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DE 59/2013 应用的实用建议。

Practical recommendations for the application of DE 59/2013.

机构信息

Struttura Complessa di Fisica Sanitaria, ASST GOM Niguarda, p.zza dell'Ospedale Maggiore 3, 20162, Milan, Italy.

, Windsor, Berkshire, UK.

出版信息

Radiol Med. 2019 Aug;124(8):721-727. doi: 10.1007/s11547-019-01031-x. Epub 2019 Apr 5.

Abstract

The changes introduced with Council Directive 2013/59/Euratom will require European Member States adapt their regulations, procedures and equipment to the new high standards of radiation safety. These new requirements will have an impact, in particular, on the radiology community (including medical physics experts) and on industry. Relevant changes include new definitions, a new dose limit for the eye lens, non-medical imaging exposures, procedures in asymptomatic individuals, the use and regular review of diagnostic reference levels (including interventional procedures), dosimetric information in imaging systems and its transfer to the examination report, new requirements on responsibilities, the registry and analysis of accidental or unintended exposure and population dose evaluation (based on age and gender distribution). Furthermore, the Directive emphasises the need for justification of medical exposure (including asymptomatic individuals), introduces requirements concerning patient information and strengthens those for recording and reporting doses from radiological procedures, the use of diagnostic reference levels, the availability of dose-indicating devices and the improved role and support of the medical physics experts in imaging.

摘要

委员会指令 2013/59/Euratom 带来的变化将要求欧洲成员国调整其法规、程序和设备,以达到新的高标准辐射安全。这些新要求将特别对放射科(包括医学物理专家)和工业产生影响。相关的变化包括新的定义、眼晶体的新剂量限值、非医疗成像照射、无症状个体的程序、诊断参考水平的使用和定期审查(包括介入程序)、成像系统中的剂量学信息及其传输到检查报告、对责任、意外或非故意照射的登记和分析以及人群剂量评估(基于年龄和性别分布)的新要求。此外,该指令强调了医疗照射(包括无症状个体)的正当化的必要性,引入了关于患者信息的要求,并加强了对放射程序剂量的记录和报告、诊断参考水平的使用、剂量指示设备的可用性以及在成像方面改进医学物理专家的作用和支持的要求。

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