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This is the proceedings of an international workshop on justification of medical exposure in diagnostic imaging, jointly organized by the International Atomic Energy Agency and the European Commission. The workshop brought together experts from many countries and organizations to discuss how to ensure more effective application of justification in diagnostic imaging. Major areas that need action were identified, such as the coordination of methods and evidence used for basis of clinical imaging recommendations, engagement of all relevant organizations in deployment of these recommendations, and involvement of manufacturers and referring healthcare providers. Furthermore, the important role of education and training was re-emphasized. In the conclusion the workshop participants highlighted that regulatory authorities have a key role in ensuring effective justification, and that an effective partnership with the medical community must be maintained to do this.
This booklet sets out referral guidelines that can be used by health professionals qualified to refer patients for imaging. It has evolved from the booklet 'Making the best use of a department of clinical radiology: guidelines for doctors' published by the Royal College of Radiologists in 1998 and can be adopted as a model for Member States. The EU Council Directive 1997/43/EURATOM declared that Member States shall promote the establishment and use of diagnostic reference levels for radiological examinations and guidance thereof. These referral guidelines can be used for that purpose.
This publication is aimed at students and teachers involved in programmes that train medical physicists for work in diagnostic radiology. It provides a comprehensive overview of the basic medical physics knowledge required in the form of a syllabus for the practice of modern diagnostic radiology. This makes it particularly useful for graduate students and residents in medical physics programmes. The material presented in the publication has been endorsed by the major international organizations and is the foundation for academic and clinical courses in both diagnostic radiology physics and in emerging areas such as imaging in radiotherapy.
This publication is the new edition of the International Basic Safety Standards. The edition is co-sponsored by seven other international organizations European Commission (EC/Euratom), FAO, ILO, OECD/NEA, PAHO, UNEP and WHO. It replaces the interim edition that was published in November 2011 and the previous edition of the International Basic Safety Standards which was published in 1996. It has been extensively revised and updated to take account of the latest finding of the United Nations Scientific Committee on the Effects of Atomic Radiation, and the latest recommendations of the International Commission on Radiological Protection. The publication details the requirements for the protection of people and the environment from harmful effects of ionizing radiation and for the safety of radiation sources. All circumstances of radiation exposure are considered.
This publication presents a harmonized approach to quality assurance in the field of computed tomography applied to both diagnostics and therapy. It gives a careful analysis of the principles and specific instructions that can be used for a quality assurance programme for optimal performance and reduced patient dose in diagnostic radiology. In some cases, radiotherapy programmes are making a transition from 2-D to 3-D radiotherapy, a complex process which critically depends on accurate treatment planning. In this respect, the authors also provide detailed information about the elements needed for quality assurance testing, including those relating to accurate patient characterization as needed for radiotherapy treatment planning.
The International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources (BSS), jointly sponsored, inter alia, by the IAEA, ILO, WHO and PAHO, establish requirements on the legal persons responsible for designing, running and decommissioning practices involving ionizing radiation. These requirements are basic and general in nature. This report is intended to be of assistance to both regulators and users of radiation sources in diagnostic radiology and interventional procedures using X rays in applying the BSS to this practice. Regulators will find it useful for reviewing applications for authorization and for the inspection of the practice. Users of radiation in radiology may follow the guidance provided in order to comply with BSS requirements or equivalent national requirements. Experts recruited on IAEA missions to advise on the implementation of the BSS for the practice of diagnostic radiology and interventional procedures using X rays are expected to use this regulatory guidance report rather than their own national regulations and guidance. --Publisher's description.
Knowledge of scientific principles is also mandated as a result of a need to understand best and safest practice, especially in the use of ionising radiation where legislation, guidance and risk all form part of a medical specialists' pressures at work. It is no surprise therefore that radiologists are obliged to study and pass physics exams. Such exams can present a considerable challenge and the authors of this work recognise and sympathise with that challenge and have created a volume which that is intended to be an educational resource and not just a pre-exam 'crammer.' Both authors have considerable experience in teaching, supporting and examining in medical science and have developed an awareness of where those sitting professional exams have traditionally struggled. This text is a distillation of that experience.