national system on registration and reporting of medical exposure

8/6/2019 National System on Registration and Reporting of Medical Exposure

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NATIONAL SYSTEM ONNATIONAL SYSTEM ON

REGISTRATION ANDREGISTRATION AND

REPORTING OF MEDICALREPORTING OF MEDICAL

EXPOSUREEXPOSURE

OLGA GIRJOABAOLGA GIRJOABA

National Commission For NuclearActivities Control

ROMANIAROMANIA

ALINA DUMITRESCUALINA DUMITRESCU

Institute Of Public Health Bucharest

Department For Health And IonizingRadiation


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RESPONSIBILITIESRESPONSIBILITIES

Following the request regarding the implementation ofDirectives requirements the necessary regulations andadministrative provisions brought into force by theRomanian health authorities by issuing the OrderOrder

no.1542/2006no.1542/2006 of the Ministry of Health.

The provisions of this regulation establish aestablish a

mechanism to collect and to report the patients dosesmechanism to collect and to report the patients doses

at the national levelat the national level, involving in this process all thediagnostic radiology, nuclear medicine andradiotherapy departments within the country.


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RESPONSIBILITIESRESPONSIBILITIES

In order to harmonize at the national level the reportingsystem, the Order no. 1003/2008Order no. 1003/2008 of the Ministry of Healthhas been published.

The license holder shall centralize the data at theinstitution level

The centralized data shall be reported quarterly by thelicense holder to the Ionizing Radiation HygieneLaboratory based on territorial assignation. The IonizingRadiation Hygiene Laboratory forwards the centralizeddata to the county public health

The Institute of Public Health BucharestInstitute of Public Health Bucharest centralizesthe collected data reported by counties and Bucharest,issues an annually report which is forwarded to thedifferent stockholders.


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THE REPORTING SYSTEM::LEVELSLEVELS


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::LEVELSLEVELS


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::LEVELSLEVELS

Institute of PublicInstitute of Public

Health BucharestHealth Bucharest


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THE REPORTING SYSTEM:THE REPORTING SYSTEM:

GEOGRAPHICGEOGRAPHIC


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THE RECORDING SYSTEM:THE RECORDING SYSTEM:

HOSPITAL LEVELHOSPITAL LEVEL

According to the legally binding provisions, the recordingsystem at the hospital level shall include at least thefollowing information:


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According to the legally binding provisions, the recordingsystem at the hospital level shall include at least thefollowing information:


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According to the legally binding provisions, the recording

system at the hospital level shall include at least thefollowing information:

Diagnostic

radiology

Nuclear Medicine Radiotherapy

a) Projection

(examination)

a) Examination or treatment

type

a) Procedure type

b)Source-patient

distance(cm)

b) Radiopharmaceutic

radionuclide

b) Source-patient

distance (cm)

c) Field (cm x cm) c) Administrated activity

(Bq)

c) Field (cm2)

d) kV d) Target volume

(cm3)

e) mA e) The dose/session(Gy)


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According to the legally binding provisions, the recording

system at the hospital level shall include at least thefollowing information:

Diagnostic radiology Nuclear Medicine Radiotherapy

a) DAP indication (mGy x

cm2)

The effective dose

estimated

a) Number of sesions

b)Skin absorbed dose (mGy) b)The total dose in

target volume

c) Absorbed dose rate at the intensifier screen surface (mGy)

d) CTDI (mGy)


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::CONTENTCONTENT

From the beginning there were elaborated as wellelectronic forms for reporting data.


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CONTENTCONTENT


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THE CATEGORIES OF X-RAYTHE CATEGORIES OF X-RAYEXAMINATIONSEXAMINATIONS


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EXAMINATIONSEXAMINATIONS


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EXAMINATIONPROJECTI

ONCODRadiographRadiograph

y andy andRadioscopyRadioscopy


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RadiographRadiography andy and

RadioscopyRadioscopy

EXAMINATIONPROJECTI

ONCOD


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1.1.Radiology andRadiology andradioscopyradioscopy

2.2.

ComputerComputer

tomographytomography

3.3.Interventional andInterventional andangiographyangiography

4.4.DentalDental

RadiographRadiography andy and

RadioscopyRadioscopy

EXAMINATION COD


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2.2.

ComputerComputer



4.4.DentalDental

RX DIAGNOSTICComputerComputer

TomographyTomography

EXAMINATION COD


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2.2.

ComputerComputer



4.4.DentalDental

RX DIAGNOSTIC

InterventionInterventional radiologyal radiology

andand

angiographyangiography

EXAMINATION COD


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2.2.

ComputerComputer



4.4.DentalDental

RX DIAGNOSTICDentalDental

radiologyradiology

EXAMINATION COD


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NUCLEARNUCLEAR MEDICINEMEDICINE


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NuclearNuclearmedicinemedicine


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X-RAY EXAMINATIONX-RAY EXAMINATIONFREQUENCYFREQUENCY

APPROXIMATIONSAPPROXIMATIONS

X RAY EXAMINATION FREQUENCYX RAY EXAMINATION FREQUENCY


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X-RAY EXAMINATION FREQUENCYX-RAY EXAMINATION FREQUENCY


X RAY EXAMINATION FREQUENCYX RAY EXAMINATION FREQUENCY


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X-RAY EXAMINATION FREQUENCYX-RAY EXAMINATION FREQUENCY


We assume that percentages of age and sex forreported number of examination are the same atcountry level;

EXEMPLEEXEMPLE:

CT examinationation


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ASSESSMENT OF PATIENTASSESSMENT OF PATIENTDOSEDOSE


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PATIENT DOSEPATIENT DOSE

For estimating the average effective dose per type ofexamination, we took into consideration only the DAPreadings (or DLP for CT).

E (mSV) = DAP x coefficients


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FUTURESFUTURES


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FUTURESFUTURES


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THANK YOU FORTHANK YOU FORATTENTION!ATTENTION!

national system on registration and reporting of medical exposure

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