Summary of the European Directive 2013/59/Euratom: essentials for health professionals in radiology.
Summary of the European Directive 2013/59/Euratom: essentials for health professionals in radiology.
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DOI：
10.1007/s13244-015-0410-4
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发表时间：
2015-08
影响因子：
4.7
通讯作者：
European Society of Radiology (ESR)
中科院分区：
文献类型：
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作者：
European Society of Radiology (ESR)
总结了新的欧洲指令2013/59/Euratom与诊断成像和干预最相关的方面。该指令规定了防止电离辐射危害的基本安全标准，强调需要证明医疗照射的合理性（包括无症状的个人），引入了关于患者信息的要求，并加强了关于记录和报告放射程序剂量、使用诊断参考水平、提供剂量指示装置和改进医学物理学专家在成像方面的作用和支助。相关变化包括新定义、新的眼透镜剂量限值、非医学成像照射、无症状个体的程序、诊断参考水平的使用和定期审查（包括介入手术），成像系统中的剂量测定信息及其向检查报告的转移，职责的新要求，意外或非预期照射的登记和分析以及人群剂量评价（基于年龄和性别分布）。这些变化将要求成员国、放射学界和行业调整条例、做法和设备，以实现高标准的辐射安全。到2018年2月6日，该指令必须转化为欧盟成员国的国家立法。·新的欧洲基本安全标准指令对放射科产生了影响·理由、患者信息、责任和剂量报告方面的变化最为重要·明确了诊断参考水平和医学物理学专家的作用·眼睛透镜的剂量限值低于先前的指令·定义了辐射安全方面的责任
The aspects of the new European Directive 2013/59/Euratom most relevant to diagnostic imaging and intervention are summarised. The Directive, laying down basic safety standards for protection against the dangers from exposure to ionising radiation, 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. 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). These changes will require Member States, the radiology community and the industry to adapt regulations, practices and equipment for a high standard of radiation safety. By 6 February 2018, the Directive has to be transposed into the national legislation of the Member States of the European Union. Main messages • The new European Basic Safety Standards Directive impacts radiology departments • Changes in justification, patient information, responsibilities and dose reporting are most significant • Diagnostic reference levels and the role of medical physics experts are clarified • Dose limits to the eye lens are lower than in the previous directive • Responsibilities in radiation safety have been defined