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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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4.1.3.2. Imaging technique<br />

Protocols and procedures for all imaging examinations should be<br />

documented and regularly updated, and they should be readily accessible to<br />

imaging staff at all times. All examination protocols should be optimized for<br />

image quality and dose, with input from the relevant imaging team members: the<br />

radiological medical practitioner, radiographer and medical physicist. The<br />

recommended techniques and parameters should be based on the principle of<br />

exposing the patient to the least radiation dose necessary to achieve the<br />

appropriate diagnostic information (see Section 5). In special populations, such as<br />

paediatrics, specific documentation relevant to these populations should be in<br />

place.<br />

Recommended radiographic technique factors should be used for<br />

preprogramming of equipment, or they should be readily available for use by the<br />

radiographer.<br />

Recommended practice for secure storage of image data should be<br />

observed, including backup of electronic data and image data management<br />

through the Picture Archiving and Communication System (PACS).<br />

It should be ensured that members of staff are aware of current protocols<br />

and procedures, and immediately notified when changes are made.<br />

Protocols and procedures should be in place for studies such as:<br />

—Plain radiography;<br />

—Fluoroscopy;<br />

—Mammography;<br />

—Computed tomography;<br />

—Ultrasonography;<br />

—Magnetic resonance imaging;<br />

—PET/CT;<br />

—Image guided procedures;<br />

—Dental radiography.<br />

There should be a documented process to indicate the circumstances in<br />

which radiographers or radiological medical practitioners/physicians who are in<br />

training should seek further guidance from the supervising radiographer or<br />

radiological medical practitioner/physician, respectively, such as:<br />

(a)<br />

(b)<br />

Unexpected imaging findings;<br />

Difficulties in obtaining the image required because of patient or equipment<br />

problems.<br />

32

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