Boos J, Meineke A, Bethge O T, Antoch G, Kröpil P
Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States.
Cerner Healthcare Services, Idstein, Germany.
Rofo. 2016 May;188(5):443-50. doi: 10.1055/s-0041-109514. Epub 2016 Apr 28.
The number of computed tomography examinations has continuously increased over the last decades and accounts for a major part of the collective radiation dose from medical investigations. For purposes of quality assurance in modern radiology a systematic monitoring and analysis of dose related data from radiological examinations is mandatory. Various ways of collecting dose data are available today, for example the Digital Imaging and Communication in Medicine - Structured Report (DICOM-SR), optical character recognition and DICOM-modality performed procedure steps (MPPS). The DICOM-SR is part of the DICOM-standard and provides the DICOM-Radiation Dose Structured Report, which is an easily applicable and comprehensive solution to collect radiation dose parameters. This standard simplifies the process of data collection and enables comprehensive dose monitoring. Various commercial dose monitoring software devices with varying characteristics are available today. In this article, we discuss legal obligations, various ways to monitor dose data, current dose monitoring software solutions and future perspectives in regard to the EU Council Directive 2013/59/EURATOM.
• Automated, systematic dose monitoring is an important element in quality assurance of radiology departments. • DICOM-RDSR-capable CT scanners facilitate the monitoring of dose data. • A variety of commercial and non-commercial dose monitoring software tools are available today. • Successful dose monitoring requires comprehensive infrastructure for monitoring, analysing and optimizing radiation exposure. Citation Format: • Boos J, Meineke A, Bethge OT et al. Dose Monitoring in Radiology Departments: Status Quo and Future Perspectives. Fortschr Röntgenstr 2016; 188: 443 - 450.
在过去几十年中，计算机断层扫描检查的数量持续增加，并且在医学检查的集体辐射剂量中占主要部分。为了实现现代放射学中的质量保证，对放射学检查中与剂量相关的数据进行系统监测和分析是必不可少的。如今有多种收集剂量数据的方法，例如医学数字成像和通信 - 结构化报告（DICOM - SR）、光学字符识别以及DICOM模态执行程序步骤（MPPS）。DICOM - SR是DICOM标准的一部分，并提供DICOM辐射剂量结构化报告，这是一种易于应用且全面的收集辐射剂量参数的解决方案。该标准简化了数据收集过程，并实现了全面的剂量监测。如今有各种具有不同特性的商业剂量监测软件设备。在本文中，我们根据欧盟理事会指令2013/59/EURATOM讨论了法律义务、监测剂量数据的各种方法、当前的剂量监测软件解决方案以及未来展望。
• 自动化、系统的剂量监测是放射科质量保证的重要要素。• 具备DICOM - RDSR功能的CT扫描仪便于监测剂量数据。• 如今有各种商业和非商业剂量监测软件工具。• 成功的剂量监测需要用于监测、分析和优化辐射暴露的全面基础设施。引用格式：• Boos J, Meineke A, Bethge OT等。放射科的剂量监测：现状与未来展望。Fortschr Röntgenstr 2016; 188: 443 - 450。
