Refresher Course: Physics in Medical Imaging

RC 813 - How to play the game: cumulative effective dose (CED) concept - pros and cons in clinical practice

1

05:00Paula Toroi, Vantaa / FI

2

15:00Vesna Gershan, Vienna / AT

3

15:00Marco Brambilla, Novara / IT

4

15:00Donald P. Frush, Durham / US

5

10:00Panel discussion: Are we ready to use the cumulative effective dose concept in clinical practice?

5 min

Chairperson's introduction

Paula Toroi, Vantaa / Finland

15 min

Cumulative effective dose (CED) in radiology

Vesna Gershan, Vienna / Austria

To understand the relationship between exposure indexes as recorded in the dose structured reports and the patient's effective dose, as well as the need for a periodic check and calibration of exposure indexes reported by the radiological equipment.
To learn about the role of radiation exposure monitoring systems and the status of their implementation in Europe.
To understand how to use information from radiation exposure monitoring systems for optimisation purposes – including the cumulative dose perspective.

15 min

Beyond the concept of CED

Marco Brambilla, Novara / Italy

To understand the epidemiological and radiobiological basis of the cumulated effective dose quantity.
To understand how Recurrent Exposure Reference Levels (RERL) could be used as a tool for the optimisation of the management of recurrent patients among different health care centres.
To learn about the multicentric European study on Recurrent Exposure Reference Levels (RERL) establishment.

15 min

Radiologists' perspective on CED

Donald P. Frush, Durham / United States

To learn about what is recurrent medical imaging, which patient cohorts submitted to recurrent imaging are under most investigations and what is the magnitude of the phenomenon.
To understand which are the challenges and pitfalls when dealing with recurrent imaging exposure without inappropriately influencing decision making.
To be aware of joint position statements concerning Recurrent Radiological Imaging procedures and the proposed way forward (IAEA & AAPM).

10 min

Panel discussion: Are we ready to use the cumulative effective dose concept in clinical practice?