ICRP and IAEA actions on radiation protection in computed tomography

In 1998, the International Commission on Radiological Protection (ICRP) warned that computed tomography (CT) doses were high, and the frequency of usage was likely to increase in view of spiral CT technology that enhances patient convenience and provides high-quality diagnostic information. Two ICRP publications (Publications 87 and 102) have provided patient dose management recommendations while reviewing the technology and results of optimisations to date, and stimulated interest in patient dose management. The International Atomic Energy Agency, on the other hand, has been instrumental in assessing the state of practice at grassroots level, identifying lacunae in justification and optimisation, providing guidance to counterparts in various countries, and improving practice. The results from approximately 50 less-resourced countries for adult and paediatric CT studies have become available, and some have been published. The concerted efforts and actions by these two international organisations have contributed to better awareness and improvement of patient protection in CT in adults and children in many countries.