DRL as a common language in patient dose reduction and optimization: A short note from AsiaSafe in 2024 RCRT-RST Annual Congress, Bangkok, Thailand

Authors

  • Nucharin Supakul, M.D. )Indiana University School of Medicine, USA.
  • Kwan Hoong Ng, Ph.D. College of Radiology, Academy of Medicine of Malaysia.
  • Seung Eun Jung, M.D., Ph. D. Korean Society of Radiology.
  • Hui-Yu Tsai, Ph.D. Taiwan Radiological Society, Chinese Society of Medical Physics.
  • Panruethai Trinavarat, M.D. Royal College of Radiology of Thailand, Radiological Society of Thailand.

DOI:

https://doi.org/10.46475/asean-jr.v25i1.907

Keywords:

AsiaSafe, ALARA, Diagnostic Reference Levels, DRLs, Dose reduction, Medical physicist, Optimization, Radiation, Radiation Safety, Radiologist, Technologist

Abstract

The AsiaSafe Asian Oceanian Symposium at the 2024 RCRT-RST Annual Congress discussed the situation and role of radiology in patient dose reduction and optimization using Diagnostic Reference Levels (DRLs) as a common language. The scientific committee of the Royal College of Radiologists of Thailand (RCRT) and Radiological Society of Thailand (RST) established the Collaboration Symposia to discuss hot health topics with participated Asian Radiological societies. At the 2024 RCRT-RST Collaboration Symposia, different views, initiatives, and ideas were presented by representatives from societies.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Ng KH, Rassiah P, Wang HB, Hambali AS, Muthuvellu P, Lee HP. Doses to patients in routine X-ray examinations in Malaysia. Br J Radiol 1998;71:654-60. doi: 10.1259/bjr.71.846.9849390.

Ng KH, Abdullah BJ, Rassiah P, Sivalingam S. X-ray based radiological procedures in Malaysia: 1990-1994. Med J Malaysia 1999;54:185-91.

Ng KH, Abdullah BJ, Sivalingam S. Medical radiation exposures for diagnostic radiology in Malaysia. Health Phys 2000; 77:33-6. doi: 10.1097/00004032-199907000-00007.

Jamal N, Ng KH, McLean D. A study of mean glandular dose during diagnostic mammography in Malaysia and some of the factors affecting it. Br J Radiol 2003;76:238-45. doi: 10.1259/bjr/66428508.

Sabarudin A, Sun Z, Ng KH. Radiation dose associated with coronary CT angiography and invasive coronary angiography: an experimental study of the effect of dose-saving strategies. Radiat Prot Dosimetry 2012 ;150:180-7. doi: 10.1093/rpd/ncr377.

Muhammad NA, Karim MKA, Hassan HA, Kamarudin MA, Wong JHD, Ibahim MJ. Estimation of effective dose and organ cancer risk from paediatric computed tomography thorax–abdomen-Pelvis examinations. Radiat Phys Chem 2019;165:108438.

Abdulkadir MK, Shuaib IL, Achuthan A, Nasirudin RA, Samsudin AHZ, Osman ND. Estimation of pediatric dose descriptors adapted to individual specific size from CT examinations. Radiat Prot Dosimetry 2022;198:1292-302. doi: 10.1093/rpd/ncac163.

Muhammad NA, Karim MKA, Harun HH, Rahman MAA, Azlan RNRM, Sumardi NF. The impact of tube current and iterative reconstruction algorithm on dose and image quality of infant CT head examination. Radiat Phys Chem 2022;200:110272.

Jusoh II, Abdullah KA, Ali MH. Diagnostic reference levels for common CT examinations: results from a statewide dose survey. Radiat Prot Dosimetry 2022;198:1417-23. doi: 10.1093/rpd/ncac182.

Do KH, Jung SE. Current status of medical radiation exposure in Korea - recent efforts to develop a radiation exposure control system focussed on justification and optimisation. Ann ICRP 2016;45(1 Suppl):113-21. doi: 10.1177/0146645316637783.

Yoon Y, Park H, Won J, Song S, Gil, J, Lee BY. Korean diagnostic reference level for general radiography and mammography in 2022. Public Health Wkly Rep [Internet]. 2023 [cited 2024 Apr 14];16:1082-100. Available from: https://www.researchgate.net/publication/373019541_Korean_Diagnostic_Reference_Level_for_General_Radiography_and_Mammography_in_2022.

Nam S, Park H, Kwon S, Cho PK, Yoon Y, Yoon SW, et al. Updated national diagnostic reference levels and achievable doses for CT protocols: a national survey of Korean hospitals. Tomography 2022; 8: 2450–59. doi: 10.3390/tomography8050203.

Lee MY, Kwon J, Ryu GW, Kim KH, Nam HW, Kim KP. Review of National diagnostic reference levels for interventional procedures. Prog Med Phys 2019;30:75-88. doi.org/10.14316/pmp.2019.30.4.75

Hwang JY, Choi YH, Yoon HM, Ryu YJ, Shin HJ, Kim HG, et al. Establishment of local diagnostic reference levels of pediatric abdominopelvic and chest CT examinations based on the body weight and size in Korea. Korean J Radiol 2021;22:1172-84. doi: 10.3348/kjr.2020.0890.

Kim JS, Kwon SM, Cho PK, Yoon SW, Kim JH, Gil JW, et al. Policy planning for patient dose registry system for computed tomography examination. Public Health Wkly Report 2022;15(16):1057-68.

Lin YY, Tsai HY, Wu YE, Liao YL, Hwang YS. A nationwide survey on the dose of digital breast tomosynthesis. Formosan J Med 2019;23:289–309.

doi: 10.6320/fjm.201905_23(3).0002.

Tung CJ, Tsai HY, Lo SH, Guan CN, Chen YB. Determination of guidance levels of dose for diagnostic radiography in Taiwan. Med Phys 2001;28:850–7.

doi: 10.1118/1.1368126.

Hwang YS, Chen CC, Liao YP, Kuang WC, Tsai HY, Liu HL. Establishment and application of diagnostic reference levels of medical radiation exposures. Formosan J Med [Internet]. 2012 [cited 2024 Apr 14];16:518–28. Available from:

https://www.airitilibrary.com/Article/Detail/10281916-201209-201210300009-201210300009-518-528.

Tsai HY, Tung CJ, Yu CC, Tyan YS. Survey of computed tomography scanners in Taiwan: dose descriptors, dose guidance levels, and effective doses. Med Phys 2007;34:1234–43. doi: 10.1118/1.2712412.

Hwang YS, Yeh MY, Chiang SW, Liu IC, Liao YL, Tsai HY, et al. Recommendations for physics testing of digital mammography systems. Formosan J Med [Internet]. 2018 [cited 2024 Apr 14];22:311–23. Available from: https://www.airitilibrary.com/Article/Detail?DocID=10281916-201805-201805310001-201805310001-311-323.

Hwang YS, Hsiao YH, Chiang SW, Yeh MY, Liu IC, Yan FX, et al. Recommendations for physics testing of fluoroscopic and interventional radiologic systems. Formosan J Med [Internet]. 2015 [cited 2024 Apr 14];19:517–27. Available from: https://www.airitilibrary.com/Article/Detail/10281916-201509-201510050023-201510050023-517-527.

Tsai HY, Chen CC, Hwang YS, Liu HL. Review and recommendations for physics testing of x-ray computed tomography: CSMPT CT task group report. Chin J Radiol [Internet]. 2009 [cited 2024 Apr 14];34:173–84. Available from:

http://www.scopus.com/inward/record.url?eid=2-s2.0-76149086157&partnerID=40&md5=394ce7e889baa076403e41173bcf128d. Subscription required.

Hwang YS, Wang H, Chen C, Liu H, Tsai HY. Review and recommendations for physics testing of conventional and digital mammography: CSMPT mammography task group report. Chin J Radiol [Internet]. 2008 [cited 2024 Apr 14];33:153–79. Available from:

https://www.airitilibrary.com/Article/Detail?DocID=10188940-200809-33-3-153-179-a

Wongsanon S, Witchathorntakun W, Wongsanon W. Patient radiation dose received from the body interventional radiology. Srinagarind Med J 2009;24:339–43. Thai.

Trinavarat P, Kritsaneepaiboon S, Rongviriyapanich C, Visrutaratna P, Srinakarin J. Radiation dose from CT scanning: can it be reduced? Asian Biomed 2011;5(: 13-21.

Trinavarat P, Manaphol S, Yimpraphan N, Assawakulkamnurd S. Cancer risk from pediatric diagnostic radiology; should we be concerned? Chula Med J 2011; 55: 621-32. Thai.

Urairat J, Asavaphatiboon S, Singhara Na Ayuthaya S, Pongnapang N. Evaluation of radiation dose to patients undergoing interventional radiology procedures at Ramathibodi Hospital, Thailand. Biomed Imaging Interv J 2011;7:e22. doi: 10.2349/biij.7.3.e22.

Kritsaneepaiboon S, Trinavarat P, Visrutaratna P. Survey of pediatric MDCT radiation dose from university hospitals in Thailand: a preliminary for national dose survey. Acta Radiol 2012; 53:820-6. doi: 10.1258/ar.2012.110641.

Admontree S, Krisanchinda A, Laothamatas J, Trinavarat P. Radiation dose on whole brain computed tomography in comprehensive stroke imaging using axial volumetric 30-detector CT. Chula Med J 2015;59:1-11.

Sulagaesuan C, Saksobhavivat N, Asavaphatiboon S, Kaewlai R. Reducing emergency CT radiation doses with simple techniques: a quality initiative project. J Med Imaging Radiat Oncol 2016;60:23-34. doi: 10.1111/1754-9485.12410.

Department of Medical Sciences, Ministry of Public Health. National diagnostic reference levels in Thailand 2023. [Internet]. Nonthaburi: Ministry of Public Health; 2023 [cited 2024 Apr 14]. Availble from: https://www.rcrt.or.th/wp-content/uploads/2023/10/National-DRLs-in-Thailand-2023.pdf. Thai.

Office of Atoms for Peace, Royal College of Radiologists of Thailand. Thailand national CT dose registry, trimester report 2023 [Internet]. Bangkok: RCRT; 2023 [cited 2024 Apr 14]. Available from: https://www.rcrt.or.th/thailand-national-ct-dose-registry/. Thai.

Downloads

Published

2024-04-30

How to Cite

1.
Supakul N, Hoong Ng K, Seung EJ, Tsai H-YT, Panruethai Trinavarat P. DRL as a common language in patient dose reduction and optimization: A short note from AsiaSafe in 2024 RCRT-RST Annual Congress, Bangkok, Thailand . ASEAN J Radiol [Internet]. 2024 Apr. 30 [cited 2024 Nov. 22];25(1):65-84. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/907

Issue

Section

ASEAN Movement in Radiology

Similar Articles

<< < 13 14 15 16 17 18 19 20 21 22 > >> 

You may also start an advanced similarity search for this article.