Abstract

The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education and professional practice of medical physics. The AAPM has more than 8,000 members and is the principal organization of medical physicists in the United States.The AAPM will periodically define new practice guidelines for medical physics practice to help advance the science of medical physics and to improve the quality of service to patients throughout the United States. Existing medical physics practice guidelines will be reviewed for the purpose of revision or renewal, as appropriate, on their fifth anniversary or sooner.Each medical physics practice guideline represents a policy statement by the AAPM, has undergone a thorough consensus process in which it has been subjected to extensive review, and requires the approval of the Professional Council. The medical physics practice guidelines recognize that the safe and effective use of diagnostic and therapeutic radiology requires specific training, skills, and techniques, as described in each document. Reproduction or modification of the published practice guidelines and technical standards by those entities not providing these services is not authorized.The following terms are used in the AAPM practice guidelines: •Must and Must Not: Used to indicate that adherence to the recommendation is considered necessary to conform to this practice guideline. •Should and Should Not: Used to indicate a prudent practice to which exceptions may occasionally be made in appropriate circumstances.

Highlights

  • Radiation dose index monitoring (RDIM) systems may generally be identified as software that retrospectively collects radiation dose indices (RDI) and other acquisition parameters from imaging studies that use ionizing radiation, and stores those indices in a relational database along with patient demographics

  • The RDI of each irradiation event, including live fluoroscopy and rejected images must be recorded unambiguously if that information is transmitted to the RDIM software

  • computed tomography (CT) has been a particular area of focus for RDIM software[17,18] in part due to the number of highly publicized cases in which excessive amounts of radiation were delivered in CT examinations.[19,20]

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Summary

Introduction

Radiation dose index monitoring (RDIM) systems may generally be identified as software that retrospectively collects radiation dose indices (RDI) and other acquisition parameters from imaging studies that use ionizing radiation, and stores those indices in a relational database along with patient demographics. When utilizing data from these RDIM systems, it is important to understand the applications and limitations of the recorded dose indices.[1] At this time, none of the RDI represent location-specific absorbed dose in an individual patient.

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