What we have learned from the session “Malaysia-Thailand Collaboration on DRL: Moving Forward” in the Malaysian Congress of Radiology Meeting 2024
DOI:
https://doi.org/10.46475/asean-jr.v26i2.952Keywords:
Diagnostic reference levels, National DRLs, Radiation doseAbstract
The session highlighted the collaborative efforts between Malaysia and Thailand in optimizing diagnostic reference levels (DRLs) for radiation exposure in medical imaging. The councils also emphasized the differences in approach: Malaysia's top-down mandatory system versus Thailand's voluntary cooperation model. Challenges such as funding, protocol establishment, and training were identified as barriers to effective DRL implementation. The importance of collaboration among radiologists, medical physicists, and technology developers was stressed to enhance patient safety and optimize radiation doses. Future strategies proposed included developing updated guidelines, sharing anonymized dose data, and organizing workshops to foster knowledge exchange. The session concluded with a call for legislative support in Thailand to make national dose surveys mandatory, aiming for improved radiation safety standards in both countries.
Downloads
Metrics
References
Radiological protection and safety in medicine. A report of the International Commission on Radiological Protection Publication 73. Ann ICRP [Internet]. 1996 [cited 2025 May 16];26:1-47. Available from: https://journals.sagepub.com/doi/pdf/10.1177/ANIB_26_2
Vañó E, Miller DL, Martin CJ, Rehani MM, Kang K, Rosenstein M, et al. International Commission on Radiological Protection Publication 135: Diagnostic reference levels in medical imaging. Ann ICRP [Internet]. 2017 [cited 2025 May 16];46:1-144. Available from: https://journals.sagepub.com/doi/pdf/10.1177/ANIB_46_1
Padole A, Ali Khawaja RD, Kalra MK, Singh S. CT radiation dose and iterative reconstruction techniques. AJR Am J Roentgenol 2015;204:W384-92. doi: 10.2214/AJR.14.13241.
Koetzier LR, Mastrodicasa D, Szczykutowicz TP, van der Werf NR, Wang AS, Sandfort V, et al. Deep learning image reconstruction for CT: Technical principles and clinical prospects. Radiology 2023;306:e221257. doi: 10.1148/radiol.221257.
Department of Medical Science, Ministry of Public Health [Internet]. Nonthaburi: Ministry of Public Health; 2021 [cited 2025 May 16]. National Diagnostic Reference in Thailand 2021. Available from:
https://www.rcrt.or.th/wp-content/uploads/2022/12/DRLsTotal-1.pdf
Department of Medical Science, Ministry of Public Health [Internet]. Nonthaburi: Ministry of Public Health; 2023 [cited 2025 May 16]. National Diagnostic Reference in Thailand 2023. Available from:
https://www.rcrt.or.th/wp-content/uploads/2023/10/National-DRLs-in-Thailand-2023.pdf
Ministry of Health (Malaysia) [Internet]. Report Medical Radiation Exposure Study in Malaysia; 2014 [cited 2025 May 16]. Available from:
https://inis.iaea.org/records/gc1d8-exf74
Trinavarat P, Euathrongchit J. Thailand Dose National CT Dose Registry [Internet]. The Royal College of Radiology of Thailand and Committee of Measurement and Monitoring Medical Radiation; 2023 [cited 2025 May 16]. Available from: https://www.rcrt.or.th/thailand-national-ct-dose-registry/

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The ASEAN Journal of Radiology

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)