title: Justification of CT scans using referral guidelines for imaging.
abstract: This study analyses the efficiency of the justification of individual computed tomography (CT) procedures using the good practice guide. The conformity of the CT scans with guide's recommendations was retrospectively analysed in a paediatric emergency hospital in Romania. The involved patient doses were estimated. The results show that around one-third of the examinations were not prescribed in conformity with the guide's recommendations, but these results are affected by unclear guide provisions, discussed here. The implications of the provisions of the revised International Atomic Energy Agency's Basic Safety Standards and of the Council Directive 2013/59/EURATOM were analysed. The education and training courses for medical doctors disseminating the provisions of the good practice guide should be considered as the main support for the justification of the CT scans at the individual level.
authors: National Institute for Physics and Nuclear Engineering 'Horia Hulubei' (IFIN-HH), Nuclear Training Centre (CPSDN), 30 Reactorului Street, MagureleBucharest 077125, Romania stanescu@nipne.ro.
authors: G
authors: G
authors: Stanescu
authors: Public Health Directorate, Ionizing Radiation Hygiene Laboratory, 72-74 Avrig St., Bucharest 2 21578, Romania.
authors: G
authors: G
authors: Rosca-Fartat
authors: M.S. CURIE Emergency Clinical Hospital for Children Bucharest, 20 C. Brancoveanu Bv, Bucharest 4, Romania.
authors: D
authors: D
authors: Stanescu
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009381:Neoplasms, Radiation-Induced / Q000453:epidemiology / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D000069079:Radiation Exposure / Q000517:prevention & control / Q000592:standards / Q000706:statistics & numerical data*; D012016:Reference Values; D012383:Romania / Q000453:epidemiology; D014057:Tomography, X-Ray Computed / Q000592:standards* / Q000706:statistics & numerical data*; D055815:Young Adult