radhydРадиационная гигиенаRadiatsionnaya Gygiena = Radiation Hygiene1998-426X2409-9082NIIRG10.21514/1998-426X-2021-14-1-17-33radhyd-766Research ArticleОбзорыReviewsСовременные подходы к обеспечению качества диагностики в компьютерной томографииProposals for the Russian quality assurance program in computed tomographyДружининаП. С.DruzhininaP. S.

Дружинина Полина Сергеевна – младший научный сотрудник, лаборатория радиационной гигиены медицинскихорганизаций

197101, ул. Мира 8, Санкт-Петербург

Polina S. Druzhinina – junior researcher, Medical protection laboratory

Mira Str., 8, Saint-Petersburg, 197101

druzhininapauline@gmail.comЧипигаЛ. А.ChipigaL. A.

Чипига Лариса Александровна – научный сотрудник, лаборатория радиационной гигиены медицинских организаций;

научный сотрудник

Санкт-Петербург

Larisa A. Chipiga – researcher, Medical protection laboratory;

researcher

Saint-Petersburg

РыжовС. А.RyzhovS. A.

Рыжов Сергей Анатольевич – руководитель центра по  радиационной безопасности и медицинской физике

Москва

Sergey A. Ryzhov – head of radiation protection and medical  physics center

Moscow

ВодоватовА. В.VodovatovA. V.

Водоватов Александр Валерьевич – к.б.н., ведущий научный  сотрудник, заведующий лабораторией радиационной  гигиены медицинских организаций;

доцент кафедры гигиены

Санкт-Петербург

Aleksandr V. Vodovatov – PhD, researcher, head of the Medical  protection laboratory

Saint-Petersburg 

БерковичГ. В.BerkovichG. V.

Беркович Глеб Владимирович – заведующий кабинетом  компьютерной томографии

Санкт-Петербург

Gleb V. Berkovich – head of the Computed Tomography  department

Saint-Petersburg

СмирновА. В.SmirnovA. V.

Смирнов Алексей Владимирович – инженер отдела  дозиметрического контроля

Москва

Aleksey V. Smirnov – engineer of the Radiation Control Department

Moscow

ЯрынаД. В.YarynaD. V.

Ярына Дмитрий Владимирович

Москва

Dmitriy V. Yaryna

Moscow

ЕрмолинаЕ. П.ErmolinaE. P.

Ермолина Елена Павловна – к.м.н., доцент кафедры  радиационной гигиены имени академика Ф.Г. Кроткова

Москва

Elena P. Ermolina – PhD, the Department of Radiation Hygiene

Moscow

ДружининаЮ. В.DruzhininaYu. V.

Дружинина Юлия Владимировна – преподаватель кафедры  радиационной гигиены имени академика Ф.Г. Кроткова; эксперт отдела клинической дозиметрии и медицинской физики

Москва

Yuliya V. Druzhinina – lecturer at the Department of Radiation  Hygiene;

expert of the radiation protection and medical physics center

Moscow

Санкт-Петербургский научно-исследовательский институт радиационной гигиены имени профессора П.В. Рамзаева, Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человекаРоссияSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingRussian FederationСанкт-Петербургский научно-исследовательский институт радиационной гигиены имени профессора П.В. Рамзаева, Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека; Российский научный центр радиологии и хирургических технологий имени академика A.M. Гранова Министерства здравоохранения Российской ФедерацииРоссияSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; A. Granov Russian Scientific Center of Radiology and Surgical TechnologiesRussian FederationНаучно-практический клинический центр диагностики и телемедицинских технологий Департамента здравоохранения города МосквыРоссияResearch and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare DepartmentRussian FederationСанкт-Петербургский научно-исследовательский институт радиационной гигиены имени профессора П.В. Рамзаева, Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека; Санкт-Петербургский государственный педиатрический медицинский университетРоссияSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being; Saint-Petersburg State Pediatric Medical UniversityRussian FederationНациональный медицинский исследовательский центр им. В.А. АлмазоваРоссияV. Almazov National Medical Research CenterRussian FederationРоссийская ассоциация предприятий по продаже и ремонту медицинской техникиРоссияRussian Association of Enterprises of the Sale and Repair of Medical EquipmentRussian FederationРоссийская медицинская академия непрерывного профессионального образованияРоссияRussian Medical Academy of Continuous Professional EducationRussian FederationРоссийская медицинская академия непрерывного профессионального образования; Научно-практический клинический центр диагностики и телемедицинских технологий Департамента здравоохранения города МосквыРоссияRussian Medical Academy of Continuous Professional Education; Research and Practical Clinical Centre of Diagnostics and Telemedicine Technologies of Moscow Healthcare DepartmentRussian Federation2021140420211411733Copyright © Дружинина П.С., Чипига Л.А., Рыжов С.А., Водоватов А.В., Беркович Г.В., Смирнов А.В., Ярына Д.В., Ермолина Е.П., Дружинина Ю.В., 20212021Дружинина П.С., Чипига Л.А., Рыжов С.А., Водоватов А.В., Беркович Г.В., Смирнов А.В., Ярына Д.В., Ермолина Е.П., Дружинина Ю.В.Druzhinina P.S., Chipiga L.A., Ryzhov S.A., Vodovatov A.V., Berkovich G.V., Smirnov A.V., Yaryna D.V., Ermolina E.P., Druzhinina Y.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radhyg.ru/jour/article/view/766

Обеспечение качества проведения компьютерно-томографических исследований способствует как получению необходимой диагностической информации, так и поддержанию оптимальных уровней облучения пациентов и персонала в этой области лучевой диагностики. В статье рассмотрены требования и основные аспекты обеспечения качества при проведении КТ-исследований, которые включают контроль качества оборудования, методики контроля качества КТ-изображения, методики проведения исследований, вопросы оптимизации радиационной защиты, а также предотвращения и расследования радиационных аварий. Все основные разделы статьи представляют из себя рекомендации по применению единой системы обеспечения качества проведения КТ-исследований.

To ensure the quality assurance of CT-examinations, it is necessary to obtain the high-quality diagnostic information and maintain the optimal exposure levels of patients and medical staff. This paper is focused on the requirements and main aspects of quality assurance of CT-examinations, which include quality control of the equipment, methods of CT-image quality control, optimization of radiation protection, as well as management of the unintended and accidental medical exposure. The paper contains recommendations on quality control of diagnostic equipment, methods for monitoring the quality control of CT-images, values of diagnostic reference levels for the detection of abnormally high patient doses and optimization of the radiation protection of patients, as well as the recommendations for management of radiation and non-radiation accidents. All main sections of the paper represent an unified quality assurance system in computed tomography.

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The authors declare that there are no conflicts of interest present.