Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure

Implementation of modern highly informative methods of X-ray diagnostics (computed tomography, interventional examinations, nuclear medicine), associated with the increase of doses to the public and patients, requires the development and improvement of the existing system of the radiation protection...

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Main Authors: G. G. Onischenko, A. Yu. Popova, I. K. Romanovich, A. V. Vodovatov, N. S. Bashketova, O. A. Istorik, L. A. Chipiga, I. G. Shatsky, L. V. Repin, A. M. Biblin
Format: Article
Language:English
Published: Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev 2019-03-01
Series:Радиационная гигиена
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Online Access:https://www.radhyg.ru/jour/article/view/592
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author G. G. Onischenko
A. Yu. Popova
I. K. Romanovich
A. V. Vodovatov
N. S. Bashketova
O. A. Istorik
L. A. Chipiga
I. G. Shatsky
L. V. Repin
A. M. Biblin
author_facet G. G. Onischenko
A. Yu. Popova
I. K. Romanovich
A. V. Vodovatov
N. S. Bashketova
O. A. Istorik
L. A. Chipiga
I. G. Shatsky
L. V. Repin
A. M. Biblin
author_sort G. G. Onischenko
collection DOAJ
description Implementation of modern highly informative methods of X-ray diagnostics (computed tomography, interventional examinations, nuclear medicine), associated with the increase of doses to the public and patients, requires the development and improvement of the existing system of the radiation protection from medical exposure. Despite the prevalence of the traditional imaging modalities in the structure of X-ray diagnostics in the Russian Federation (radiography and fluorography compose up to 95% out of 280 mln. X-ray examinations performed in 2017), the major contribution into the collective dose from medical exposure is due to the computed tomography (50,5%). Comparison of the structure of X-ray diagnostics in the Russian Federation with European Union indicates the absence of fluorography examinations and significantly (up to a factor of 5) higher contribution of computed tomography in European countries. An average collective dose from medical exposure in European countries is composed of 80% of computed tomography and of 10% of nuclear medicine; a mean effective dose per X-ray examination are higher up to a factor of 3 compared to Russia. The analysis of the trends of the development of the X-ray diagnostic in the Russian Federation allows predicting a further increase of the number of computer tomography, interventional and nuclear medicine examinations as well as an increase of the collective dose from medical exposure up to a factor of two in the  next decade. This will be associated with changes in the structure of the X-ray diagnostics and an increase of the mean effective doses from X-ray examinations.
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institution Kabale University
issn 1998-426X
language English
publishDate 2019-03-01
publisher Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev
record_format Article
series Радиационная гигиена
spelling doaj-art-87c23923f16d4d479204946be05efcbf2025-08-20T03:43:51ZengSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. RamzaevРадиационная гигиена1998-426X2019-03-0112162410.21514/1998-426X-2019-12-1-6-24565Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposureG. G. Onischenko0A. Yu. Popova1I. K. Romanovich2A. V. Vodovatov3N. S. Bashketova4O. A. Istorik5L. A. Chipiga6I. G. Shatsky7L. V. Repin8A. M. Biblin9Russian Academy of SciencesFederal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingFederal Service for Surveillance on Consumer Rights Protection and Human Well-Being in St-PetersburgFederal Service for Surveillance on Consumer Rights Protection and Human Well-Being in Leningrad regionSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingImplementation of modern highly informative methods of X-ray diagnostics (computed tomography, interventional examinations, nuclear medicine), associated with the increase of doses to the public and patients, requires the development and improvement of the existing system of the radiation protection from medical exposure. Despite the prevalence of the traditional imaging modalities in the structure of X-ray diagnostics in the Russian Federation (radiography and fluorography compose up to 95% out of 280 mln. X-ray examinations performed in 2017), the major contribution into the collective dose from medical exposure is due to the computed tomography (50,5%). Comparison of the structure of X-ray diagnostics in the Russian Federation with European Union indicates the absence of fluorography examinations and significantly (up to a factor of 5) higher contribution of computed tomography in European countries. An average collective dose from medical exposure in European countries is composed of 80% of computed tomography and of 10% of nuclear medicine; a mean effective dose per X-ray examination are higher up to a factor of 3 compared to Russia. The analysis of the trends of the development of the X-ray diagnostic in the Russian Federation allows predicting a further increase of the number of computer tomography, interventional and nuclear medicine examinations as well as an increase of the collective dose from medical exposure up to a factor of two in the  next decade. This will be associated with changes in the structure of the X-ray diagnostics and an increase of the mean effective doses from X-ray examinations.https://www.radhyg.ru/jour/article/view/592x-ray diagnosticscollective dosemedical exposurepatient doseseffective dosehealth screening examinations
spellingShingle G. G. Onischenko
A. Yu. Popova
I. K. Romanovich
A. V. Vodovatov
N. S. Bashketova
O. A. Istorik
L. A. Chipiga
I. G. Shatsky
L. V. Repin
A. M. Biblin
Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
Радиационная гигиена
x-ray diagnostics
collective dose
medical exposure
patient doses
effective dose
health screening examinations
title Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
title_full Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
title_fullStr Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
title_full_unstemmed Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
title_short Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure
title_sort modern principles of the radiation protection from sources of ionizing radiation in medicine part 1 trends structure of x ray diagnostics and doses from medical exposure
topic x-ray diagnostics
collective dose
medical exposure
patient doses
effective dose
health screening examinations
url https://www.radhyg.ru/jour/article/view/592
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