Radiation Dose Management in Computed Tomography: Introduction to the Practice at a Single Facility

• Published in: Tomography Vol. 9; no. 3; pp. 955 - 966
• Main Author: Inoue, Yusuke
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 06.05.2023; MDPI
• Subjects: Communication; computed tomography; Computer applications to medicine. Medical informatics; CT imaging; Diagnostic equipment (Medical); excessive dose event; Humans; imaging protocol; R858-859.7; Radiation; Radiation Dosage; radiation dose management; Tomography Scanners, X-Ray Computed; Tomography, X-Ray Computed; Tomography, X-Ray Computed - adverse effects; Tomography, X-Ray Computed - methods; computed tomography; excessive dose event; imaging protocol; radiation dose management
• DOI: 10.3390/tomography9030078
• ISSN: 2379-139X; 2379-1381

Although the clinical benefits of computed tomography (CT) are undoubtedly high, radiation doses received by patients are also relatively high; therefore, radiation dose management is mandatory to optimize CT radiation doses and prevent excessive radiation events. This article describes CT dose management practice at a single facility. Many imaging protocols are used in CT depending on the clinical indications, scan region, and CT scanner; thus, managing the protocols is the first step for optimization. The appropriateness of the radiation dose for each protocol and scanner is verified, while answering whether the dose is the minimum to obtain diagnostic-quality images. Moreover, examinations with exceptionally high doses are identified, and the cause and clinical validity of the high dose are assessed. Daily imaging practice should follow standardized procedures, avoiding operator-dependent errors, and information required for radiation dose management should be recorded at each examination. The imaging protocols and procedures are reviewed for continuous improvement based on regular dose analysis and multidisciplinary team collaboration. The participation of many staff members in the dose management process is expected to contribute to promoting radiation safety through increased staff awareness.