Automated radiation dose monitoring software packages: impact on computed tomography (CT) dose management and optimisation, implementation challenges, and practical considerations: a systematic review

IF 2.7 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Physica Medica-European Journal of Medical Physics Pub Date : 2025-07-21 DOI:10.1016/j.ejmp.2025.105056

Mohammed Alanazi , Peter Kench , Seyedamir Tavakoli-Taba , Ernest Ekpo

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引用次数: 0

Abstract

Introduction

Radiation Dose Monitoring Software (DMS) packages are increasingly used clinically to automatically monitor radiation doses, but their impact on computed tomography (CT) dose optimisation and the implementation challenges have not been systematically assessed.

Aim

This review aims to assess DMS tools effectiveness in managing and optimising CT radiation doses and identify the main challenges involved in their implementation.

Methods

Relevant articles published until August 2024 were identified via Medline, Scopus, CINAHL, Embase, and Web of Science databases. Reference lists were reviewed for additional studies. The selection process followed PRISMA guidelines. Articles were included if they assessed CT dose optimisation or management using DMS packages and were published in English.

Results

The search initially identified 1,293 articles. After screening and eligibility assessment, 49 eligible articles were met the inclusion criteria and included in the final analysis. DMS tools were found to play a crucial role in automating the monitoring and management of CT radiation doses and reducing manual effort and errors. DMS packages enabled CT dose benchmarking against diagnostic reference levels, inter-hospital and scanner comparisons, dose calculations, cumulative dose tracking, and radiation level monitoring over time. The use of DMS packages helped healthcare institutions to optimise radiation doses and improve patient safety. However, available data shows that effective implementation requires skilled users, standardised protocol naming, and regular data verification.

Conclusion

DMS packages offer long-term solution to CT dose optimisation for patients and healthcare facilities. Implementing these tools will ensure accurate and consistent CT dose monitoring while supporting compliance with best practices.

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自动辐射剂量监测软件包：对计算机断层扫描（CT）剂量管理和优化的影响，实施挑战和实际考虑：系统综述

辐射剂量监测软件（DMS）包在临床上越来越多地用于自动监测辐射剂量，但它们对计算机断层扫描（CT）剂量优化的影响和实施挑战尚未得到系统评估。目的本综述旨在评估DMS工具在管理和优化CT辐射剂量方面的有效性，并确定其实施所涉及的主要挑战。方法通过Medline、Scopus、CINAHL、Embase和Web of Science数据库对2024年8月前发表的相关文章进行检索。为进一步的研究审查了参考文献清单。评选过程遵循PRISMA的指导方针。使用DMS包评估CT剂量优化或管理并以英文发表的文章均被纳入。搜索结果最初确定了1293篇文章。经筛选和合格性评估，49篇符合纳入标准的文章被纳入最终分析。研究发现，DMS工具在CT辐射剂量的自动化监测和管理以及减少人工工作量和错误方面发挥着至关重要的作用。DMS软件包使CT剂量基准与诊断参考水平、医院间和扫描仪比较、剂量计算、累积剂量跟踪和辐射水平监测随时间的变化。使用DMS包可帮助医疗机构优化辐射剂量并改善患者安全。然而，现有数据表明，有效的实现需要熟练的用户、标准化的协议命名和定期的数据验证。结论dms包为患者和医疗机构提供了CT剂量优化的长期解决方案。实施这些工具将确保准确和一致的CT剂量监测，同时支持遵守最佳做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physica Medica-European Journal of Medical Physics 生物-生物物理

CiteScore

6.80

自引率

14.70%

发文量

493

审稿时长

78 days

期刊介绍： Physica Medica, European Journal of Medical Physics, publishing with Elsevier from 2007, provides an international forum for research and reviews on the following main topics: Medical Imaging Radiation Therapy Radiation Protection Measuring Systems and Signal Processing Education and training in Medical Physics Professional issues in Medical Physics.