[Research Report on the Consistency of Radiation Dose Structured Report (RDSR)].

Abstract

In 2020, recording and management of exposure doses for computed tomography (CT) became mandatory. In terms of dose management, information regarding the imaged body part is particularly important information for proper tabulation. However, the actual body part to be imaged and the body part information obtained from the device may differ. In this study, we investigated the difference between the imaged area information obtained from a CT device and the dose index when the area is divided into actual areas to be examined using a facility's unique imaging protocol. We collected 734784 radiation dose structured reports (RDSR) examined from 2014 to 2021 on CT equipment at 8 facilities and analyzed each facility's volume CT dose index (CTDI_vol) and dose length product (DLP). The median values were tabulated and compared. Pre- and post-classing the body part, for CTDI_vol, increasing tendency was observed only in the head and abdomen. A similar trend was observed for DLP. Regarding dose management using RDSR as an information source, there were no major differences in dose information depending on the classification of the body part to be imaged. We hope that the accuracy of dose management will be improved by accurately classifying the body parts to be imaged.