Highlights
- •In Ghana there are no established national indication-based diagnostic reference levels.
- •First national indication-based diagnostic reference levels have been developed.
- •The developed diagnostic reference levels are recommended to be used to manage dose in Ghana.
Abstract
Purpose
Materials and methods
Results
Conclusion
Keywords
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Physica Medica: European Journal of Medical PhysicsReferences
- A comparison of pediatric and adult CT organ dose estimation methods.BMC Med Imaging. 2017; 17: 2-17https://doi.org/10.1186/s12880-017-0199-3
- Establishment of institutional diagnostic reference level for computed tomography with automated dose-tracking software.J Med Radiat Sci. 2017; 64: 82-89https://doi.org/10.1002/jmrs.210
- diagnostic reference levels and achievable Doses for 10 adult CT examinations.Radiology. 2017; 284: 120-133
UNSCEAR. UNSCEAR 2008 Report. Sources and effects of ionizing radiation. Volume I: Sources Report to the General Assembly, Scientific Annexes A and B. UNSCEAR 2008 Report. United Nations Scientific Committee on the Effects of Atomic Radiation. New York: United Nations; 2010.
- The population effective dose of medical computed tomography examinations in Taiwan for 2013.PLoS ONE. 2016; 11e0165526https://doi.org/10.1371/journal.pone.0165526
IAEA. Diagnostic Reference Levels (DRLs) in Medical Imaging, https://rpop.iaea.org/RPOP/RPoP/Content/InformationFor/HealthProfessionals/1_Radiology/Optimisation/diagnostic-reference-levels.htm [Accessed 20 October 2017].
- The 2007 recommendations of the international commission on radiological protection. ICRP publication 103.Ann ICRP. 2007; 37: 1-332
- 105. Radiation protection in medicine.Ann ICRP. 2007; 37: 1-63https://doi.org/10.1016/j.icrp.2008.08.001
Lajunen, A. Indication-based diagnostic reference levels for adult CT-examinations in Finland. Radiat Protect Dosimetry 2015;165(1-4): 95-97.
- Diagnostic reference levels.Am J Roentgenol. 2015; 204: W1-W3
- Diagnostic reference levels in medical imaging. ICRP Publication 135.Ann. ICRP. 2017; 46
- Radiological Protection and Safety in Medicine (Report 73).Ann ICRP. 1996; 26: 1-31
IAEA GSR Part 3. Radiation protection and Safety of radiation sources: International basic Safety standards. Vienna: IAEA; 2014.
European Society of Radiology. EuroSafe Imaging Call for Action 2018, http://www.eurosafeimaging.org/about/call-for-action [Accessed 14 November 2018].
- European Society of Radiology. Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review. Insights into.Imaging. 2020; 11: 96https://doi.org/10.1186/s13244-020-00899-y
Damilakis J, Frija G, Hierath M, Jaschke W, Mayerhofer-Sebera U, Paulo G, et al. European study on clinical diagnostic reference levels for x-ray medical imaging most studies conducted in CT DRLs have been anatomic DRLs, http://www.eurosafeimaging.org/wp/wp-content/uploads/2017/09/D2.1_Report-and-review-on-existing-clinical DRLs_final_published-on-website.pdfICRP, 2017 [Accessed 12 November 2019].
Vock P, Frija G. Diagnostic reference levels based on clinical indications. Poster presentation. EuroSafe Imaging Congress 2016; No ESI-0034. DOI: 10.1594/esi2016/ESI-0034.
European Society of Radiology. Diagnostic reference levels, . [Accessed 19 February 2018].
European Association of Nuclear Medicine, (EANM), European Federation of Organisations for Medical Physics (EFOMP), European Federation of Radiographer Societies (EFRS), European Society of Radiology (ESR) and European Society for Radiotherapy and Oncology (ESTRO). Common strategic research agenda for radiation protection in medicine. Insights into Imaging 2017;8(1):183–197.
- An investigation into the infrastructure and management of Computerized Tomography units in Ghana.J Med Imaging Radiat Sci. 2020; 51: 165-172
- Status of quality management systems in computed tomography facilities in Ghana.Radiol Technol. 2020; 91: 324-332
- The essential physics of medical imaging.2nd ed. Lippincott Williams and Wilkins, London2011
- Determination of standard reference body indices for clinical application in Ghana.Int J Sci Technol Res. 2017; 6: 225-231
- An evaluation of image acquisition techniques, radiographic practice, and technical quality in neonatal chest radiography.J Med Imaging Radiat Sci. 2018; 49: 257-264https://doi.org/10.1016/j.jmir.2018.05.006
- Guidelines on Patient Dose to Promote the Optimisation of Protection for Diagnostic Medical Exposures: Documents of the NRPB 10(1).Chilton: National Radiological Protection Board. 1999; : 17-18
- Diagnostic Reference Levels for computed tomography in Austria: a 2018 nationwide survey on adult patients.Eur J Radiol. 2020; 125108863https://doi.org/10.1016/j.ejrad.2020.108863
Javor A, Ferrari J, Posekany A, Asenbaum-Nan S. Stroke risk factors and treatment variables in rural and urban Austria: An analysis of the Austrian stroke unit registry. PLoS One 2019 10;14(4):e0214980. 10.1371/journal.pone.0214980.
Sanuade OA, Dodoo FN, Koram K, de-Graft Aikins A. Prevalence and correlates of stroke among older adults in Ghana: Evidence from the Study on Global AGEing and adult health (SAGE). PLoS One 2019 13;14(3):e0212623. 10.1371/journal.pone.0212623.
- Patient dose evaluation in computed tomography: a French national study based on clinical indications.Phys Med. 2019; 61https://doi.org/10.1016/j.ejmp.2019.04.004
Public Health England. National Diagnostic Reference Levels (NDRLs) Vol. 11, https://www.gov.uk/government/publications/diagnostic-radiology-nationaldiagnostic-reference-levels-ndrls/national-diagnostic-reference-levelsndrls#fnref:2 [Accessed 21 November 2016].
Widmark A. Representative doses in Norway – 2017. Results from reporting and auditing and the establishment of new ones national reference values. Radiation Protection Report 2018: 3, Østerås: The Norwegian Radiation Protection Agency, Østerås; 2018.
- Reference levels for patient radiation exposure in computed tomography examinations of adults.Radiation and Nuclear Safety Authority, Helsinki2013
- Updated Australian diagnostic reference levels for adult CT.J Med Radiat Sci. 2020; 67: 5-15https://doi.org/10.1002/jmrs.372
- CT Reference doser.Danish Health Authority, Copenhagen2015
- Contrast-induced nephropathy: update on the use of crystalloids and pharmacological measures.Int J Nephrol. 2018; 1: 1-8
- Update of national diagnostic reference levels for adult CT in Switzerland and assessment of radiation dose reduction since 2010.Eur Radiol. 2020; 30: 1690-1700https://doi.org/10.1007/s00330-019-06485-1
- A national survey on radiation dose in CT in The Netherlands.Insights into Imaging. 2013; 4: 383-390https://doi.org/10.1007/s13244-013-0253-9
- Evaluation of kidney stones with reduced-radiation dose CT: progress from 2011–2012 to 2015–2016-Not There Yet.Radiology. 2018; 286: 581-589https://doi.org/10.1148/radiol.2017170285
- Current CT practice in Germany: results and implications of a nationwide survey.Eur J Radiol. 2017; 90: 114-128
- Establishment of CT diagnostic reference levels in Ireland.Br J Radiol. 2012; 85: 1390-1397
- A quantitative comparison of data evaluation methods to derive diagnostic reference levels for CT from a dosimetric survey: correlation analysis compared to simple evaluation strategies.Phys Med. 2013; 29: 470-477https://doi.org/10.1016/j.ejmp.2013.01.001
- Establishing national diagnostic reference levels (DRLs) for computed tomography in Egypt.Phys Med. 2017; 39: 16-24https://doi.org/10.1016/j.ejmp.2017.05.050
- Patient-specific organ and effective dose estimates in pediatric oncology computed tomography.Phys Med. 2018; 45: 146-155https://doi.org/10.1016/j.ejmp.2017.12.013
Anim-Sampong S, Antwi WK, Botwe BO. Boateng SR. Comparison of 640-slice Aquilon ONE CT scanner’s measured dosimetric parameters with ICRP dose reference levels for head, chest and abdominal CT examinations. Saf Health 2, 7 (2016). https://doi.org/10.1186/s40886-016-0019-4.
