PMID- 32980754
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210624
IS  - 1724-191X (Electronic)
IS  - 1120-1797 (Linking)
VI  - 79
DP  - 2020 Nov
TI  - Radiation dose monitoring in computed tomography: Status, options and 
      limitations.
PG  - 1-15
LID - S1120-1797(20)30213-1 [pii]
LID - 10.1016/j.ejmp.2020.08.020 [doi]
AB  - In the last few years there has been an increasing interest on radiation dose to 
      patients undergoing various diagnostic or therapeutic procedures with the use of 
      ionizing radiation. Especially for CT examinations and interventional procedures, 
      where it is known that patient doses are much higher than conventional 
      radiography, new norms have been published that require to have appropriate 
      radiation dose indices registered in the patient medical record. Because of these 
      demands, dose monitoring has been recommended and adopted into many clinical 
      practices as a routine procedure for every patient and every examination. 
      Dedicated dose monitoring systems (DMS) that facilitate data collection and 
      processing, statistical comparisons, reporting and management of radiation dose 
      related information have been devised and are being used worldwide. In this 
      review paper, a brief flashback to the reasons that necessitated dose monitoring 
      in radiology will be first presented. Furthermore, since the focus of this 
      manuscript is on CT, the CT dosimetry principles and metrics will be summarized. 
      The limitations of these metrics will be also discussed, so that DMS users are 
      aware of the semantics of the parameters shown in the DMS reports. The operation 
      of DMS systems will be outlined to make users aware of functions, limitations, 
      and available options of DMS systems. Furthermore, the usefulness of DMS systems 
      as an optimization tool will be presented and discussed. Finally, information 
      about the DMS solutions available in the market and relevant links will be 
      presented.
CI  - Copyright (c) 2020. Published by Elsevier Ltd.
FAU - Tsalafoutas, Ioannis A
AU  - Tsalafoutas IA
AD  - Radiation Safety Section, OHS Department, Hamad Medical Corporation, Doha, Qatar.
FAU - Hassan Kharita, Mohammad
AU  - Hassan Kharita M
AD  - Radiation Safety Section, OHS Department, Hamad Medical Corporation, Doha, Qatar.
FAU - Al-Naemi, Huda
AU  - Al-Naemi H
AD  - Radiation Safety Section, OHS Department, Hamad Medical Corporation, Doha, Qatar.
FAU - Kalra, Mannudeep K
AU  - Kalra MK
AD  - Webster Center for Quality and Safety, Department of Radiology, Massachusetts 
      General Hospital and Harvard Medical School, Boston, MA, USA. Electronic address: 
      mkalra@mgh.harvard.edu.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20200925
PL  - Italy
TA  - Phys Med
JT  - Physica medica : PM : an international journal devoted to the applications of 
      physics to medicine and biology : official journal of the Italian Association of 
      Biomedical Physics (AIFB)
JID - 9302888
SB  - IM
MH  - Humans
MH  - Radiation Dosage
MH  - *Radiation Monitoring
MH  - Radiography
MH  - Radiometry
MH  - *Tomography, X-Ray Computed
OTO - NOTNLM
OT  - CT
OT  - Dose monitoring
OT  - Radiation dose
OT  - Radiation safety
EDAT- 2020/09/28 06:00
MHDA- 2021/06/25 06:00
CRDT- 2020/09/27 20:32
PHST- 2020/06/04 00:00 [received]
PHST- 2020/07/21 00:00 [revised]
PHST- 2020/08/19 00:00 [accepted]
PHST- 2020/09/28 06:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
PHST- 2020/09/27 20:32 [entrez]
AID - S1120-1797(20)30213-1 [pii]
AID - 10.1016/j.ejmp.2020.08.020 [doi]
PST - ppublish
SO  - Phys Med. 2020 Nov;79:1-15. doi: 10.1016/j.ejmp.2020.08.020. Epub 2020 Sep 25.