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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">radhyd</journal-id><journal-title-group><journal-title xml:lang="ru">Радиационная гигиена</journal-title><trans-title-group xml:lang="en"><trans-title>Radiatsionnaya Gygiena = Radiation Hygiene</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-426X</issn><issn pub-type="epub">2409-9082</issn><publisher><publisher-name>NIIRG</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21514/1998-426X-2020-13-3-123-130</article-id><article-id custom-type="elpub" pub-id-type="custom">radhyd-737</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Дискуссии</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Discussions</subject></subj-group></article-categories><title-group><article-title>Методические аспекты обоснования контрольных диагностических уровней облучения пациентов при медицинских рентгенодиагностических исследованиях</article-title><trans-title-group xml:lang="en"><trans-title>Methodological aspects of the justification of control diagnostic levels of patient exposure in medical X-ray examinations</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинина</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinina</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калинина Марина Владимировна – кандидат медицинских наук, начальник отдела надзора за радиационной безопасностью</p><p>344019, Россия, Ростов-на-Дону, 18-я линия,17</p></bio><bio xml:lang="en"><p>Marina V. Kalinina – Candidate of Medical Sciences, Head of Radiation Safety Oversight Department</p><p>18th line, 17, Rostov-on-Don, 344019, Russia</p></bio><email xlink:type="simple">kalinina@rpndon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жукова</surname><given-names>Ж. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhukova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жукова Татьяна Васильевна – доктор медицинских наук, профессор, заведующая кафедрой гигиены</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Tatyana V. Zhukova – Doctor of Medical Science, Professor, Head of the Department of Hygiene</p><p>Rostov-on-Don</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Управление Федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека по Ростовской области</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being in the Rostov Region</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Ростовский государственный медицинский университет, Министерство здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>03</day><month>10</month><year>2020</year></pub-date><volume>13</volume><issue>3</issue><fpage>123</fpage><lpage>130</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Калинина М.В., Жукова Ж.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Калинина М.В., Жукова Ж.В.</copyright-holder><copyright-holder xml:lang="en">Kalinina M.V., Zhukova T.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.radhyg.ru/jour/article/view/737">https://www.radhyg.ru/jour/article/view/737</self-uri><abstract><p>Оптимизация медицинского облучения путем обоснования reference level пациентов при диагностических медицинских процедурах в условиях отечественного здравоохранения требует гармонизации с международными рекомендациями. В работе изложена история вопроса о разработке reference level по материалам международных и отечественных нормативных документов, обращено внимание на формирование глоссария, представлены возможные пути сбора информации об измеренных уровнях облучения пациентов при рентгенодиагностических исследованиях, полученных на местном, региональном и национальном уровнях.</p></abstract><trans-abstract xml:lang="en"><p>Optimization of medical exposure by substantiating the reference level of patients during diagnostic medical procedures in domestic health care requires harmonization with international recommendations. The paper sets out the history of the question of developing a reference level based on materials from international and domestic regulatory documents, draws attention to the formation of a glossary, presents possible ways of collecting information about the measured levels of patient exposure during x-ray studies obtained at the local, regional and national levels.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>референтный диагностический уровень</kwd><kwd>контрольный диагностический уровень</kwd><kwd>указательный уровень медицинского облучения</kwd><kwd>оптимизация медицинского облучения</kwd><kwd>радиологическая практика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>reference diagnostic level</kwd><kwd>control diagnostic level</kwd><kwd>indicative level of medical exposure</kwd><kwd>optimization of medical exposure</kwd><kwd>radiological practice</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">МКРЗ. 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