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RAS9055 RCM on Strengthening Radiation Protection in Medicine
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Apr 14, 2010

From 7-11 June 2010, the project RAS/9/055 Strengthening Radiation Protection in Medicine, will hold a Regional Coordination Meeting.


The purpose of this RCM is to have a follow-up to the previous RCM held in Hanoi, Vietnam in October 2008. The action plans were developed in this RCM and all participating countries had agreed to provide 6 monthly reports. Some results have been published in journals and have received wide media attention too in view of the value the results represent.

Medical use of radiation continues to increase and presents a larger share of radiation exposure to population. Moreover, the individual patient doses are increasing as many patients undergo multiple procedures. Recent reports from the USA  surveying 31,500 patients have shown that 5% of patients had undergone more than 22 CT scans and 1% more than 38 scans in the review period of 22 years. 15% of patients had effective dose >11 mSv, 4% 250-1375 mSv and 1% had >399 mSv. This situation cannot be unique to the USA and it is only through studies in other countries, that one can say how good or bad the situation is in different countries. Thus while the focus of the project has been on achieving patient protection through optimization actions, new and emerging issues require attention.

Therefore there is a great need to implement means to achieve compliance of International Basic Safety Standards (BSS). Radiation protection of patients in the areas of diagnostic radiology, interventional radiology, interventional cardiology, radiotherapy and nuclear medicine requires consideration besides developing a national framework. Based upon feedback from participating countries, the RCM shall arrive at country-specific action plans for 2010-2011 taking into account feasibility and constraints in accomplishing the regional project goals. The meeting is intended to strengthen the programme for protection of patients in diagnostic and therapeutic applications of radiation in the Member States concerned, in line with expectations of principal requirements of the International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources (BSS 115).

Specific objectives of the meeting are:

  1. to present, discuss and evaluate results of actions taken by country in the last 2 years, particularly following the previous RCM;
  2. to prepare draft report giving summary of achievements;
  3. to prepare country-specific action plans based on results presented and goal set in the project;
  4. to agree on IAEA input for the project implementation in 2010 and 2011;
  5. discuss and develop project framework for next five years.


The meeting will be attended by Government nominated National Project Coordinators (NPC) of RAS/9/055. It is anticipated that the NPC will be fully mandated by the Government authorities to take decisions, including the allocation of resources, on matters concerning the implementation of the project.

For those who participated in earlier RCMs such as RAS9047, the NPC should have shown successful progress in the project in the different tasks selected, and have submitted periodic 6 month reports after the RCM in 2008. For countries that have either not submitted a report or have submitted minimal information, the Member States are encouraged to take advantage of this project and nominate a new NPC. The most important factor contributing to the success of the project is the choice of a suitable NPC. It is for the country to decide whether the nominated person should be from the regulatory body, ministry of health or a hospital. What is most important is the capability to make progress in radiation protection and protection in medicine in line with the objectives of RAS9055. The technical capability on the subject is an essential requirement. Participation only based on managerial capability is not an accepted criterion.


A written comprehensive Country Status Report and a Power Point Presentation (15 minutes) should be prepared. The report and presentation should include the following:

  • How have you benefited by participation in IAEA projects (this Regional project or National projects) on medical exposure?
  • How has the country benefited?
  • How have patients benefited?
  • What was the situation of patient dosimetry and dose management in your country in 2005 and what is the current situation?
  • Where you would like to be in 3 years?

The following information should also be provided:

  • number of CT (single slice and MDCT) scanners in your country
  • workload of CT on adult patients and on children
  • exposure factors in children in comparison to adults (in the same hospital)
  • number of MRI systems with city distribution
  • all data on radiation protection of children and on repeated examination on same patients in a set number of years (if available)
  • tracking radiation exposure of individual patient
  • requirements of radiation passport or another method for tracking
  • requirements to record patient doses
  • Papers presented in conferences, published in journals using the results from IAEA projects

Please bring along the following:

  • Photographs of interesting situations in your country e.g. manual film processing, very old X ray machines and others that depict extreme situations, either good or bad.

The submission of the Report and presentation is prerequisite to the IAEA's supported participation in this regional event. Please email the report to the responsible Technical Officer or Programme Management Officer. (see attached Prospectus)

LOCATION: Manila, Philippines

MORE INFORMATION: See attached Prospectus

Responsible/Contact: Department of Technical Cooperation | Last update: 10 Apr, 2015

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