Historical diagnostic guidance level by regulatory bodies in Indonesian

Abstract

When a patient is exposed to ionizing radiation from X-rays generated by an ionizing radiation generator, there is a known diagnostic dose guide. Ionizing radiation given to patients in diagnostic and interventional radiology activities must also follow the rules or guidelines given according to the standards of radiation protection and safety principles. In accordance with the optimization principle in radiation protection and safety, we should always try to keep the dose received by the patient as low as possible without compromising the image quality by considering social and economic factors. To enforce optimization in the use of ionizing radiation, especially in the fields of diagnostic and interventional radiology, cooperation from all relevant stakeholders, both the Regulatory Agency and the permit holder (PI) is required. In addition, there are several media that can be used to assist in implementing optimization efforts. Currently, one of the effective tools recommended by the International Atomic Energy Agency (IAEA) in enforcing optimization for patients is to establish and implement a Diagnostic Reference Level (DRL) both at the local and national levels. Based on the literature it is known that the guidelines for diagnostic radiology were first found in the Decree of the Head of BAPETEN Number 01-P/Ka-BAPETEN/I-03 concerning Guidelines for Radiodiagnostic Patient Doses. Then the value of the guide developed and became available in the Regulation of the Head of BAPETEN Number 8 of 2011 concerning Radiation Safety in the Use of Diagnostic and Interventional Radiology X-Rays, and finally we have our own level of diagnostic guidance in accordance with national resources and infrastructure as stipulated in BAPETEN Decree Number 1211/K/V/2021 concerning the Indonesian Diagnostic Reference Level Assessment for CT-Scan and General Radiography X-Ray Modalities. The availability of the value of the diagnostic guide level is one of the efforts of the Indonesian state in applying the principles of radiation protection and safety. One of the principles of radiation protection and safety is optimization of radiation protection carried out on patients for several types of diagnostic radiological examinations.