Teunen D
Directorate-General XI Environment, Nuclear Safety and Civil Protection, Radiation Protection Unit (XI/C/1), Luxembourg.
J Radiol Prot. 1998 Jun;18(2):133-7. doi: 10.1088/0952-4746/18/2/009.
On 30 June 1997 the Council of Ministers approved the Directive on the Health Protection of Individuals in relation to Medical Exposures (MED) (97/43/EURATOM). This MED must be implemented in national law no later than 13 May 2000, repealing at that time Directive 84/466/EURATOM, the so-called 'Patient Directive'. It complements the Basic Safety Standards Directive of 1996 (96/29/EURATOM) as regards medical exposures, which comes into force at the same date. The MED considerably extends the scope of application from exposures of patients to all exposures directly or indirectly related to medical uses of ionising radiation. The MED reaffirms the objectives of the 1984 Directive--to aim at optimum diagnostic efficacy at reasonable dose to the patient and to reduce the number of unnecessary and inadequate exposures--but also strengthens most of its requirements as a result of the experience gained with its implementation and, at the same time, adds new provisions considered important taking into account scientific and technical evolution in the radiological field. In particular those exposures where there is no direct health benefit for the person undergoing the exposure and exposures at great risk are given special attention. With the aim of facilitating the implementation of the MED in national legislation the European Commission, with the help of the group of experts established under article 31 of the EURATOM Treaty, will produce technical guidelines with further explanation on some of the requirements of the MED.
1997年6月30日,部长理事会批准了《关于医疗照射中个人健康保护的指令》(MED)(97/43/EURATOM)。该MED必须最迟于2000年5月13日在国家法律中实施,届时废止84/466/EURATOM号指令,即所谓的“患者指令”。它在医疗照射方面补充了1996年的《基本安全标准指令》(96/29/EURATOM),该指令于同日生效。MED将适用范围从患者照射大幅扩展到与电离辐射医疗用途直接或间接相关的所有照射。MED重申了1984年指令的目标——在合理的患者剂量下实现最佳诊断效果,并减少不必要和不适当照射的数量——但由于在实施过程中积累的经验,也加强了其大部分要求,同时考虑到放射学领域的科学技术发展,增加了一些被认为重要的新规定。特别是对那些对受照者没有直接健康益处的照射以及高风险照射给予了特别关注。为便于MED在国家立法中实施,欧盟委员会将在《欧洲原子能共同体条约》第31条设立的专家组的帮助下,制定技术指南,对MED的一些要求作进一步解释。