RADIATION DOSE MANAGEMENT SYSTEM IN COMPUTED TOMOGRAPHY PROCEDURES: A SYSTEMATIC REVIEW.
Idris Garba1, Penelope Engel-Hills1, Florence Davidson1
1Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town 8000, South Africa.
Radiation Protection Dosimetry
|April 20, 2023
Summary
Radiation dose management systems (RDMSs) are used in computed tomography (CT) to optimize patient radiation exposure. Automated RDMSs are recommended for efficient dose management, overcoming challenges with current systems.
Area of Science:
- Medical Imaging
- Radiology
- Health Informatics
Background:
- Computed tomography (CT) utilizes ionizing radiation, necessitating effective radiation dose management.
- Radiation Dose Management Systems (RDMSs) are crucial for monitoring and optimizing radiation doses in CT procedures.
- Implementing diagnostic reference levels (DRLs) is a key strategy for dose optimization in CT.
Approach:
- A systematic literature review was conducted to identify and synthesize studies on RDMS use in CT.
- Databases searched included PubMed, EBSCOhost, Web of Science, SCOPUS, and Cochrane Library.
- 38 articles were selected and narratively synthesized following PRISMA guidelines.
Key Points:
- Several RDMSs have been implemented in CT settings.
- RDMSs facilitate the adoption of DRLs for dose optimization.
- Existing RDMSs present challenges, including compatibility issues, data transmission failures, and manual system inefficiencies.
Conclusions:
- A robust, automated RDMS compatible with diverse CT systems is essential for efficient CT dose management.
- Addressing limitations of current RDMSs can improve radiation safety in CT.
- Further development of automated RDMSs is needed to enhance dose optimization and DRL implementation.
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