Don’t perform medical imaging or radiation therapy without using appropriate and/or available radiation dose reduction strategies and technologies.

Stopping patients from receiving unnecessary radiation dose is a primary consideration for Medical Radiation Technologists (MRTs). MRTs should use all available hardware, software, accessory devices, and patient instructions (pre and post procedure) to minimize dose to patients during medical imaging and radiation therapy planning and treatment alignment. All imaging should be performed using the As Low as Reasonably Achievable (ALARA) principle to optimize the appropriate dose for each clinical situation.

 

Sources:

Akin EA, et al. Optimizing-Oncologic-FDG-PET-CT-Scans-to-Decrease-Radiation-Exposure. Image Wisely. [Internet]. Updated April 2017. [Accessed 7 Dec 2017].

Alessio AM, et al. Role of Reference Levels in Nuclear Medicine: A Report of the SNMMI Dose Optimization Task Force. J Nucl Med. 2015 Sep;vol56(12):1960-64. PMID: 26405164.

Canadian Association of Medical Radiation Technologists. Minimizing Patient Exposure. Best Practice Guidelines, CAMRT. [Internet]. May 2012. [Accessed 17 Dec 2018].

Canadian Nuclear Safety Commission. Regulatory Guide. Keeping Radiation Exposures and Doses As Low as Reasonably Achievable (ALARA). G-129, Revision 1. CNSC. [Internet]. Oct 2004. [Accessed 4 Dec 2017].

Canadian Nuclear Safety Commission. Regulatory Guide. Radiation Protection Regulations SOR/2000-203. CNSC. [Internet]. Amended Sept 2017. [Accessed 4 Dec 2017].

Image Wisely. Diagnostic Reference Levels, CT Diagnostic Reference Levels From the ACR CT Accreditation Program. Image Wisely. [Internet]. Nov 2010. [Accessed 14 Oct 2017].

Harkness B. Dose Reduction in Planar Nuclear Medicine Imaging. Image Wisely. [Internet]. Nov 2012. [Accessed 7 Dec 2017].

Health Canada. Safety Code 35: Safety Procedures for the Installation, Use and Control of X-ray Equipment in Large Medical Radiological Facilities. Government of Canada. [Internet]. Updated 14 Jan 2015. [Accessed 7 Dec 2017]. 2008.

Hedgire SS, et al. Recent advances in cardiac computed tomography dose reduction strategies: a review of scientific evidence and technical developments. J Med Imaging (Bellingham). 2017 Aug;vol4(3):031211. PMID: 28894760.

International Commission on Radiological Protection. ICRP Publication 105. ICRP. [Internet]. 2007. [Accessed 14 Oct 2017].

Moser JB, et al. Radiation dose-reduction strategies in thoracic CT. Clin Radiol. 2017 May;vol72(5):407-420. PMID: 28139204.

Raff GL, et al. Advanced Cardiovascular Imaging Consortium Co-Investigators. Radiation dose from cardiac computed tomography before and after implementation of radiation dose-reduction techniques. JAMA. 2009 June;vol301(22):2340-2348. PMID: 19509381.

Rawat U, et al. ACR White Paper-Based Comprehensive Dose Reduction Initiative Is Associated With a Reversal of the Upward Trend in Radiation Dose for Chest CT. J Am Coll Radiol. 2015 Dec;vol12(12 Pt A):1251-1256. PMID: 26482816.

Reiner BI. The Quality/Safety Medical Index: a Standardized Method for Concurrent Optimization of Radiation Dose and Image Quality in Medical Imaging. J Digit Imaging. 2014 Dec;vol27(6):687-691. PMID: 25193788.