    Wilson, Nicole D.
    Smith-Bindman, Rebecca
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2014, 11 (03) : 309 - 315
  • [5] Improving Patient Safety in Radiology: Concepts for a Comprehensive Patient Safety Program
    Donnelly, Lane F.
    Dickerson, Julie M.
    Goodfriend, Martha A.
    Muething, Stephen E.
    SEMINARS IN ULTRASOUND CT AND MRI, 2010, 31 (02) : 67 - 70
  • [6] Improving Patient Safety in Radiation Therapy
    Ford, E.
    Fraass, B.
    Mutic, S.
    Dunscombe, P.
    Sutlief, S.
    Holmberg, O.
    MEDICAL PHYSICS, 2011, 38 (06)
  • [7] Improving patient safety in radiation oncology
    Hendee, William R.
    Herman, Michael G.
    PRACTICAL RADIATION ONCOLOGY, 2011, 1 (01) : 16 - 21
  • [8] Strategies for CT radiation dose optimization
    Kalra, MK
    Maher, MM
    Toth, TL
    Hamberg, LM
    Blake, MA
    Shephard, JA
    Saini, S
    RADIOLOGY, 2004, 230 (03) : 619 - 628
  • [9] Optimization of the Patient CT Dose in Europe
    Tsapaki, V.
    MEDICAL PHYSICS, 2016, 43 (06) : 3696 - 3697
  • [10] Improving patient safety in the radiation oncology setting through crew resource management
    Sundararaman, Srinath
    Babbo, Angela E.
    Brown, John A.
    Doss, Richard
    PRACTICAL RADIATION ONCOLOGY, 2014, 4 (04) : E181 - E188