ArticleEuropean radiology2021
CT diagnostic reference levels based on clinical indications: results of a large-scale European survey.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- First nationwide clinical indication-based diagnostic reference levels incorporating size-specific dose estimates for adult chest CT in Morocco.Emergency radiology · 2026Article
- Identifying optimal dose head CT acquisition techniques through cluster analysis from 904,209 scans.European radiology · 2026Article
- From Anatomical to Clinical DRLs: Establishing Indication-Based CT Dose Benchmarks in Saudi Arabia.Diagnostics (Basel, Switzerland) · 2026Article
- Crowd-sourcing optimized abdomen CT protocols from 908,000 examinations in a large radiation dose registry.European radiology · 2026Article
- Establishment of CT diagnostic reference levels (DRLs) in Tokyo.European radiology · 2026Article
- Establishment of the first National diagnostic reference levels by clinical indication for adult head computed tomography in morocco: A baseline study.Emergency radiology · 2025Article
- [Computed tomography of the chest in children : Indications, technical optimization, and future perspectives].Radiologie (Heidelberg, Germany) · 2025Review
- Institutional clinical indication-based typical dose values of multiphasic abdominopelvic computed tomography examinations.Diagnostic and interventional radiology (Ankara, Turkey) · 2025Article
- Radiation Dose Estimation and Lifetime Attributable Risk of Radiation-Induced Cancer from Chest CT in COVID-19 Patients.Irish journal of medical science · 2025Article
- Precision in Practice: Clinical Indication-Specific DRLs for Head CT for Advanced Personalised Dose Benchmarking.Diagnostics (Basel, Switzerland) · 2025Article
- Current practices and perceptions on diagnostic reference levels: a EuroSafe Imaging Survey Analysis.Insights into imaging · 2025Article
- Image quality and radiation dose of reduced-dose abdominopelvic computed tomography (CT) with silver filter and deep learning reconstruction.Scientific reports · 2025Article
- Relationship Between Effective Dose, Alternative Metrics, and SSDE: Experiences with Two CT Dose-Monitoring Systems.Diagnostics (Basel, Switzerland) · 2025Article
- Recommended National diagnostic reference levels for adult abdomino-pelvic computed tomography examinations in Ethiopia.BMC medical imaging · 2025Article
- Performance improvements of virtual monoenergetic images in photon-counting detector CT compared with dual source dual-energy CT: Fourier-based assessment.Physical and engineering sciences in medicine · 2025Article
- NExpR: Neural Explicit Representation for fast arbitrary-scale medical image super-resolution.Computers in biology and medicine · 2025Article
- Comparison of Anatomical and Indication-Based Diagnostic Reference Levels (DRLs) in Head CT Imaging: Implications for Radiation Dose Management.International journal of biomedical imaging · 2025Article
- Implementing verifiable oncological imaging by quality assurance and optimization (i‑Violin) : Protocol for a European multicenter study.Radiologie (Heidelberg, Germany) · 2024Article
- Investigating the Potential Overuse of Pan-Computed Tomography (PanCT) Examinations in Trauma Cases in Emergency Departments.Medicina (Kaunas, Lithuania) · 2024Article
- A Proposal for a Process from as Low as Reasonably Achievable to an Ultra-Low-Level Goal in Chest Computed Tomography.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesThe objective of this study was to investigate the feasibility of defining diagnostic reference levels (DRLs) on a European basis for specific clinical indications (CIs), within the context of the European Clinical DRLs (EUCLID) European Commission project.
methodsA prospective, multicenter, industry-independent European study was performed to provide data on 10 CIs (stroke, chronic sinusitis, cervical spine trauma, pulmonary embolism, coronary calcium scoring, coronary angiography, lung cancer, hepatocellular carcinoma, colic/abdominal pain, and appendicitis) via an online survey that included information on patient clinical, technical, and dosimetric parameters. Data from at least 20 patients per CI were requested from each hospital. To establish DRLs, a methodology in line with the International Commission on Radiological Protection (ICRP) Report 135 good practice recommendations was followed.
resultsData were collected from 19 hospitals in 14 European countries on 4299 adult patients and 10 CIs to determine DRLs. DRLs differ considerably between sites for the same CI. Differences were attributed mainly to technical protocol and variable number of phases/scan lengths. Stroke and hepatocellular carcinoma were the CIs with the highest DRLs. Coronary calcium scoring had the lowest DRL value. Comparison with published literature was limited, as there was scarce information on DRLs based on CI.
conclusionsThis is the first study reporting on feasibility of establishing CT DRLs based on CI using European data. Resulting values will serve as a baseline for comparison with local radiological practice, national authorities when DRLs are set/updated, or as a guideline for local DRL establishment. KEY POINTS: • First study reporting on the feasibility of establishing CT diagnostic reference levels based on clinical indication using data collected across Europe. • Only one-fourth of the hospitals had CT machines less than 5 years old. • Large dose variations were observed among hospitals and CT protocols were quite different between hospitals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.