How to manage accidental and unintended exposure in radiology: an ESR white paper

Insights Into Imaging
European Society of Radiology (ESR)

Abstract

Since February 2018, the Directive 2013/59/EURATOM (EU-BSS) requires all EU member states to implement a system for recording and analysis of all accidental or unintended medical exposures (Article 63). An ESR questionnaire in May 2018 among ESR member countries including all EU member states (MS) revealed a very heterogeneous and unsatisfactory situation in transposition of the EU-BSS. Some MS just translated this part of the directive, others used effective dose as reporting criteria and others used physical dose parameters from the modalities. This white paper will help national scientific organisations advice their national regulators and authorities on how to provide a simple and practicable implementation of the directive. ESR recommends notification and reporting criteria for significant events based on physical quantities and units and not on effective dose or text-based criteria like "significantly different" (EU-BSS, Article 4 (99)).

References

Jul 20, 2010·European Journal of Radiology·Ola HolmbergRenate Czarwinski
Oct 4, 2014·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·L StruelensS Balter
Aug 25, 2017·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·C J MartinJ Damilakis

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Citations

Sep 23, 2020·European Radiology·Reinhard W LooseUNKNOWN European Society of Radiology (ESR)
Apr 6, 2019·Insights Into Imaging·UNKNOWN European Society of Radiology (ESR), UNKNOWN European Federation of Radiographer Societies (EFRS)
May 22, 2020·Cardiovascular and Interventional Radiology·Werner JaschkeEliseo Vano
Aug 9, 2021·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·Rasool EsmaeilyfardMaryam Paknahad

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Methods Mentioned

BETA
ESR
X-ray

Software Mentioned

DICOM Structured Reports RDSR
PiDRL

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