Personalized Technologist Dose Audit Feedback for Reducing Patient Radiation Exposure From CT

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• 作者：Diana L. Miglioretti ; PhD^a ; ^b ; ^{dmiglioretti@ucdavis.edu" class="auth_mail} ; Yue Zhang ; PhD^c ; Eric Johnson ; MS^b ; Choonsik Lee ; PhD^d ; Richard L. Morin ; PhD^e ; Nicholas Vanneman ; MA^b ; Rebecca Smith-Bindman ; MD^f ; ^g ; ^h
• 关键词：CT ; radiation exposure ; audit feedback ; radiologic technologists
• 刊名：Journal of the American College of Radiology
• 出版年：March, 2014
• 年：2014
• 卷：11
• 期：3
• 页码：300-308
• 全文大小：625 K

文摘

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Purpose

The aim of this study was to determine whether providing radiologic technologists with audit feedback on doses from CT examinations they conduct and education on dose-reduction strategies reduces patients' radiation exposure.

Methods

This prospective, controlled pilot study was conducted within an integrated health care system from November 2010 to October 2011. Ten technologists at 2 facilities received personalized dose audit reports and education on dose-reduction strategies; 9 technologists at a control facility received no intervention. Radiation exposure was measured by the dose-length product (DLP) from CT scans performed before (n聽= 1,630) and after (n聽= 1,499) the intervention and compared using quantile regression. Technologists were surveyed before and after the intervention.

Results

For abdominal CT, DLPs decreased by 3% to 12% at intervention facilities but not at the control facility. For brain CT, DLPs significantly decreased by 7% to 12% at one intervention facility; did not change at the second intervention facility, which had the lowest preintervention DLPs; and increased at the control facility. Technologists were more likely to report always thinking about radiation exposure and associated cancer risk and optimizing settings to reduce exposure after the intervention.

Conclusions

Personalized audit feedback and education can change technologists' attitudes about, and awareness of, radiation and can lower patient radiation exposure from CT imaging.