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13th EAN Workshop on "ALARA and the Medical Sector"

 

13th European ALARA Network Workshop, Norway 7-10 June 2011 

“ALARA AND THE MEDICAL SECTOR”

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 icon Download the Conclusions of the Workshop

With increases in patient doses, associated increase in occupational exposures, development of new technologies and the occurrence of serious incidents and accidents, the radiation protection challenges are mounting in the medical sector.

The aim of the Workshop is to consider how the ALARA principle can be effectively implemented with regard to both patient and staff exposures in diagnostic and therapeutic uses of ionising radiation.

The Workshop was a platform, bringing together relevant European medical professionals, networks and other stakeholders working with the ALARA principle, to exchange practical ideas and experiences and to identify further improvements related to better implementation of the optimisation principle in the medical sector.

Working Group Topics

  • Challenges for the optimization of patient and staff radiation protection in the medical sector Keywords: Parameters for ALARA benchmarking, high-dose diagnostic and therapy procedures, socio-economic factors, reward systems, unnecessary exposure, etc.
  • Policies and tools for implementing the ALARA principle in the medical sector
    Keywords: Referral criteria, recommendations, standards and guidelines, audits, inspections, justification issues, DRLs, etc.
  • Education, training and communication to improve ALARA in the medical sector
    Keywords: ALARA culture, multi-disciplinary and multi-media approach, key competences, harmonization issues, exchange of knowledge, networking, etc.
  • Technical developments and quality assurance in the implementation of the ALARA principle in the medical sector
    Keyword: Effective quality control, conception of equipments, costs, evidence base for new technology, hybrid systems, justification issues etc.

Programme and downloadable presentations

Paper
Title, Authors Pres. (Pdf)
Welcome
Fernand Vermeersch (EAN Chairman)
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Session 1 - Introduction and Scene Setting - International organisations
Chairperson: Gunnar Saxebøl
(NRPA, Norway)
1.1
UNSCEAR - Data on medical exposures from a global point of view
Ferid Shannoun (UNSCEAR)
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1.2
ICRP and ALARA in the Medical Sector
Madan M. Rehani (ICRP Committe 3)
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1.3
WHO Global Intiative on Radiation Safety in Health Care Settings
Maria del Rosario Pérez (WHO)
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1.4
Medical exposure in the European Commission's proposal for revised Euratom radiation protection directive
Georgi Simeonov (European Commission)
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Session 1 (continued) - Introduction and scene setting - European societies and networks
Chairpersons: Maria del Rosario Pérez (WHO), Jürgen Kopp (Central Clinic Augsburg, Germany)
1.5
Justification and Optimization of Chest CT Imaging in children
Catherine Owens (ESR - European Society of Radiology, ESPR - European Society of Paediatric Radiology )
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1.6
European Association of Nuclear Medicine (EANM) - Overview of actions and initiatives on radiation protection with emphasis on ALARA
Wolfgang Hechner (EANM)
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1.7
Radiation protection and the implementation of the ALARA principle in radiation oncology - The perspective of European Society for Therapeutic Radiology and Oncology (ESTRO)
Dag Rune Olsen (ESTRO)
1.8
European Federation of Organizations for Medical Physics (EFOMP) - Overview of actions and initiatives on radiation protection with emphasis on ALARA
Stelios Christofides (EFOMP)
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1.9
EFRS actions, initiatives and challenges on ALARA/radiation protection
Graciano Paulo (EFRS - European Federation of Radiographer Societies, College of Health Technology of Coimbra, Portugal)
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1.10
EURADOS - Overview of actions and initiatives on radiation protection
Filip Vanhavere (SCK-CEN MOL, Belgium)
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1.11
EMAN - The European Medical ALARA Network
Anja Almén (SSM - Swedish Radiation Safety Authority , Sweden)
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Session 2 - Tools for ALARA implementation in the medical sector
Chairpersons: Caroline Schieber (CEPN - Nuclear Protection Evaluation Center), Wolfgang Eschner (EANM - European Association of Nuclear Medicine)
2.1
Challenge to justification and optimization - Individual health assessment using CT
Jürgen Griebel (BfS - Federal Office of Radiation Protection, Germany)
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2.2
Setting referral criteria for diagnostic imaging - The French guidelines for the clinical use of medical imaging
Philippe A. Grenier (Pitié-Salpêtrière Hospital, University Pierre & Marie Curie, France)
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2.3
The Swiss system for collecting population dose data and establishing DRLs: A web-based solution
Abbas Aroua (CHUV - UNIL - University Insitute for Radiation Physics, Switzerland)
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2.4
Clinical auditing and quality assurance as tools in the implementation of ALARA in the medical sector
Hannu Järvinen (STUK - Radiation and Nuclear Safety Authority, Finland)
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2.5

Introduction to Working Group sessions
Peter Shaw (EAN secretary)

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Session 3 - Practical ALARA implementation in the medical sector
Chairpersons: Annemarie Schmitt-Hannig (BfS, Germany), Hilde M. Olerud (NRPA, Norway)
3.1
Endovascular Brachytherapy with Re-188 after PTA in the Peripheral Blood Stream - ALARA in handling Beta-Emitters
Jürgen Kopp (Central Clinic Ausburg, Germany)
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3.2
ALARA in Handling Beta-Emitters - Measurement Techniques and Optimisation
Ilona Barth (BfS, Germany)
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3.3
The use of resolution recovery software in nuclear medicine from an ALARA perspective
Steve Ebdon-Jackson (HPA - Health Protection Agency, UK)
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3.4
International project on individual monitoring and radiation exposure levels in interventional cardiology (ISEMIR)
Renato Padovani (Udine University Hospital, Italy)
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3.5 The ORAMED project: Staff dosimetry in interventional radiology and nuclear medicine
Laurent Donadille (IRSN - Institute of Radiation Protection and Nuclear Safety, France)
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Session 4 - ALARA culture in the medical sector
Chairpersons: Fernand Vermeersch (SCK-CEN Mol, Belgium), Madan M. Rehani (ICRP)
4.1
Stakeholder Involvement in Medical Practices: Report on HERCA WG Mdeical Application Action Plan with the CT manufacturers
Philipp Trueb (Federal Office of Public Health, Switzerland)
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4.2
QA and optimization in diagnostic radiology - a multi-disciplinary task: How to build a regional service to implement ALARA
Anne Catrine Traegde Martinsen (Oslo University Hospital, Norway)
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4.3
The Norwegian Program on Quality Assurance in Radiotherapy (KVIST) - Organisation, Benefits and Experiences
Taran Paulsen Hellebust (NRPA, Norway)
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4.4
The work in IEC, DICOM and IHE in continuous development of standards to improve radiation safety and performance of radiological equipment, and exchange of information between imaging modalities
Bernard Aubert (IRSN, France)
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Session 5 - ALARA competence and skills in the medical sector
Chairpersons: Annemarie Schmitt-Hannig (BfS, Germany), Hilde M. Olerud (NRPA, Norway)
5.1
Clinicians' justification of imaging: do radiation issues play a role?
Lars Borgen (Buskerud Hospital and Buskerud University College, Norway)
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5.2
Medical Physics Expert European Guidelines
Stelios Christofides (EFOMP) on behalf of Eduardo Guibelalde (University Complutense of Madrid, Spain)
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5.3
German recommendations on self-referred asymptomatic patients
Birgit Keller (BMU - Federal Ministry for the Environment, Germany)
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5.4
German situation on clinical audits
Jürgen Kopp (Central Clinic Augsburg, Germany)
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5.5 Experiences with focus on the medical sector from the IAEA IRSS mission to Spain
Manuel Rodreguez-Marti (CSN - Nuclear Safety Council, Spain)
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Session 6 - Feedback and Conclusions
Chairpersons: P. Shaw, P. Croüail (EAN)
6.1
Report from the Working Group 1A: Challenges in the optimisation of patient and staff radiation protection in the medical sector (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.2
Report from the Working Group 1B: Challenges in the optimisation of patient and staff radiation protection in the medical sector (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.3
Report from the Working Group 2: Policy and Tools for Implementing the ALARA Principle in the Medical Sector (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.4
Report from the Working Group 3: Education, training and communication to improve ALARA in the medical sector (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.5
Report from the Working Group 4: Technical developments and quality assurancein the implementation of the ALARA principle in the medical sector (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.6
Conclusions and recommendations