Proposals for the Russian quality assurance program in computed tomography

Author:

Druzhinina P. S.1,Chipiga L. A.2,Ryzhov S. A.3,Vodovatov A. V.4,Berkovich G. V.5,Smirnov A. V.3,Yaryna D. V.6,Ermolina E. P.7,Druzhinina Yu. V.8

Affiliation:

1. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being

2. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; A. Granov Russian Scientific Center of Radiology and Surgical Technologies

3. Research and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare Department

4. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; Saint-Petersburg State Pediatric Medical University

5. V. Almazov National Medical Research Center

6. Russian Association of Enterprises of the Sale and Repair of Medical Equipment

7. Russian Medical Academy of Continuous Professional Education

8. Russian Medical Academy of Continuous Professional Education; Research and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare Department

Abstract

To ensure the quality assurance of CT-examinations, it is necessary to obtain the high-quality diagnostic information and maintain the optimal exposure levels of patients and medical staff. This paper is focused on the requirements and main aspects of quality assurance of CT-examinations, which include quality control of the equipment, methods of CT-image quality control, optimization of radiation protection, as well as management of the unintended and accidental medical exposure. The paper contains recommendations on quality control of diagnostic equipment, methods for monitoring the quality control of CT-images, values of diagnostic reference levels for the detection of abnormally high patient doses and optimization of the radiation protection of patients, as well as the recommendations for management of radiation and non-radiation accidents. All main sections of the paper represent an unified quality assurance system in computed tomography.

Publisher

SPRI of Radiation Hygiene Prof. PV Ramzaev

Subject

Radiology, Nuclear Medicine and imaging

Reference45 articles.

1. Ehsan Samei Norbert J. Pelc et Editors. Computed Tomography: Approaches, Applications, and Operations. Springer, Switzerland; 2020. 469 p.

2. International Atomic Energy Agency. IAEA human health series no. 19: Quality Assurance Programme for Computed Tomography: Diagnostic and Therapy Applications. IAEA: Vienna; 2012. 192 p.

3. European Commission. Radiation protection № 180 part, 1/2. Medical Radiation Exposure of the European Population/European Commission/ – European Commission: Luxembourg; 2014. 181 p.

4. Hart D, Hilier MC, Shrimpton PC. Doses to Patients from Radiographic and Fluoroscopic X-ray Imaging Procedures in the UK – 2010 Review. HPA-CRCE-034. Health Protection Agency; 2012. 87 p.

5. Eurostat: your key to the European statistics. – Available from: https://ec.europa.eu/eurostat/data/database [Accessed September 01, 2020].

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