KERMA-based radiation dose management system for real-time patient dose measurement

2016 ◽  
Vol 69 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Kyo-Tae Kim ◽  
Ye-Ji Heo ◽  
Kyung-Min Oh ◽  
Sang-Hee Nam ◽  
Sang-Sik Kang ◽  
...  
PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0234461
Author(s):  
Chun-Yuan Tu ◽  
Chung-Jung Lin ◽  
Bang-Hung Yang ◽  
Jay Wu ◽  
Tung-Hsin Wu

2019 ◽  
Vol 66 ◽  
pp. 77-87 ◽  
Author(s):  
Joël Greffier ◽  
Nicolas Grussenmeyer-Mary ◽  
Ahmed Larbi ◽  
Jean Goupil ◽  
Guillaume Cayla ◽  
...  

2015 ◽  
Vol 33 (28_suppl) ◽  
pp. 70-70
Author(s):  
Bong Joo Kang ◽  
Ji Eun Baek ◽  
Hyun Sil Lee ◽  
Sung Hun Kim

70 Background: In the perspectives on radiation dose, there are consensus of importance on radiation dose management for patient safety and trends to reduce radiation dose for patient safety. Radiation dose management system like Radimetrics helps radiologists optimize protocols and reduce radiation dose. There is no previous data applying the radiation dose management system in mammography.We investigated the clinical usefulness of the radiation dose management system in full field digital mammography (FFDM) using commercial Radiation dose management system. Methods: We did radiation dose tracking, monitoring, and statistics through the existed radiation dose management system (Radimetrics). The utilization data, parameter, and dose report were sent to the conventional picture archiving and communication system (PACS) and the Radimetrics enterprise flat form. And we could review the data including age, kVp, mAs, breast thickness, and compression force under the web base. We analyzed the breast composition depending on the BI-RADS assessment categories. We evaluated the correlation of the age, kVp, mAs, breast thickness, compression force, and breast composition with organ dose of breast. Additionally, in patients with above diagnostic reference level ( ≥ 75%) of radiation dose, the causes were analyzed. Results: From February to May 2015, 3076 sets of FFDM were performed and sent to PACS and the radiation dose management system (Radimetrics). In total 3076 sets, 2520 were routine bilateral FFDM with 4 views. The mean glandular dose was 6.59± 2.87 mGy (2.63-18.46). In the correlation analysis, the age had moderate negative linear relationship with organ dose. The mAs and breast composition had moderate positive linear relationship with organ dose. The kVp, breast thickness, and compression force had weak positive linear relationship with organ dose. Patients with above diagnostic reference level ( ≥ 75%) of radiation dose showed dense breast composition and thicker breast. Conclusions: The radiation dose management system is useful in FFDM. Especially in Asian women with thick and dense breasts, radiation dose should be carefully managed.


Author(s):  
Eliseo Vano PhD ◽  
José M Fernández ◽  
José I. Ten ◽  
Roberto M. Sanchez

Objectives: Radiation dose management systems (DMS) are currently to help improve radiation protection in medical imaging and interventions. This study presents our experience using a homemade DMS called DOLQA (Dose On-Line for Quality Assurance). Methods: Our DMS is connected to 14 X-ray systems in a university hospital linked to the central data repository of a large network of 16 public hospitals in the Autonomous Community of Madrid, with 6.7 million inhabitants. The system allows us to manage individual patient dose data and groups of procedures with the same clinical indications, and compare them with diagnostic reference levels (DRLs). The system can also help to prioritize optimisation actions. Results: This study includes results of imaging examinations from 2020, with 3,7601 procedures and 28,6471 radiation events included in the radiation dose structured reports (RDSR), for computed tomography (CT), interventional procedures, positron emission tomography-CT (PET-CT) and mammography. Conclusions: The benefits of the system include: automatic registration and management of patient doses, creation of dose reports for patients, information on recurrent examinations, high dose alerts, and help to define optimisation actions. The system requires the support of medical physicists and implication of radiologists and radiographers. DMSs must undergo periodic quality controls and audit reports must be drawn up and submitted to the hospital’s quality committee. The drawbacks of DMSs include the need for continuous external support (medical physics experts, radiologists, radiographers, technical services of imaging equipment and hospital informatics services) and the need to include data on clinical indication for the imaging procedures. Advances in knowledge: DMS perform automatic management of radiation doses, produces patient dose reports, and registers high dose alerts to suggest optimisation actions. Benefits and limitations are derived from the practical experience in a large university hospital.


2016 ◽  
Vol 206 (5) ◽  
pp. 1049-1055 ◽  
Author(s):  
Christina Heilmaier ◽  
Niklaus Zuber ◽  
Bernardus Bruijns ◽  
Dominik Weishaupt

2014 ◽  
Vol 70 (12) ◽  
pp. 1392-1402
Author(s):  
Tokitaka Ueno ◽  
Yuki Emoto ◽  
Junji Morishita ◽  
Masashi Shimizu ◽  
Ryotaro Jingu ◽  
...  

2008 ◽  
Vol 44 (11) ◽  
pp. 4456-4459
Author(s):  
K. Shinohe ◽  
T. Takura ◽  
F. Sato ◽  
H. Matsuki ◽  
S. Yamada ◽  
...  

2009 ◽  
Vol 105 (7) ◽  
pp. 07B319 ◽  
Author(s):  
Fumihiro Sato ◽  
Kohta Shinohe ◽  
Tetsuya Takura ◽  
Hidetoshi Matsuki ◽  
Syogo Yamada ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document