J Korean Med Assoc.  2011 Dec;54(12):1248-1252. 10.5124/jkma.2011.54.12.1248.

Current status of medical radiation exposure and regulation efforts

Affiliations
  • 1Department of Radiology, Seoul National University Hospital, Seoul, Korea. whal.lee@gmail.com

Abstract

The radiation exposure from diagnostic medical imaging has increased. The potential risk from radiation exposure of the patient also has increased even though the risk from a small amount of radiation exposure has not been clearly demonstrated. Any medical radiation exposure must be justified and the examinations which use ionizing radiation must be optimized. The education of the referring physician and radiologist are important. However, stronger regulation is essential to control medical radiation exposure. Many national and international organizations have made a significant effort to regulate and monitor medical radiation exposure using guidelines, accreditation, or even laws. Medical radiation exposure must be controlled, and this could be achieved by continuous interest from health professionals and organizations.

Keyword

Radiation protection; Radiation hazard; Computed tomography; Ionizing radiation

MeSH Terms

Accreditation
Diagnostic Imaging
Health Occupations
Humans
Jurisprudence
Organothiophosphorus Compounds
Radiation Protection
Radiation, Ionizing
Organothiophosphorus Compounds

Cited by  2 articles

Absorbed and effective dose for periapical radiography using portable and wall type dental X-ray machines
Won-Jeong Han
J Korean Acad Prosthodont. 2012;50(3):184-190.    doi: 10.4047/jkap.2012.50.3.184.

Factors Affecting Radiation Protection Behaviors among Operating Room Nurses
Jin Kim, Jin Sun Kim, Hyunlye Kim
Korean J Adult Nurs. 2016;28(6):680-690.    doi: 10.7475/kjan.2016.28.6.680.


Reference

1. Kopp AF, Ohnesorge B, Flohr T, Georg C, Schroder S, Kuttner A, Martensen J, Claussen CD. Cardiac multidetector-row CT: first clinical results of retrospectively ECG-gated spiral with optimized temporal and spatial resolution. Rofo. 2000. 172:429–435.
Article
2. Rubins JB. The current approach to the diagnosis of pulmonary embolism: lessons from PIOPED II. Postgrad Med. 2008. 120:1–7.
Article
3. Stein PD, Woodard PK, Weg JG, Wakefield TW, Tapson VF, Sostman HD, Sos TA, Quinn DA, Leeper KV Jr, Hull RD, Hales CA, Gottschalk A, Goodman LR, Fowler SE, Buckley JD. PIOPED II Investigators. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators. Radiology. 2007. 242:15–21.
Article
4. Valentin J. International Commission on Radiological Protection. The 2007 recommendations of the International Commission on Radiological Protection. 2007. Amsterdam: Elsevier.
5. National Council on Radiation Protection and Measurements. Ionizing radiation exposure of the population of the United States: NCRP report no. 160. 2006. Bethesda: National Council on Radiation Protection and Measurements.
6. Source and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation [Internet]. United Nations. 2010. cited 2011 Dec 5. New York: United Nations;Available from: http://www.unscear.org/docs/reports/2008/09-86753_Report_2008_Annex_A.pdf.
7. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology. 2004. 231:393–398.
Article
8. O'Sullivan J, O'Connor OJ, O'Regan K, Clarke B, Burgoyne LN, Ryan MF, Maher MM. An assessment of medical students' awareness of radiation exposures associated with diagnostic imaging investigations. Insights Imaging. 2010. 1:86–92.
9. Borgen L, Stranden E, Espeland A. Clinicians' justification of imaging: do radiation issues play a role? Insight Imaging. 2010. 1:193–200.
Article
10. Krille L, Hammer GP, Merzenich H, Zeeb H. Systematic review on physician's knowledge about radiation doses and radiation risks of computed tomography. Eur J Radiol. 2010. 76:36–41.
Article
11. ACR appropriateness criteria [Internet]. cited 2011 Nov 18. Reston: American College of Radiology;Available from: http://www.acr.org/ac.
12. Guidelines on education and training in radiation protection for medical exposures: radiation protection 116 [Internet]. 2000. cited 2011 Nov 18. Brussels: European Commission;Available from: http://ec.europa.eu/energy/nuclear/radiation_protection/doc/publication/116.pdf.
13. Draft euratom basic safety standards directive [Internet]. 2010. cited 2011 Nov 18. Brussels: European Commission;Available from: http://ec.europa.eu/energy/nuclear/radiation_protection/doc/art31/2010_02_24_draft_euratom_basic_safety_standards_directive.pdf.
14. International action plan for the radiation protection of patients [Internet]. cited 2011 Nov 18. Vienna: International Atomic Energy Agency;Available from:http://rpop.iaea.org/RPOP/RPoP/Content/ArchivedNews/ReportSteeringPanel.htm.
15. California S.B. 1237: radiation dosage. 2010. 06. 23.
16. Radiation protection in diagnostic and interventional radiology [Internet]. 2008. cited 2011 Nov 18. Melbourne: Australian Radiation Protection and Nuclear Safety Agency;Available from: http://www.arpansa.gov.au/pubs/rps/rps14_1.pdf.
17. Inside Radiology [Internet]. cited 2011 Nov 18. Sydney: Royal Australian and New Zealand College of Radiologists;Available from: http://www.insideradiology.com.au/.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr