Paradigma baru konsep proteksi radiasi dalam pemeriksaan radiologi kedokteran gigi: dari ALARA menjadi ALADAIP
Abstract
Objectives: This article is aimed to widely share information and discuss further about the emerging transformation theories of the traditional radiation protection concept of ALARA into some more modern proposed concepts, particularly in dentomaxillofacial radiology.Literature Review: The concept of radiation protection in the use of X-ray modalities in the medical field has developed along with the development of science over past decades. The concept of ALARA which has been widely known for a long time and is used as a basic of theory or main reference in radiation protection policies in several countries or at the international level now becomes a traditional, conservative and invalid principle to apply. There are several emerging theories which are considered to be more valid and representative to replace the ALARA principle.
Conclusion: Newer concepts of radiation protection that have developed, ALADAIP, are considered to be more precise and specific to be the main principle of radiation protection at this time, especially in the field of dentomaxillofacial radiology.
References
Okano T, Sur J. Radiation dose and protection in dentistry. Jpn Dent Sci Rev [Internet]. 2010;46(2):112–21. Available from: http://dx.doi.org/10.1016/j.jdsr.2009.11.004
Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. 2014;6(10).
Jaju PP, Jaju SP. Cone-beam computed tomography: Time to move from ALARA to ALADA. 2015;263–5.
M.Ianucci J, Howerton LJ. Digital Imaging. In: M.Ianucci J, Howerton LJ, editors. Dental Radiography Principles and Techniques. 5th ed. St.Louis, Missouri: Elsevier/Saunders; 2017. p. 289.
Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent [Internet]. 2019;(January 2020). Available from: https://doi.org/10.1007/s40368-019-00493-x
Hasanzadeh H, Emadi A, Masoumi H, Seifi D, Khani T. Radiation Protection Knowledge, Attitude, and Practice (KAP) in Interventional Radiology. 2018;33(2):141–7.
Pérez DM del R, Team WFR. The Bonn Call for Action Ionizing radiation in health care : The Bonn Call for Action. 2013.
Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 6th Edition. London: Elsevier Ltd; 2021.
Hamada N, Fujimichi Y. Classification of radiation effects for dose limitation purposes: History, current situation and future prospects. J Radiat Res. 2014;55(4):629–40.
Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol. 2018;48(3):308–16.
Miller D, Schauer D. The ALARA Principle in Medical Imaging. AAPM Newsl [Internet]. 2015;40(1):38–40. Available from: https://www.researchgate.net/publication/272504868_The_ALARA_principle_in_medical_imaging
FDI Policy Statement. Radiation Safety in Dentistry. 2014.
Do K-H. General principles of radiation protection in fields of diagnostic medical exposure. J Korean Med Sci [Internet]. 2016;31:6–9. Available from: http://dx.doi.org/10.3346/
C.White S, J.Pharoah M. Safety and Protection. In: White S, Pharoah M, editors. Oral Radiology Principles and Interpretation. 7th ed. St.Louis, Missouri: Elsevier Mosby; 2014. p. 29–39.
BAPETEN. PERKABAPETEN No.8 Tahun 2011 tentangKeselamatan Radiasi dalam penggunaan pesawat sinar x radiologi diagnostik dan intervensional. 2011.
Cynthia H.McCollough. Diagnostic Reference Levels. WWW.Imagewisely.org. 2010. p. 1–6.
ICRP Publication 103 The 2007 Recommendations of the International Commission on Radiological Protection. 2007.
Mallya S. Safety and Protection. In: White and Pharoah ’ s Oral Radiology Principles and Interpretation. Elsevier Health Sciences; 2018.
Latifah R, Jannah NZ, Nurdin DZ., P B. Determination of Local Diagnostic Reference Level (Ldl) Pediatric Patients on Ct Head Examination Based on Size-Specific Dose Estimates (Ssde) Values. J Vocat Heal Stud. 2019;2(3):127.
National Council on Radiation Protection and Measurements. NCRP Report No. 107: Implementation of the Principle of as Low as Reasonably Achievable (ALARA) for Medical and Dental Personnel. NCRP (National Council on Radiation Protection & Measurements); 1990.
Clarke R, Valentin J. A history of the international commission on radiological protection. Health Phys. 2005 Jun;88(5):407–22.
Doss M. Linear No-Threshold Model vs. Radiation Hormesis. Dose-Response. 2013 Oct;11(12):480–97.
Gottfried K-LD, Penn G. Radiation in Medicine: A Need for Regulatory Reform. National Academy of Sciences. Washington DC: National Academy Press; 1996.
Kathren RL. Pathway to a Paradigm: the linear nonthreshold dose-response model in historical context. Health Phys. 1996 May;70(5):621–35.
European Commision. Radiation Protection No. 172: Cone beam CT for dental and maxillofacial radiology (Evidence-based guidelines). Directorate-General for Energy - Directorate D - Nuclear Energy Unit D4 - Radiation Protection European Union; 2012.
Yeung AWK. The “ As Low As Reasonably Achievable ” ( ALARA ) principle : a brief historical overview and a bibliometric analysis of the most cited publications. 2019;54(2):103–9.
Oakley PA, Harrison DE. Death of the ALARA Radiation Protection Principle as Used in the Medical Sector. Dose-Response. 2020;18(2):1–12.
Calabrese EJ. On the origins of the linear no-threshold (LNT) dogma by means of untruths, artful dodges and blind faith. Environ Res. 2015 Oct;142(5):432–42.
Tharmalingam S, Sreetharan S, Brooks AL, Boreham DR. Re-evaluation of the linear no-threshold (LNT) model using new paradigms and modern molecular studies. Chem Biol Interact. 2019;301(November 2018):54–67.
Belmans N. Biological effects of ionizing radiation in medical imaging : a prospective study in children and adults following dental cone-beam computed tomography. Maastricht University; 2019.
Pennington CW, Siegel JA. The Linear No-Threshold Model of Low-Dose Radiogenic Cancer: A Failed Fiction. Dose-Response. 2019 Jan;17(1):1559325818824200.
Siegel JA, Pennington CW, Sacks B. Subjecting radiologic imaging to the linear no-Threshold hypothesis: A non sequitur of non-Trivial proportion. J Nucl Med. 2017;58(1):1–6.
Cardarelli JJ, Ulsh BA. It is time to move beyond the linear no-threshold theory for low-dose radiation protection. Dose-Response. 2018;16(3):1–24.
Bushberg JT. 50th Annual Meeting Program NCRP : Achievements of the Past 50 Years and Addressing the Needs of the Future. In: Science, Radiation Protection, and the NCRP: Building on the Past, Looking to the Future. Bethesda, Maryland: NCRP (National Council on Radiation Protection & Measurements); 2014. p. 5–7.
Soleimani H, Mirdoraghi M. A Review of the Status of Diagnostic Reference Levels for Radiology in Iran Running title : A Review of the Status of Diagnostic Reference Levels for A Review of the Status of Diagnostic Reference Levels for Radiology in Iran Running. J Biomed Heal. 2017;(J).
White SC, Scarfe WC, Schulze MSRKW, Douglass JM, Allan DDS, Farman G, et al. The Image Gently in Dentistry Campaign Promotion of Responsible Use of Maxillofacial Radiology in Dentistry for Children. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2014; Available from: http://dx.doi.org/10.1016/j.oooo.2014.06.001
Rehani MM. Radiological protection in computed tomography and cone beam computed tomography. Ann ICRP. 2015;44(1 Suppl):229–35.
Szejk M, Kołodziejczyk-Czepas J, Żbikowska HM. Radioprotectors in radiotherapy – advances in the potential application of phytochemicals. Postepy Hig Med Dosw. 2016 Jun;70:722–34.
Oenning AC, Pauwels R, Stratis A, De Faria Vasconcelos K, Tijskens E, De Grauwe A, et al. Halve the dose while maintaining image quality in paediatric Cone Beam CT. Sci Rep. 2019;9(1):1–9.
Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. 2014;6(10).
Jaju PP, Jaju SP. Cone-beam computed tomography: Time to move from ALARA to ALADA. 2015;263–5.
M.Ianucci J, Howerton LJ. Digital Imaging. In: M.Ianucci J, Howerton LJ, editors. Dental Radiography Principles and Techniques. 5th ed. St.Louis, Missouri: Elsevier/Saunders; 2017. p. 289.
Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent [Internet]. 2019;(January 2020). Available from: https://doi.org/10.1007/s40368-019-00493-x
Hasanzadeh H, Emadi A, Masoumi H, Seifi D, Khani T. Radiation Protection Knowledge, Attitude, and Practice (KAP) in Interventional Radiology. 2018;33(2):141–7.
Pérez DM del R, Team WFR. The Bonn Call for Action Ionizing radiation in health care : The Bonn Call for Action. 2013.
Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 6th Edition. London: Elsevier Ltd; 2021.
Hamada N, Fujimichi Y. Classification of radiation effects for dose limitation purposes: History, current situation and future prospects. J Radiat Res. 2014;55(4):629–40.
Oenning AC, Jacobs R, Pauwels R, Stratis A, Hedesiu M, Salmon B. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol. 2018;48(3):308–16.
Miller D, Schauer D. The ALARA Principle in Medical Imaging. AAPM Newsl [Internet]. 2015;40(1):38–40. Available from: https://www.researchgate.net/publication/272504868_The_ALARA_principle_in_medical_imaging
FDI Policy Statement. Radiation Safety in Dentistry. 2014.
Do K-H. General principles of radiation protection in fields of diagnostic medical exposure. J Korean Med Sci [Internet]. 2016;31:6–9. Available from: http://dx.doi.org/10.3346/
C.White S, J.Pharoah M. Safety and Protection. In: White S, Pharoah M, editors. Oral Radiology Principles and Interpretation. 7th ed. St.Louis, Missouri: Elsevier Mosby; 2014. p. 29–39.
BAPETEN. PERKABAPETEN No.8 Tahun 2011 tentangKeselamatan Radiasi dalam penggunaan pesawat sinar x radiologi diagnostik dan intervensional. 2011.
Cynthia H.McCollough. Diagnostic Reference Levels. WWW.Imagewisely.org. 2010. p. 1–6.
ICRP Publication 103 The 2007 Recommendations of the International Commission on Radiological Protection. 2007.
Mallya S. Safety and Protection. In: White and Pharoah ’ s Oral Radiology Principles and Interpretation. Elsevier Health Sciences; 2018.
Latifah R, Jannah NZ, Nurdin DZ., P B. Determination of Local Diagnostic Reference Level (Ldl) Pediatric Patients on Ct Head Examination Based on Size-Specific Dose Estimates (Ssde) Values. J Vocat Heal Stud. 2019;2(3):127.
National Council on Radiation Protection and Measurements. NCRP Report No. 107: Implementation of the Principle of as Low as Reasonably Achievable (ALARA) for Medical and Dental Personnel. NCRP (National Council on Radiation Protection & Measurements); 1990.
Clarke R, Valentin J. A history of the international commission on radiological protection. Health Phys. 2005 Jun;88(5):407–22.
Doss M. Linear No-Threshold Model vs. Radiation Hormesis. Dose-Response. 2013 Oct;11(12):480–97.
Gottfried K-LD, Penn G. Radiation in Medicine: A Need for Regulatory Reform. National Academy of Sciences. Washington DC: National Academy Press; 1996.
Kathren RL. Pathway to a Paradigm: the linear nonthreshold dose-response model in historical context. Health Phys. 1996 May;70(5):621–35.
European Commision. Radiation Protection No. 172: Cone beam CT for dental and maxillofacial radiology (Evidence-based guidelines). Directorate-General for Energy - Directorate D - Nuclear Energy Unit D4 - Radiation Protection European Union; 2012.
Yeung AWK. The “ As Low As Reasonably Achievable ” ( ALARA ) principle : a brief historical overview and a bibliometric analysis of the most cited publications. 2019;54(2):103–9.
Oakley PA, Harrison DE. Death of the ALARA Radiation Protection Principle as Used in the Medical Sector. Dose-Response. 2020;18(2):1–12.
Calabrese EJ. On the origins of the linear no-threshold (LNT) dogma by means of untruths, artful dodges and blind faith. Environ Res. 2015 Oct;142(5):432–42.
Tharmalingam S, Sreetharan S, Brooks AL, Boreham DR. Re-evaluation of the linear no-threshold (LNT) model using new paradigms and modern molecular studies. Chem Biol Interact. 2019;301(November 2018):54–67.
Belmans N. Biological effects of ionizing radiation in medical imaging : a prospective study in children and adults following dental cone-beam computed tomography. Maastricht University; 2019.
Pennington CW, Siegel JA. The Linear No-Threshold Model of Low-Dose Radiogenic Cancer: A Failed Fiction. Dose-Response. 2019 Jan;17(1):1559325818824200.
Siegel JA, Pennington CW, Sacks B. Subjecting radiologic imaging to the linear no-Threshold hypothesis: A non sequitur of non-Trivial proportion. J Nucl Med. 2017;58(1):1–6.
Cardarelli JJ, Ulsh BA. It is time to move beyond the linear no-threshold theory for low-dose radiation protection. Dose-Response. 2018;16(3):1–24.
Bushberg JT. 50th Annual Meeting Program NCRP : Achievements of the Past 50 Years and Addressing the Needs of the Future. In: Science, Radiation Protection, and the NCRP: Building on the Past, Looking to the Future. Bethesda, Maryland: NCRP (National Council on Radiation Protection & Measurements); 2014. p. 5–7.
Soleimani H, Mirdoraghi M. A Review of the Status of Diagnostic Reference Levels for Radiology in Iran Running title : A Review of the Status of Diagnostic Reference Levels for A Review of the Status of Diagnostic Reference Levels for Radiology in Iran Running. J Biomed Heal. 2017;(J).
White SC, Scarfe WC, Schulze MSRKW, Douglass JM, Allan DDS, Farman G, et al. The Image Gently in Dentistry Campaign Promotion of Responsible Use of Maxillofacial Radiology in Dentistry for Children. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2014; Available from: http://dx.doi.org/10.1016/j.oooo.2014.06.001
Rehani MM. Radiological protection in computed tomography and cone beam computed tomography. Ann ICRP. 2015;44(1 Suppl):229–35.
Szejk M, Kołodziejczyk-Czepas J, Żbikowska HM. Radioprotectors in radiotherapy – advances in the potential application of phytochemicals. Postepy Hig Med Dosw. 2016 Jun;70:722–34.
Oenning AC, Pauwels R, Stratis A, De Faria Vasconcelos K, Tijskens E, De Grauwe A, et al. Halve the dose while maintaining image quality in paediatric Cone Beam CT. Sci Rep. 2019;9(1):1–9.
Published
2020-08-31
How to Cite
RAHMAN, Fadhlil Ulum Abdul et al.
Paradigma baru konsep proteksi radiasi dalam pemeriksaan radiologi kedokteran gigi: dari ALARA menjadi ALADAIP.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 4, n. 2, p. 27-34, aug. 2020.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/555>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v4i2.555.
Section
Review Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
