Limitations of diagnostic reference level (DRL) and introduction of acceptable quality dose (AQD)
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DRLs are often established at the 75th percentile of dose distributions obtained from standard-sized adult patients (70 ± 15 kg) to ensure benchmark applicability across facilities.
“DRLs are often established at the 75th percentile of dose distributions obtained from standard-sized adult patients (70 ± 15 kg) to ensure benchmark applicability across facilities.65”
From Computed Tomography Diagnostic Reference Levels Worldwide and in Jordan: Implications for Patient Dose Reduction (2026) · cites this paper as [65]
The introductory passage (section headed “M M REHANI, PhD”; page unavailable) says DRLs commonly use the 75th percentile of mean doses from patients near a standard size, typically 70 kg. It does not specify 70 ± 15 kg, and it describes the purpose as detecting high-dose outliers rather than ensuring benchmark applicability across facilities. (LLM, conf=0.88)
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Cites
Size-Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations
Boone, J. M., Strauss, K. J., CODY, D. D., et al. (2011) · doi:10.37206/143 · Cited by 554 · see citing works
Diagnostic Reference Ranges for Pediatric Abdominal CT
Goske, M. J., Strauss, K. J., Coombs, L. P., et al. (2013) · Radiology · doi:10.1148/radiol.13120730 · Cited by 113 · see citing works
Challenges in Radiation Protection of Patients for the 21st Century
Rehani, M. M. (2013) · American Journal of Roentgenology · doi:10.2214/ajr.12.10244 · Cited by 45 · see citing works
Self-citationCT chest abdomen pelvis doses in Scotland: has the DRL had its day?
Sutton, D. G., McVey, S., Gentle, D. J., et al. (2014) · British Journal of Radiology · doi:10.1259/bjr.20140157 · Cited by 12 · see citing works
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Simplified size adjusted dose reference levels for adult CT examinations: A regional study
Moghadam, N., Lecomte, R., Mercure, S., Rehani, M. M., & Nassiri, M. A. (2021) · European Journal of Radiology · doi:10.1016/j.ejrad.2021.109861 · Cited by 16 · see citing works
Self-citationEstablishment of diagnostic reference levels in computed tomography in two large hospitals in Oman
Bouchareb, Y., Al-Maimani, A., Al-Balushi, A.-Y., Al-Kalbani, M., Al-Maskari, H., Al-Dhuhli, H., & Al-Kindi, F. (2023) · Radiation Protection Dosimetry · doi:10.1093/rpd/ncad225 · Cited by 7 · see citing works
Oglat, A., Shdaifat, S., Sayah, M., Abukonna, A., & Khogali, W. (2026) · Drug, Healthcare and Patient Safety · doi:10.2147/dhps.s595721
- Authors
- Rehani, M. M.
- Affiliations
- Harvard University (US)
- Corresponding author
- Rehani, M M
- ORCID
- Rehani, M M
- Venue
- The British Journal of Radiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-01
- Volume
- 88
- Issue
- 1045
- Pages
- 20140344
- ISSN
- 0007-1285 (ISSN-L)
- 1748-880X
- PMC
- PMC4277375
- OpenAlex
- W2163798897
- Cited by
- 67
- References
- 4
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 8 · 2023: 6 · 2022: 5 · 2021: 8 · 2020: 8 · 2019: 6 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 3 · 2013: 1
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- British Journal of Radiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Physical Sciences › Physics and Astronomy › Radiation › Advanced Radiotherapy Techniques
- Keywords
- diagnostic reference levels, acceptable quality level, radiation dose, radiation protection, dose limits
- MeSH terms
- Diagnostic Imaging, Humans, Radiation Dosage, Tomography, X-Ray Computed
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