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Review
. 2018;39(4):399-405.

[Guidelines in medical imaging : objectives, limits and radiation protection]

[Article in French]
D Tack  1 , N Nicaise  2
Affiliations
  • PMID: 30321006
Review

[Guidelines in medical imaging : objectives, limits and radiation protection]

[Article in French]
D Tack et al. Rev Med Brux. 2018.

Abstract
in English, French

Context: Guidelines in medical imaging are aimed at increasing the appropriateness of prescriptions, eliminating unnecessary examina- tions, reducing the exposure of the population and minimizing the costs to public health.

Method: Our analysis is based on a bibliographic search and the discussions of the " quality " working group of the BELMIP platform.

Results: The introduction in 2004 and its 2014 revision of the guideliness in medical imaging in Belgium had no measurable effect on the imaging prescription. These recommendations are in fact unrecognized, incomplete, poorly constructed and often unusable.

Conclusion: Recommendations in medical imaging need to be reviewed and will be reviewed in the near future in order to be better structured and usable. The legal and medico-legal constraints should be integrated in order for Belgium to comply with the relevant European directive.

Contexte : Les recommandations en imagerie médicale visent à augmenter la pertinence des prescriptions, éliminer les examens inutiles, réduire l’irradiation de la population et minimiser les coûts pour la santé publique. Méthode : Notre analyse se base sur une recherche bibliographique et sur les discussions du groupe de travail " qualité " de la plateforme BELMIP. Résultats : L’introduction en 2004 et sa révision en 2014 des recommandations en imagerie médicale en Belgique n’a pas eu d’effet mesurable sur la prescription d’imagerie. Ces recommandations sont en effet méconnues, incomplètes, mal construites et souvent inutilisables.

Conclusion: Les recommandations en imagerie médicale doivent être revues et le seront dans un avenir proche afin d’être mieux structurées et utilisables. Les contraintes légales et médico- légales devraient y être intégrées afin que la Belgique se mette en conformité par rapport à la directive européenne concernée.

Keywords: ALARA; Diagnostic imaging; Guidelines; Justification.

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