Erfassung und Monitoring der radiologischen Strahlenexposition
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- 作者：Dr. F. Jungmann (1)
D. Pinto dos Santos (1)
J. Hempel (1)
C. Düber (1)
P. Mildenberger (1) - 关键词：Strahlenexposition ; Dosisreduktion ; Integrating the Healthcare Enterprise ; Radiation exposure monitoring ; ACR Dose Index Registry ; Radiation dose exposure ; Dose reduction ; Integrating the Healthcare Enterprise ; Radiation exposure monitoring ; ACR Dose Index Registry
- 刊名：Der Radiologe
- 出版年：2013
- 出版时间：June 2013
- 年：2013
- 卷：53
- 期：6
- 页码：535-538
- 全文大小：267KB
- 参考文献：1. Amis ES Jr, Butler PF (2010) ACR white paper on radiation dose in medicine: three years later. J Am Coll Radiol 7:865-70 CrossRef
2. Amis ES Jr, Butler PF, Applegate KE et al (2007) American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 4:272-84 CrossRef
3. Brenner DJ, Hall EJ (2007) Computed tomography -an increasing source of radiation exposure. N Engl J Med 357:2277-284 CrossRef
4. Cook TS, Zimmerman Sl, Steingall SR et al (2011) RADIANCE: an automated, enterprise-wide solution for archiving and reporting CT radiation dose estimates. Radiographics 31:1833-846 CrossRef
5. Dave JK, Gingold El (2013) Extraction of CT dose information from DICOM metadata: automated matlab-based approach. AJR Am J Roentgenol 200:142-45 CrossRef
6. ftp://medical.nema.org/medical/dicom/final/sup94_ft.pdf. Zugegriffen: 03. Jan. 2013
7. ftp://medical.nema.org/medical/dicom/final/sup127_ft.pdf. Zugegriffen: 03. Jan. 2013
8. Hall EJ, Brenner DJ (2008) Cancer risks from diagnostic radiology. Br J Radiol 81:362-78 CrossRef
9. Hou Y, Liu X, Xv S et al (2012) Comparisons of image quality and radiation dose between iterative reconstruction and filtered back projection reconstruction algorithms in 256-MDCT coronary angiography. AJR Am J Roentgenol 199:588-94 CrossRef
10. Hou Y, Xu S, Guo W et al (2012) The optimal dose reduction level using iterative reconstruction with prospective ECG-triggered coronary CTA using 256-slice MDCT. Eur J Radiol 81:3905-911 CrossRef
11. http://rsna.org/RadLex_Playbook.aspx. Zugegriffen: 3. Jan. 2013
12. http://www.aapm.org/org/policies/details.asp?id=318&type=PP. Zugegriffen: 03. Jan. 2013
13. http://www.dclunie.com/pixelmed/software/webstart/DoseUtilityUsage.html. Zugegriffen: 03. Jan. 2013
14. http://www.ihe.net/Technical_Framework/upload/IHE_RAD_Suppl_REM_Rev2-_TI_2010-1-16.pdf. Zugegriffen: 03. Jan. 2013
15. http://www.radimetrics.com/default/?page_id=1325&tabid=1. Zugegriffen: 03. Jan. 2013
16. http://www.sectra.com/medical/radiology_it/offering/diagnostic_imaging_suite/solutions/dose_monitoring/. Zugegriffen: 03. Jan. 2013
17. International Commission on Radiological Protection (1991)1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 21:1-01
18. Li X, Zhang D, Liu B (2011) Automated extraction of radiation dose information from CT dose report images. AJR Am J Roentgenol 196:W781-83 CrossRef
19. May MS, Wuest W, Lell MM et al (2012) Current strategies for dosage reduction in computed tomography. Radiologe 52:905-13 CrossRef
20. Mettler FA Jr, Bhargavan M, Faulkner K et al (2009) Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources -1950-007. Radiology 253:520-31 CrossRef
21. Mildenberger P (2013) IHE (Integrating the Healthcare Enterprise) für die Radiologie -Status 2013. Radiologe im reviewverfahren
22. Morin Rl, Coombs LP, Chatfield MB (2011) ACR Dose Index Registry. J Am Coll Radiol 8:288-91 CrossRef
23. Noumeir R (2005) Benefits of the DICOM modality performed procedure step. J Digit Imaging 18:260-69 CrossRef
24. Robinson TJ, Robinson JD, Kanal KM (2012) Implementation of the ACR Dose Index Registry at a large academic institution: early experience. J Digit Imaging
25. Selzer E, Hebar A (2012) Biological effect and tumor risk of diagnostic x-rays: the ?war of the theories- Radiologe 52:892-97 CrossRef
26. Shih G, Lu ZF, Zabih R et al (2011) Automated framework for digital radiation dose index reporting from CT dose reports. AJR Am J Roentgenol 197:1170-174 CrossRef
27. Walz M (2012) 2011 -Erfahrungsbericht der ?rztlichen Stelle für Qualit?tssicherung in der Radiologie Hessen für das Hessische Sozialministerium
28. Wang S, Pavlicek W, Roberts Cc et al (2011) An automated DICOM database capable of arbitrary data mining (including radiation dose indicators) for quality monitoring. J Digit Imaging 24:223-33 CrossRef
29. Wein Bb (2003) IHE (Integrating the Healthcare Enterprise): a new approach for the improvement of digital communication in healthcare. Rofo 175:183-86 CrossRef
30. Yankauer A (1978) Editor’s report. Am J Public Health 68:220-21 CrossRef - 作者单位：Dr. F. Jungmann (1)
D. Pinto dos Santos (1)
J. Hempel (1)
C. Düber (1)
P. Mildenberger (1)
1. Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universit?tsmedizin, Johannes Gutenberg-Universit?t Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland - ISSN：1432-2102
文摘
Strategies for reducing radiation exposure are an important part of optimizing medical imaging and therefore a relevant quality factor in radiology. Regarding the medical radiation exposure, computed tomography has a special relevance. The use of the integrating the healthcare enterprise (IHE) radiation exposure monitoring (REM) profile is the upcoming standard for organizing and collecting exposure data in radiology. Currently most installed base devices do not support this profile generating the required digital imaging and communication in medicine (DICOM) dose structured reporting (SR). For this reason different solutions had been developed to register dose exposure measurements without having the dose SR object. Registration and analysis of dose-related parameters is required for constantly optimizing examination protocols, especially computed tomography (CT) examinations based on the latest research results in order to minimize the individual radiation dose exposure from medical imaging according to the principle as low as reasonably achievable (ALARA).