Radiological Protection of Patients and Protection in Medical Exposure
REGIONAL TC PROJECT
Response for (Country): _________________________
Performance indicators
THEMATIC
SAFETY AREA
III
1. Not met, actions underway, but full compliance
doubtful
2. Partially met, plan in place with timescale
3. Fully met
Perfor Need
mance Low
Indica Medium
High
tor
Remarks
(1, 2, 3)
3.1 Regulations
Requirements, equivalent to BSS
appendix II, are included in regulations
Process and arrangements are in place to
achieve compliance by licensees
Implementation of the requirements is
verified by the Regulatory Authority
Scheme for type approval of radiation
sources and radiation generating
equipment for medical use exists and is
practiced
3.2. Patient protection in diagnostic radiology
3.2.1 General
Availability of qualified experts in
radiodiagnostic physics in large X-ray
departments and access to them in smaller
departments
Arrangements with professional societies
to establish mechanisms for education and
training of medical and paramedical
personnel.
3.2.2
Optimization
Image quality assessments and retake
evaluations are implemented
Arrangements for the rectification of
equipment malfunctions are in place, with
participation of equipment manufacturers
or competent companies
Protocols for quality management
programmes are adopted by the
professional societies
Quality management programmes are
practiced in Hospitals
Surveys of image quality and patient
doses in simple radiographic
examinations;
establishing and using guidance levels and
comparison of doses with international
standards
Exercising dose reduction in conventional
radiography by using rare earth
intensifying screens: Motivating the
hospitals in shifting to better technology
of screens/ cassettes; Confirming dose
reduction achieved without losing image
information
Perf Ind PLAIN
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Performance indicators
THEMATIC
SAFETY AREA
III
1. Not met, actions underway, but full compliance
doubtful
2. Partially met, plan in place with timescale
3. Fully met
Perfor Need
mance Low
Indica Medium
High
tor
Remarks
(1, 2, 3)
Optimization in Fluoroscopy:
1. Shiftover to better technology - like use
of image intensifiers and digital detectors
- rather than conventional dark room
technology
2. Establishing mechanisms for periodic
quality control testing of equipment with
certification
Optimization in digital radiography:
Exercising dose reduction in digital
radiography by maintaining record of
image deletion and retakes, use of higher
exposure factors than necessary (that go
undetected), use of appropriate filed size
etc.
Optimization in mammography: Survey
of mammography practice and
optimization actions in mammography
facilities for patient dose and image
quality as per IAEA TECDOC
Optimization in computed tomography:
1. Is there awareness about high doses in
CT examinations
2. Is there adoption of low dose
protocols and improvement in patient
doses are documented
3. Are there actions on patient dose
management in pediatric CT
examinations
3.3. Patient protection in interventional radiology
3.3.1 General
Availability of qualified experts in radiodiagnostic physics in large X-ray
departments and access to them in smaller
departments
Arrangements with professional societies
to establish mechanisms for education and
training of medical and paramedical
personnel.
3.3.2
Optimization
Perf Ind PLAIN
1. Is there awareness about radiation
injuries
2. Mechanisms to record and report
radiation injuries exist
3. Assessment of patient doses and
image quality are regularly performed
4. Estimation of frequency of patients
having fluoroscopic exposure > 30
min
5. Follow up of cases of higher doses is
done
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Performance indicators
THEMATIC
SAFETY AREA
III
1. Not met, actions underway, but full compliance
doubtful
2. Partially met, plan in place with timescale
3. Fully met
Perfor Need
mance Low
Indica Medium
High
tor
Remarks
(1, 2, 3)
3.4. Patient protection in nuclear medicine
3.4.1 General
Availability of qualified experts in nuclear
medicine physics for large nuclear
medicine departments and access to them
in smaller departments
Arrangements with professional societies
to establish mechanisms for education and
training of medical and paramedical
personnel
3.4.2
Optimization
Proven and widely accepted protocols for
calibration and quality management and
for quality audits adopted, in co-operation
with professional societies, along with the
establishment of guidance levels for
administered radio pharmaceuticals
Mechanism for reporting
misadministration of therapeutic amounts
of radio pharmaceuticals is in place
Guidelines on the release of patients:
Estimation of radiation dose to family
members and public from the radiation
exposure from the release of patients after
radionuclide therapy based on current
recommendations of ICRP
3.5 Patient protection in radiotherapy
3.5.1 General
Availability of sufficient qualified experts in
radiotherapy physics in each and every
radiotherapy department
Arrangements with professional societies
for education and training in radiation
protection for medical and paramedical
personnel
3.5.2
Optimization
Adequate arrangements for calibration
traceability to a Standards Dosimetry
Laboratory are in place and calibrations are
regularly performed
The adoption of proven and widely accepted
protocols for calibration and quality
management, including quality audits, in cooperation with professional societies is
achieved and in use
Investigation and prevention of accidents:
A mechanism for reporting accidental
medical exposures and dissemination of the
lessons learned and methods for prevention
is in use
Disseminate the contents of the courses to
national professionals
Disseminate to decision makers &
administrators
Perf Ind PLAIN
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