Medical imaging dose optimisation from ground up: expert opinion of an international summit

Journal of Radiological Protection : Official Journal of the Society for Radiological Protection
Ehsan SameiJenia Vassileva

Abstract

As in any medical intervention, there is either a known or an anticipated benefit to the patient from undergoing a medical imaging procedure. This benefit is generally significant, as demonstrated by the manner in which medical imaging has transformed clinical medicine. At the same time, when it comes to imaging that deploys ionising radiation, there is a potential associated risk from radiation. Radiation risk has been recognised as a key liability in the practice of medical imaging, creating a motivation for radiation dose optimisation. The level of radiation dose and risk in imaging varies but is generally low. Thus, from the epidemiological perspective, this makes the estimation of the precise level of associated risk highly uncertain. However, in spite of the low magnitude and high uncertainty of this risk, its possibility cannot easily be refuted. Therefore, given the moral obligation of healthcare providers, 'first, do no harm,' there is an ethical obligation to mitigate this risk. Precisely how to achieve this goal scientifically and practically within a coherent system has been an open question. To address this need, in 2016, the International Atomic Energy Agency (IAEA) organised a summit to clarify the role of Diagno...Continue Reading

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Citations

Jun 11, 2019·AJR. American Journal of Roentgenology·Francesco RiaEhsan Samei
Mar 21, 2020·La Radiologia medica·Francesco Ria, Ehsan Samei
May 28, 2019·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·M C Thorne
May 27, 2021·Radiation Protection Dosimetry·Jonas IvarssonMagnus Båth

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