Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review

被引：72

作者：

Paulo, Graciano ^{[1
]}

Damilakis, John ^{[2
]}

Tsapaki, Virginia ^{[3
]}

Schegerer, Alexander A. ^{[4
,5
]}

Repussard, Jacques ^{[6
]}

Jaschke, Werner ^{[7
]}

Frija, Guy ^{[8
]}

机构：

[1] Inst Politecn Coimbra, ESTESC Coimbra Hlth Sch, Med Imaging & Radiotherapy Dept, Rua 5 Outubro, P-3046854 Coimbra, Portugal

[2] Univ Crete, Sch Med, Iraklion, Greece

[3] Konstantopoulio Gen Hosp, Athens, Greece

[4] Fed Off Radiat Protect, Dept Med & Occupat Radiat Protect, Neuherberg, Germany

[5] Hirslanden AG, Radiat Protect & Image Proc Syst, Glattpark, Switzerland

[6] Int Consultant, St Nom La Breteche, France

[7] Med Univ Innsbruck, Dept Radiol, Innsbruck, Austria

[8] Paris Descartes Univ, Paris, France

[9] European Soc Radiol, Vienna, Austria

来源：

INSIGHTS INTO IMAGING | 2020年 / 11卷 / 01期

关键词：

Diagnostic Reference Levels; Computed tomography; Clinical indications; Computed tomography dose descriptors; NATIONAL-SURVEY; CARDIAC CT; ESTABLISHMENT;

D O I：

10.1186/s13244-020-00899-y

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：

BackgroundIn August 2017, the European Commission awarded the "European Study on Clinical Diagnostic Reference levels for X-ray Medical Imaging" project to the European Society of Radiology, to provide up-to-date Diagnostic Reference Levels based on clinical indications.The aim of this work was to conduct an extensive literature review by analysing the most recent studies published and the data provided by the National Competent Authorities, to understand the current situation regarding Diagnostic Reference Levels based on clinical indications for computed tomography.ResultsThe literature review has identified 23 papers with Diagnostic Reference Levels based on clinical indications for computed tomography from 15 countries; 12 of them from Europe.A total of 28 clinical indications for 6 anatomical areas (head, cervical spine/neck, chest, abdomen, abdomen-pelvis, chest-abdomen-pelvis) have been identified.ConclusionsIn all the six anatomical areas for which Diagnostic Reference Levels based on clinical indications were found, a huge variation of computed tomography dose descriptor values was identified, providing evidence for a need to develop strategies to standardise and optimise computed tomography protocols.

引用

页数：9

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