Technical specifications of dose management systems: An international atomic energy agency survey

Author:

Tsalafoutas Ioannis A.1ORCID,Arlany Laurentcia2,Titovich Egor3,Pynda Yaroslav4,Ruggeri Ricardo5,Sánchez Roberto Mariano6,Reiser Ingrid7,Tsapaki Virginia3

Affiliation:

1. Hamad Medical Corporation, Occupational Health and Safety Medical Physics Section Doha Qatar

2. Sengkang General Hospital Singapore Singapore

3. Dosimetry and Medical Radiation Physics Section International Atomic Energy Agency Vienna Austria

4. Division of Human Health International Atomic Energy Agency Vienna Austria

5. Fundación Médica de Río Negro y Neuquén‐Leben Salud Rio Negro Argentina

6. Servicio de Física Médica Hospital Clínico San Carlos Madrid Spain

7. Department of Radiology The University of Chicago Chicago Illinois USA

Abstract

AbstractPurposeDose management systems (DMS) have been introduced in radiological services to facilitate patient radiation dose management and optimization in medical imaging. The purpose of this study was to gather as much information as possible on the technical characteristics of DMS currently available, regarding features that may be considered essential for simply ensuring regulatory compliance or desirable to fully utilize the potential role of DMS in optimization of many aspects of radiological examinations.MethodsA technical survey was carried out and all DMS developers currently available (both commercial and open source) were contacted and were asked to participate. An extensive questionnaire was prepared and uploaded in the IAEA International Research Integration System (IRIS) online platform which was used for data collection process. Most of the questions (93%) required a “Yes/No” answer, to facilitate an objective analysis of the survey results. Some free text questions and comments’ slots were also included, to allow participants to give additional information and clarifications where necessary. Depending on the answer, they were considered either as “Yes” or “No.”ResultsGiven the way that the questions were posed, every positive response indicated that a feature was offered. Thus, the percentage of positive responses was used as a measure of adherence. The percentages of positive answers per section (and sub‐section) are presented in graphs and limitations of this type of analysis are discussed in detail.ConclusionsThe results of this survey clearly exhibit that large differences exist between the various DMS developers. Consequently, potential end users of a DMS should carefully determine which of the features available are essential for their needs, prioritize desirable features, but also consider their infrastructure, the level of support required and the budget available before selecting a DMS.

Publisher

Wiley

Subject

Radiology, Nuclear Medicine and imaging,Instrumentation,Radiation

Reference22 articles.

1. International Atomic Energy Agency (IAEA).Handbook of Basic Quality Control Tests for Diagnostic Radiology. IAEA Human Health Series No. 47 IAEA Vienna.2023.

2. International Atomic Energy Agency (IAEA).Patient Radiation Exposure Monitoring in Medical Imaging. IAEA Safety Reports Series No. 112 IAEA Vienna.2023.

3. AAPM medical physics practice guideline 6.a.: Performance characteristics of radiation dose index monitoring systems

4. Improving Patient Safety: Implementing Dose Monitoring Software in Fluoroscopically Guided Interventions

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