Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review.
Clinical indications
Computed tomography
Computed tomography dose descriptors
Diagnostic Reference Levels
Journal
Insights into imaging
ISSN: 1869-4101
Titre abrégé: Insights Imaging
Pays: Germany
ID NLM: 101532453
Informations de publication
Date de publication:
17 Aug 2020
17 Aug 2020
Historique:
received:
17
06
2020
accepted:
21
07
2020
entrez:
18
8
2020
pubmed:
18
8
2020
medline:
18
8
2020
Statut:
epublish
Résumé
In August 2017, the European Commission awarded the "European Study on Clinical Diagnostic Reference levels for X-ray Medical Imaging" project to the European Society of Radiology, to provide up-to-date Diagnostic Reference Levels based on clinical indications. The aim of this work was to conduct an extensive literature review by analysing the most recent studies published and the data provided by the National Competent Authorities, to understand the current situation regarding Diagnostic Reference Levels based on clinical indications for computed tomography. The literature review has identified 23 papers with Diagnostic Reference Levels based on clinical indications for computed tomography from 15 countries; 12 of them from Europe. A total of 28 clinical indications for 6 anatomical areas (head, cervical spine/neck, chest, abdomen, abdomen-pelvis, chest-abdomen-pelvis) have been identified. In all the six anatomical areas for which Diagnostic Reference Levels based on clinical indications were found, a huge variation of computed tomography dose descriptor values was identified, providing evidence for a need to develop strategies to standardise and optimise computed tomography protocols.
Sections du résumé
BACKGROUND
BACKGROUND
In August 2017, the European Commission awarded the "European Study on Clinical Diagnostic Reference levels for X-ray Medical Imaging" project to the European Society of Radiology, to provide up-to-date Diagnostic Reference Levels based on clinical indications. The aim of this work was to conduct an extensive literature review by analysing the most recent studies published and the data provided by the National Competent Authorities, to understand the current situation regarding Diagnostic Reference Levels based on clinical indications for computed tomography.
RESULTS
RESULTS
The literature review has identified 23 papers with Diagnostic Reference Levels based on clinical indications for computed tomography from 15 countries; 12 of them from Europe. A total of 28 clinical indications for 6 anatomical areas (head, cervical spine/neck, chest, abdomen, abdomen-pelvis, chest-abdomen-pelvis) have been identified.
CONCLUSIONS
CONCLUSIONS
In all the six anatomical areas for which Diagnostic Reference Levels based on clinical indications were found, a huge variation of computed tomography dose descriptor values was identified, providing evidence for a need to develop strategies to standardise and optimise computed tomography protocols.
Identifiants
pubmed: 32804275
doi: 10.1186/s13244-020-00899-y
pii: 10.1186/s13244-020-00899-y
pmc: PMC7431477
doi:
Types de publication
Journal Article
Langues
eng
Pagination
96Subventions
Organisme : European Commission
ID : ENER/2017/NUCL/SI2.759174
Investigateurs
Monika Hierath
(M)
Jonathan Clark
(J)
Références
J Cardiovasc Comput Tomogr. 2017 Jul - Aug;11(4):268-273
pubmed: 28532693
Radiology. 2017 Jul;284(1):120-133
pubmed: 28221093
AJR Am J Roentgenol. 2018 Jan;210(1):127-133
pubmed: 29140117
JAMA. 2009 Feb 4;301(5):500-7
pubmed: 19190314
Rofo. 2019 Aug;191(8):739-751
pubmed: 30665250
Radiat Prot Dosimetry. 2012 Aug;151(1):51-7
pubmed: 22147925
Insights Imaging. 2013 Jun;4(3):383-90
pubmed: 23673455
Eur Radiol. 2014 Feb;24(2):469-83
pubmed: 24121713
Phys Med. 2019 May;61:18-27
pubmed: 31151575
Radiat Prot Dosimetry. 2015 Apr;164(1-2):116-9
pubmed: 25342609
Radiographics. 2008 Jan-Feb;28(1):245-53
pubmed: 18203941
Ann ICRP. 2017 Oct;46(1):1-144
pubmed: 29065694
Radiology. 2011 May;259(2):311-6
pubmed: 21502387
Eur J Radiol. 2020 May;126:108923
pubmed: 32171911
Eur J Radiol. 2017 May;90:114-128
pubmed: 28583622
Eur Radiol. 2020 Feb;30(2):1127-1136
pubmed: 31529257
Br J Radiol. 2012 Oct;85(1018):1390-7
pubmed: 22595497
Radiat Prot Dosimetry. 2010 Dec;142(2-4):244-54
pubmed: 20926508
Ann ICRP. 1996;26(2):1-47
pubmed: 8911634
Phys Med. 2017 Jul;39:16-24
pubmed: 28711184
Eur Radiol Exp. 2018 Nov 28;2(1):38
pubmed: 30483977
Ann ICRP. 2001;31(4):33-52
pubmed: 12685758
BMJ. 2019 Jan 2;364:k4931
pubmed: 30602590