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Screening radiation exposure for quality assurance.

Luís A Bastião Silva1, Luís S Ribeiro1, Milton Santos1

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This study introduces a new system for real-time radiation dose monitoring in medical imaging, ensuring patient safety and compliance with European regulations. The system facilitates dose data collection and analysis for quality assurance and abuse detection.

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Area of Science:

  • Medical Physics
  • Radiological Protection
  • Health Informatics

Background:

  • Quality assurance in medical imaging necessitates patient-specific protocols for radiation exposure, adhering to the ALARA (As Low As Reasonably Achievable) principle.
  • European legislation (2013/59/EURATOM) mandates stricter oversight of patient dosimetry by health authorities.
  • Existing systems may lack interoperability and real-time monitoring capabilities for comprehensive dose management.

Purpose of the Study:

  • To present an interoperable, distributed system for real-time radiation dose monitoring in planned exposure situations.
  • To ensure compliance with European legal frameworks and the IHE Radiation Exposure Monitoring (REM) profile.
  • To integrate key stakeholders in patient radiological protection into a unified monitoring system.

Main Methods:

  • Development of a distributed system architecture for real-time dose data acquisition.
  • Implementation of a system compliant with the IHE Radiation Exposure Monitoring (REM) profile.
  • Integration of diverse stakeholders including patients, healthcare professionals, and regulatory bodies.

Main Results:

  • The system enables real-time gathering and storage of patient dose information in a regional or national dose registry.
  • It defines essential data elements for dose monitoring systems from various stakeholder perspectives.
  • The system is capable of identifying irregular dose patterns indicative of potential dose abuses.

Conclusions:

  • The developed system offers a compliant and interoperable solution for enhancing radiation dose monitoring and quality assurance in medical imaging.
  • It supports regulatory compliance and facilitates proactive identification of dose anomalies, thereby improving patient safety.
  • Stakeholder involvement is crucial for effective implementation and utilization of such dose monitoring systems.