Diagnostic reference levels for the city of Moscow during X-ray examinations
Yu. V. Druzhinina,
Z. A. Lantukh,
K. V. Tolkachev,
I. V. Soldatov,
M. P. Shatenok,
A. V. Vodovatov,
P. S. Druzhinina,
I. G. Shatsky,
S. A. Ryzhov https://doi.org/10.21514/1998-426X-2024-17-3-103-113
Abstract
Diagnostic reference levels are one of the effective tools for optimizing patient radiation doses in diagnostic radiology. The staff of domestic radiology departments does not have an understanding of the development process and use of diagnostic reference levels during X-ray examinations, although this tool is a generally accepted in practice abroad. The article shows the experience of forming regional diagnostic reference levels based on measurements provided by the accredited testing laboratory of the Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department. The diagnostic reference levels for radiography in Moscow were developed for eight of the most common types of examinations based on the operation of 216 digital X-ray machines. The resulting levels, expressed in the dose-area product (cGy-cm2) and effective dose (mSv), were compared with the local diagnostic reference levels for the Ryazan region, Russia, and national diagnostic reference levels for other countries. The analysis showed continuity in the values. Some types of studies have been optimized. The developed diagnostic reference levels are the quality performance indicators foe diagnostic radiology departments and will be used to optimize a patient radiation dose during diagnostic studies in Moscow.
Keywords
medical exposure,
patients,
effective dose,
diagnostic reference level,
standard dose,
X-ray diagnostic machine
Supporting agencies: This paper was prepared by the group of authors as a part of the research and development effort titled "Scientific advances in medical, technological and organizational aspects of radiation safety in health care" (USIS No.:№123031500006-9 ) in accordance with the Order No. 1196 dated December 21,2022 "On approval of state assignments funded by means of allocations from the budget of the city of Moscow to the state budgetary (autonomous) institutions subordinate to the Moscow Health Care Department, for 2023 and the planned peri-od of 2024 and 2025" issued by the Moscow Health Care Department.
About the Authors
Yu. V. Druzhinina
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Yulia.V. Druzhinina - Expert of department of dosimetry and medical radiation physics, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department; Lecturer of the Department of Radiation Hygiene and Radiation Safety named after. F.G. Krotkov of Russian Medical Academy of Continuous Professional Education.
Petrovka Str., 24, building 1, Moscow, 127051
Z. A. Lantukh
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Zoya A. Lantukh - Head of the department of dosimetry and medical physics, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department.
Moscow
K. V. Tolkachev
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Kirill V. Tolkachev - Expert of department of dosimetry and medical radiation physics, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department.
Moscow
I. V. Soldatov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Ilya V. Soldatov - Head of Laboratory, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department.
Moscow
M. P. Shatenok
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Mariya P. Shatenok - Expert of department of dosimetry and medical radiation physics, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department.
Moscow
A. V. Vodovatov
Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing
Russian Federation
Russian Federation
Aleksandr V. Vodovatov - Candidate of Biological Sciences, lead research fellow, Head of the Laboratory of radiation hygiene of medical facilities, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing.
Saint Petersburg
P. S. Druzhinina
Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing
Russian Federation
Russian Federation
Polina S. Druzhinina - Junior researcher, Laboratory of radiation hygiene of medical facilities, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing.
Saint Petersburg
I. G. Shatsky
Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing
Russian Federation
Russian Federation
Ilya G. Shatsky - Researcher, Laboratory of radiation hygiene of medical facilities, Saint Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing.
Saint Petersburg
S. A. Ryzhov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Sergey A. Ryzhov - Vice president of the Association of Medical Physicists in Russia, research fellow in the Research and Practice Center of Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department; head of the radiation safety and medical physics department of the Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation.
Moscow
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For citations:
Druzhinina Yu.V., Lantukh Z.A., Tolkachev K.V., Soldatov I.V., Shatenok M.P., Vodovatov A.V., Druzhinina P.S., Shatsky I.G., Ryzhov S.A. Diagnostic reference levels for the city of Moscow during X-ray examinations. Radiatsionnaya Gygiena = Radiation Hygiene. 2024;17(3):103-113. (In Russ.) https://doi.org/10.21514/1998-426X-2024-17-3-103-113
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