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Cited by 8Radiation Dose and ImagingDigital Radiography and Breast ImagingRadiology practices and education

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Establishing national diagnostic reference levels in radiography, mammography, and dual-energy x-ray absorptiometry services in Ireland and comparing these with European diagnostic reference levels

O’Hora, Lee, Neville, Noelle, Tuffy, John, Craig, Agnella, O’Brien, Kirsten, Sugrue, Kay, McGarry, Maeve, Duggan, Brendan, Egan, Sean·2023·European Radiology
DOI 10.1007/s00330-023-09992-4
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Abstract

Objectives The aim of this work was to establish national diagnostic reference levels (DRLs) in Ireland and compare these to existing European DRLs where available. This work surveyed all radiological facilities providing radiography, mammography, and dual-energy x-ray absorptiometry (DXA) services in Ireland.Methods A list of common procedures and clinical tasks was established. A national database of service providers was used to identify the appropriate medical radiological facilities providing these services. These facilities were issued with an online survey. National DRLs were set as the 75th percentile of the distribution of median values obtained. A national median dose was also established. The broad categorisation of equipment type was also considered. Where differences between DRLs established using different detector types were deemed statistically significant, equipment-specific national DRLs were established.Results National DRLs were established for 12 adult radiography projections. Equipment-specific (computed radiography and digital radiography) adult DRLs were established for four radiography projections. Paediatric DRLs were established for 11 radiography projections, including two based on clinical indications, for a range of paediatric weight categories. National DRLs were established for unilateral two-view mammography and breast tomosynthesis as well as for four DXA clinical indications and projections. All but one Irish DRL figure was found to be below or equal to European data.Conclusions This work provided a unique opportunity to establish national DRLs based on census data for a range of procedures and clinical tasks across radiography, mammography and DXA and compare these with European levels.Clinical relevance statement This work established national diagnostic reference levels (DRLs) based on census data for a range of procedures and clinical tasks across radiography, mammography and dual-energy x-ray absorptiometry. The establishment of national DRLs is an essential component in the optimisation of patient radiation dose.Key points • Diagnostic reference levels are easily measured quantities intended for use as an aid to optimise patient dose and to identify when levels of patient dose are unusually high. • Data from all medical radiological facilities in Ireland was obtained to establish national diagnostic reference level (DRL) values and national median dose values in radiography, x-ray breast imaging and dual-energy x-ray absorptiometry (DXA) scanning and these were compared to existing European DRLs where available. • National DRL values were established for the first time in breast tomosynthesis, DXA scanning, and paediatric radiography.

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Crossref · 10.1007/s00330-023-09992-4

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Research works printed but not linked: 3

  1. The Council of the European Union. Official Journal of the European Union. Council Directive 2013/59/EURATOM of 5 Dec 2013. Available via: https://ec.europa.eu/energy/sites/ener/files/documents/CELEX-32013L0059-EN-TXT.pdf. Accessed 20 Sep 2022
  2. Health Information and Quality Authority (2020) Diagnostic reference levels, guidance on the establishment, use and review of diagnostic reference levels for medical exposure to ionising radiation. Available via https://www.hiqa.ie/reports-and-publications/guide/guidance-establishment-use-and-review-diagnostic-reference-levels. Accessed 14 Sep 2022
  3. Hadadi I, Rae W, Clarke J, McEntee M, Ekpo E (2021) Breast cancer detection: comparison of digital mammography and digital breast tomosynthesis across non-dense and dense breasts. Radiology (Lond) 27:1027–1032

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Metadata

Authors
O’Hora, L., Neville, N., Tuffy, J., Craig, A., O’Brien, K., Sugrue, K., McGarry, M., Duggan, B., & Egan, S.
Affiliations
Health Information and Quality Authority (IE)
Corresponding author
O’Hora, Lee
ORCID
Venue
European Radiology
Publisher
Springer Science and Business Media LLC
Published
2023-07-28
Volume
33
Issue
12
Pages
9469-9478
ISSN
  • 0938-7994 (ISSN-L)
  • 1432-1084
DOI
10.1007/s00330-023-09992-4
OpenAlex
W4385331331
Cited by
8
References
25
Citations by year
2026: 2 · 2025: 5 · 2024: 1
FWCI
1.32
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • European Radiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Digital Radiography and Breast Imaging
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
Keywords
diagnostic reference levels, patient radiation dose, dose optimization, radiography, mammography, digital breast tomosynthesis, dual-energy X-ray absorptiometry, pediatric radiography, computed radiography, digital radiography, Ireland, European comparison, census data, clinical tasks
MeSH terms
Diagnostic Reference Levels, Adult, Child, Humans, Ireland, Mammography, Radiation Dosage, Radiography, Reference Values, Absorptiometry, Photon

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