Department of Medical Physics - Oncology, Aarhus University Hospital, Aarhus, Denmark.
Faculty of Informatics & Science, University of Oradea, Oradea, Romania; Cancer Research Institute, University of South Australia, Adelaide, Australia.
Phys Med. 2021 Apr;84:10-14. doi: 10.1016/j.ejmp.2021.03.020. Epub 2021 Mar 31.
The Council Directive 2013/58/EURATOM entered into force in 2014, and its transposition into national legislations became applicable in 2018. The Council Directive 2013/58/EURATOM strengthened the importance of clinical audits, and stated that Member States should ensure dosimetry audit compliance in accordance with national procedures. Therefore, the purpose of this work was to picture the status of the implementation of dosimetry audits in European countries.
A questionnaire was designed to describe dosimetry audit standards in radiotherapy across European countries. The questionnaire was sent to 33 EFOMP National Member Organizations (NMO).
Nineteen NMOs responded to the survey (14 EU members). For 58% of the participating countries national regulations required dosimetry audits in radiotherapy departments. In 37% of the participating countries there were implemented regulations for independent/secondary dose verification, and in 21% of the participating countries similar procedures for dose verification were already implemented although not regulated by law. In 42% of the participating countries there were implemented mechanisms to review updates and advances in the field of radiotherapy.
The transposition and further implementation of the Council Directive 2013/59/EURATOM was scarce, leading to heterogeneities in national policies about dosimetry audits.
2014 年，理事会指令 2013/58/EURATOM 生效，其在 2018 年转化为国家立法并开始适用。理事会指令 2013/58/EURATOM 加强了临床审计的重要性，并指出成员国应根据国家程序确保剂量学审计合规性。因此，这项工作的目的是描绘欧洲国家实施剂量学审计的现状。
设计了一份问卷，用于描述欧洲国家放射治疗中的剂量学审计标准。该问卷发送给了 33 个 EFOMP 国家成员组织（NMO）。
19 个 NMO 对调查做出了回应（14 个欧盟成员国）。对于 58%的参与国，国家法规要求在放射治疗部门进行剂量学审计。在 37%的参与国中，已经实施了独立/二次剂量验证的法规，而在 21%的参与国中，尽管没有法律规定，但已经实施了类似的剂量验证程序。在 42%的参与国中，已经建立了审查放射治疗领域更新和进展的机制。
理事会指令 2013/59/EURATOM 的转化和进一步实施情况不佳，导致国家剂量学审计政策存在差异。
