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—Digital image receptors (computed radiography (CR) or direct digital);<br />

—Image displays (film viewing boxes, workstations and display monitors);<br />

—Hard copy devices (printers and film processors);<br />

—Digital scanners and storage systems.<br />

The following principles and criteria for good practice should be applied as<br />

appropriate to all of the above mentioned modalities and equipment.<br />

5.1.1. Infrastructure<br />

A supportive infrastructure is essential to produce the good quality patient<br />

images needed for accurate diagnosis, which are obtained with low radiation dose<br />

in an environment that is safe for patients, radiology personnel and the public.<br />

This infrastructure includes the organizational structure, personnel, management<br />

and documentation.<br />

5.1.1.1. Organizational structure<br />

A medical physicist, with competence in diagnostic radiology, has primary<br />

responsibility for most of the technical aspects within radiology, including<br />

equipment QA, dosimetry and calibration, and, furthermore, the medical<br />

physicist provides specialist expertise with respect to radiation protection of the<br />

patient.<br />

The medical physicist may also be appointed as the facility’s radiation<br />

protection officer 7 (RPO). The RPO has responsibility for radiation protection of<br />

staff and the public, but not for radiation protection of patients. However, in some<br />

institutions, the RPO may be a health physicist and not a medical physicist and,<br />

furthermore, may be external to the radiology facility. If the RPO is not a member<br />

of the radiology facility, a suitably trained staff member should be appointed as<br />

deputy to the RPO and maintain regular, close contact with the RPO. The RPO<br />

should report to a Radiation Safety Committee. This committee should meet<br />

regularly, and be responsible for the radiation safety policy of the institution/<br />

facility, its monitoring and its evaluation. There should be a manual covering all<br />

relevant aspects of radiation protection (see Sections 5.1.1.4 and 3.1.2). A<br />

7<br />

A person technically competent in radiation protection matters relevant for a given<br />

type of practice, who is designated by the registrant or licensee to oversee the application of the<br />

relevant requirements established in international safety standards. Such a person is also<br />

sometimes known as a radiation safety officer.<br />

45

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