Mesh : Adolescent Child Child, Preschool Female Guideline Adherence / statistics & numerical data Humans Infant Infant, Newborn Male Neoplasms, Radiation-Induced / epidemiology prevention & control Practice Guidelines as Topic Practice Patterns, Physicians' / standards statistics & numerical data Radiation Exposure / prevention & control standards statistics & numerical data Reference Values Romania / epidemiology Tomography, X-Ray Computed / standards statistics & numerical data Young Adult

来  源:   DOI:10.1093/rpd/ncv060   PDF(Sci-hub)

Abstract:
This study analyses the efficiency of the justification of individual computed tomography (CT) procedures using the good practice guide. The conformity of the CT scans with guide\'s recommendations was retrospectively analysed in a paediatric emergency hospital in Romania. The involved patient doses were estimated. The results show that around one-third of the examinations were not prescribed in conformity with the guide\'s recommendations, but these results are affected by unclear guide provisions, discussed here. The implications of the provisions of the revised International Atomic Energy Agency\'s Basic Safety Standards and of the Council Directive 2013/59/EURATOM were analysed. The education and training courses for medical doctors disseminating the provisions of the good practice guide should be considered as the main support for the justification of the CT scans at the individual level.
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