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

“ALARA AND THE MEDICAL SECTOR”

pdf Download the Conclusions of the Workshop (588 KB)

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

  1. 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.
  2. 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.
  3. 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.
  4. 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
  pdf Welcome (1.05 MB)
Fernand Vermeersch (EAN Chairman)
  Session 1 - Introduction and Scene Setting - International organisations
Chairperson: Gunnar Saxebøl (NRPA, Norway)
1.1 pdf UNSCEAR - Data on medical exposures from a global point of view (1.94 MB)
Ferid Shannoun (UNSCEAR)
1.2 pdf ICRP and ALARA in the Medical Sector (6.92 MB)
Madan M. Rehani (ICRP Committe 3)
1.3 pdf WHO Global Intiative on Radiation Safety in Health Care Settings (15.60 MB)
Maria del Rosario Pérez (WHO)
1.4 pdf Medical exposure in the European Commission's proposal for revised Euratom radiation protection directive (1.79 MB)
Georgi Simeonov (European Commission)
  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 pdf Justification and Optimization of Chest CT Imaging in children (31.38 MB)
Catherine Owens (ESR - European Society of Radiology, ESPR - European Society of Paediatric Radiology )
1.6 pdf European Association of Nuclear Medicine (EANM) - Overview of actions and initiatives on radiation protection with emphasis on ALARA (3.19 MB)
Wolfgang Hechner (EANM)
1.7 pdf Radiation protection and the implementation of the ALARA principle in radiation oncology - The perspective of European Society for Therapeutic Radiology and Oncology (ESTRO) (5.53 MB)
Dag Rune Olsen (ESTRO)
1.8 pdf European Federation of Organizations for Medical Physics (EFOMP) - Overview of actions and initiatives on radiation protection with emphasis on ALARA (926 KB)
Stelios Christofides (EFOMP)
1.9 pdf EFRS actions, initiatives and challenges on ALARA/radiation protection (14.16 MB)
Graciano Paulo (EFRS - European Federation of Radiographer Societies, College of Health Technology of Coimbra, Portugal)
1.10 pdf EURADOS - Overview of actions and initiatives on radiation protection (1.40 MB)
Filip Vanhavere (SCK-CEN MOL, Belgium)
1.11 pdf EMAN - The European Medical ALARA Network (382 KB)
Anja Almén (SSM - Swedish Radiation Safety Authority , Sweden)
  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 pdf Challenge to justification and optimization - Individual health assessment using CT (1.65 MB)
Jürgen Griebel (BfS - Federal Office of Radiation Protection, Germany)
2.2 pdf Setting referral criteria for diagnostic imaging - The French guidelines for the clinical use of medical imaging (10.03 MB)
Philippe A. Grenier (Pitié-Salpêtrière Hospital, University Pierre & Marie Curie, France)
2.3 pdf The Swiss system for collecting population dose data and establishing DRLs: A web-based solution (3.38 MB)
Abbas Aroua (CHUV - UNIL - University Insitute for Radiation Physics, Switzerland)
2.4 pdf Clinical auditing and quality assurance as tools in the implementation of ALARA in the medical sector (4.47 MB)
Hannu Järvinen (STUK - Radiation and Nuclear Safety Authority, Finland)
2.5 pdf Introduction to Working Group sessions (998 KB)
Peter Shaw (EAN secretary)
  Session 3 - Practical ALARA implementation in the medical sector
Chairpersons: Annemarie Schmitt-Hannig (BfS, Germany), Hilde M. Olerud (NRPA, Norway)
3.1 pdf Endovascular Brachytherapy with Re-188 after PTA in the Peripheral Blood Stream - ALARA in handling Beta-Emitters (10.29 MB)
Jürgen Kopp (Central Clinic Ausburg, Germany)
3.2 pdf ALARA in Handling Beta-Emitters - Measurement Techniques and Optimisation (10.06 MB)
Ilona Barth (BfS, Germany)
3.3 pdf The use of resolution recovery software in nuclear medicine from an ALARA perspective (327 KB)
Steve Ebdon-Jackson (HPA - Health Protection Agency, UK)
3.4 pdf International project on individual monitoring and radiation exposure levels in interventional cardiology (ISEMIR) (892 KB)
Renato Padovani (Udine University Hospital, Italy)
3.5 pdf The ORAMED project: Staff dosimetry in interventional radiology and nuclear medicine (5.19 MB)
Laurent Donadille (IRSN - Institute of Radiation Protection and Nuclear Safety, France)
  Session 4 - ALARA culture in the medical sector
Chairpersons: Fernand Vermeersch (SCK-CEN Mol, Belgium), Madan M. Rehani (ICRP)
4.1 pdf Stakeholder Involvement in Medical Practices: Report on HERCA WG Medical Application Action Plan with the CT manufacturers (585 KB)
Philipp Trueb (Federal Office of Public Health, Switzerland)
4.2 pdf QA and optimization in diagnostic radiology - a multi-disciplinary task: How to build a regional service to implement ALARA (13.52 MB)
Anne Catrine Traegde Martinsen (Oslo University Hospital, Norway)
4.3 pdf The Norwegian Program on Quality Assurance in Radiotherapy (KVIST) - Organisation, Benefits and Experiences (9.62 MB)
Taran Paulsen Hellebust (NRPA, Norway)
4.4 pdf 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 (1.77 MB)
Bernard Aubert (IRSN, France)
  Session 5 - ALARA competence and skills in the medical sector
Chairpersons: Annemarie Schmitt-Hannig (BfS, Germany), Hilde M. Olerud (NRPA, Norway)
5.1 pdf Clinicians' justification of imaging: do radiation issues play a role? (3.80 MB)
Lars Borgen (Buskerud Hospital and Buskerud University College, Norway)
5.2 pdf Medical Physics Expert European Guidelines (934 KB)
Stelios Christofides (EFOMP) on behalf of Eduardo Guibelalde (University Complutense of Madrid, Spain)
5.3 pdf German recommendations on self-referred asymptomatic patients (504 KB)
Birgit Keller (BMU - Federal Ministry for the Environment, Germany)
5.4 pdf German situation on clinical audits (488 KB)
Jürgen Kopp (Central Clinic Augsburg, Germany)
5.5 pdf Experiences with focus on the medical sector from the IAEA IRSS mission to Spain (700 KB)
Manuel Rodreguez-Marti (CSN - Nuclear Safety Council, Spain)
  Session 6 - Feedback and Conclusions
Chairpersons: P. Shaw, P. Croüail (EAN)
6.1 pdf Report from the Working Group 1A: Challenges in the optimisation of patient and staff radiation protection in the medical sector (377 KB) (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.2 pdf Report from the Working Group 1B: Challenges in the optimisation of patient and staff radiation protection in the medical sector (1.36 MB) (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.3 pdf Report from the Working Group 2: Policy and Tools for Implementing the ALARA Principle in the Medical Sector (221 KB) (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.4 pdf Report from the Working Group 3: Education, training and communication to improve ALARA in the medical sector (57 KB) (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.5 pdf Report from the Working Group 4: Technical developments and quality assurance in the implementation of the ALARA principle in the medical sector (3.22 MB) (The PPT is the result of the Working Group discussions. It has not been modified by the Editorial Team)
6.6 pdf Conclusions and recommendations (137 KB)