Russian decision support systems in radiation diagnostics as an element of ensuring the radiation safety of patients-Reference-Cited by-同舟云学术

Russian decision support systems in radiation diagnostics as an element of ensuring the radiation safety of patients

Published:2023-10-02 Issue:3 Volume:16 Page:67-80
ISSN:2409-9082
Container-title:Radiatsionnaya Gygiena = Radiation Hygiene
language:
Short-container-title:Radiac. gig. (2008)

Author:

Lantukh Z. A.¹,Shatenok M. P.²^ORCID,Druzhinina Yu. V.³^ORCID,Tolkachev K. V.²^ORCID,Soldatov I. V.¹^ORCID,Ryzhov S. A.⁴^ORCID,Vodovatov A. V.⁵^ORCID

Affiliation:

1. State budgetary Institution of Healthcare of the Moscow City “Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Department of Health”

2. Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

3. Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies; Department of Radiation Hygiene and Radiation Safety named after. F.G. Krotkova of Russian Medical Academy of Continuous Professional Education

4. Research and Practice Center of Diagnostics and Telemedicine Technologies, head of the radiation safety and medical physics department of the Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

5. Head of the Laboratory of radiation hygiene of medical facilities, Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being

Abstract

There is a well-established opinion that the radiation safety of the patient and staff lies within the scope of the activities and responsibilities of the radiation diagnostics departments. However, repeated referrals and unjustified X-ray examinations from clinicians can make a significant contribution to the radiation load of the patient and the workload of the staff. The radiation safety requirements formulated in the article are designed for an effective monitoring tool for unjustified studies – the Clinical Decision Support System. The modern park of domestic software in this area was also analyzed. It was found, that the existing domestic Clinical Decision Support Systems do not fully meet the formulated current radiation safety requirements. The majority of clinical decision support system do not offer a choice of the most sparing methods of X-ray examinations (only 31% offer), and do not contain information about the accumulated patient dose for making a decision on the appointment of studies (only 23% contain). The developed methodology for assessing the Clinical Decision Support Systems will allow choosing and implementing the most optimal system in terms of radiation safety into clinical practice.

Publisher

SPRI of Radiation Hygiene Prof. PV Ramzaev

Subject

Radiology, Nuclear Medicine and imaging

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