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Current practices and perceptions on diagnostic reference levels: a EuroSafe Imaging Survey Analysis.

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Summary
This summary is machine-generated.

Diagnostic reference levels (DRLs) implementation varies across Europe, with over half of departments having them. Challenges like time and training gaps hinder adoption, impacting radiation protection and patient safety. Enhanced education and collaboration are crucial.

Keywords:
Diagnostic reference levelsOptimisationRadiation dosageSurveys and questionnaires

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Area of Science:

  • Medical Imaging Physics
  • Radiology
  • Radiation Protection

Background:

  • Diagnostic Reference Levels (DRLs) are crucial for optimizing radiation doses in medical imaging.
  • Despite progress, DRL implementation in European radiology departments shows significant variability.
  • The EuroSafe Imaging campaign surveyed current practices, perceptions, and challenges related to DRLs.

Purpose of the Study:

  • To assess the current status of DRL implementation across European radiology departments.
  • To identify key challenges and barriers hindering effective DRL adoption.
  • To provide recommendations for improving DRL practices and radiation protection.

Main Methods:

  • A survey was conducted by the EuroSafe Imaging campaign, collecting 146 responses from 38 countries.
  • Data focused on the establishment, application, and perceived challenges of DRLs in clinical practice.
  • Responses were predominantly from the EU/EEA region, covering computed tomography, conventional radiography, and interventional radiology.

Main Results:

  • 52.4% of departments reported established local DRLs, while 34.5% lacked them and 13.1% were unaware.
  • DRLs were most common in CT (88.7%) and conventional radiography (77.5%), but less so in interventional radiology (36.6%).
  • Key challenges included time constraints, data collection difficulties, lack of standardization, and insufficient training for radiology residents.

Conclusions:

  • Significant variability and challenges persist in DRL implementation across Europe.
  • Targeted training, policy enhancements, and technological solutions are needed to overcome barriers.
  • Promoting standardized protocols, increasing awareness, and fostering collaboration are essential for optimizing DRL use and radiation protection.