Conclusions of Today Round Table Conference Radiology Patient Dose Ir. Edward Smit Director of the...
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Conclusions of Today Round Table Conference Radiology Patient Dose Ir. Edward Smit Director of the Departement Health and Environment Brussels June 26th, 2010
Conclusions of Today Round Table Conference Radiology Patient Dose Ir. Edward Smit Director of the Departement Health and Environment Brussels June 26th,
Conclusions of Today Round Table Conference Radiology Patient
Dose Ir. Edward Smit Director of the Departement Health and
Environment Brussels June 26th, 2010
Slide 2
Conclusions (1/4) Largest contribution to average radiation
dose from medical diagnostics and treatment to Belgian citizen
Slide 3
Conclusions (2/4) National DRLs have been established and
communicated. These DRL will be used as reference for further
optimization and reduction of dose levels Procedure for obtaining
dose data will be improved (new data entry sheets, future on-line
service) List of examinations has been screened and proposal for
changes have been made. Suggestions for fine tuning have been made
today Incorporation of feedback by combined working group during
September and October Working group will take into account today's
feedback to make final adjustments in procedure, data sheets and
list of examinations Improvements will be implemented by end of
October 2010
Slide 4
Conclusions (3/4) Next step is optimization phase to further
reduce national DRLs. Dr. Tack demonstrated impressive results
(30%- 66% dose reduction) for CT scan optimization in Luxemburg.
Opportunity in Belgium to optimize below P75 towards P25 Special
protocols for pediatric CT by all centers surveyed. Use of ATM,
manual mA and kV reduction. Registered dose (DRL) underestimate
real dose DAP can be used to estimate effective dose and skin
dose
Slide 5
Conclusions (4/4) Authorities demand reduction of unnecessary
examinations Better justification of examinations Adaptation of
financing from fee for service to fee for result.. Good cooperation
between FOD VG, FANC, RIZIV and medical sector to obtain structural
changes Actions to radiological centers that do not report patient
dose