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International Atomic Energy Agency
Department of Nuclear Sciences and Applications
Division of Human Health
IAEA activities to support Member States in
Medical Imaging – Diagnostic Radiology
H. Delis
(Dosimetry and Medical Radiation Physics Section)
IAEA
International Atomic Energy Agency
Presentation contents
• Introduction of the IAEA / Human Health Division
• IAEA activities to support medical imaging
• Overview of MNE6004 project
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Introduction of the IAEA / Human Health Division
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International Atomic Energy Agency
The IAEA is an independent organization within the United
Nations serving as the global focal point for nuclear
cooperation worldwide
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The IAEA works with its 167 Member States and multiple
partners worldwide
to promote safe, secure and peaceful use of nuclear
technologies
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Three main areas of work:
Safeguards and Verification
Safety and Security
Nuclear Sciences and Applications
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IAEA work in Human Health
The mandate on human
health arises from Article
II of the IAEA's Statute:
“the Agency shall
accelerate and enlarge
the contribution of
atomic energy to
health.”
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The role of the Division of Human Health is to strengthen the
capabilities of MS to address the needs related to the
prevention, diagnosis and treatment of health problems
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through the application of nuclear techniques
Diagnostic uses of radiation
7000
6000
1988
26 %
2008
5000
4000
3000
122 %
130 %
2000
1000
0
Number of diagnostic
procedures, million
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Collective dose,
1000 man Sv
World population,
million
Medical Imaging - Diagnostic Radiology
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IAEA activities to support medical imaging
DMRP
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International Atomic Energy Agency
IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
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IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
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Responsibilities in the BSS
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CQMP roles & responsibilities
Define appropriately and unequivocally
the roles and responsibilities of a
CQMP in specialties of medical
physics related to the use of ionizing
radiation, such as radiation therapy,
nuclear medicine, and diagnostic and
interventional radiology.
Establish criteria that support the
harmonization of education and
clinical training worldwide, as well as
to promote the recognition and
professionalism of medical physics as a
profession internationally.
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IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
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Harmonization of training
Guidelines for the establishment of a
postgraduate
academic
education
programme in medical physics.
Guidelines for clinical training of medical
physicists specialising in Diagnostic
Radiology
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IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
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Development of guidelines (QA)
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Development of guidelines (dosimetry)
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Development of guidelines (safety)
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IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
IAEA
Comprehensive clinical audits
Clinical audit is one of the key
elements within the framework of
quality assurance through the
comprehensive and critical review
of the practice in a medical
radiation facility.
• Development of guidance
• Training of auditors
• Development
of
training
material
• Function as the independent
auditing body.
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IAEA activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
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IAEA Dosimetry Laboratory
Dosimetry services
R&D in dosimetry and radiation
physics
Fellows training (limited)
IAEA/WHO SSDL Network
• Dosimetry calibrations
• Comparisons and audits of
performance
Dose Assurance Service
• IAEA/WHO TLD network
• Support to national audit networks
• Support to QUATRO
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2.2 The Agency's Dosimetry Laboratory
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Dosimetry and calibration services
Services
Beams
Calibration of ion chambers:
RT, DR, RP levels
X rays (10–300kV),
137
Cs, 60Co beams
Calibration of well type ion chambers
for LDR brachytherapy
Comparison of RT level ion
chamber calibrations for SSDLs
TLD audits for RT for SSDLs
and hospitals
137
Cs beams
60
Co beams
60
Co, h. e. X rays
TLD audits for RP for SSDLs
137
Ref. irradiations of dosimeters
for RT, RP
X rays (40–300 kV),
137
Cs, 60Co beams
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Cs beams
Training activities in medical imaging
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Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks)
 Human Health campus - Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
IAEA
Training activities in medical imaging
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Training - ICTP courses
For more than 50 years, the Abdus
Salam International Centre for
Theoretical Physics (ICTP) has
been a driving force behind global
efforts to advance scientific
expertise in the developing world.
The IAEA/ICTP joint courses are
an effective method of organizing
training events within the area of
medical imaging (especially in
medical physics) open to
professionals from around the
globe!
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Training - TC courses
Regional Training Courses
RTC on QA/QC and dosimetry in mammography. Algeria, May 22-26,
2016 – African Region - RAF6048
RTC on QA/QC in Diagnostic Radiology in a digital era. Slovenia, Oct.
3-7, 2016 (tent) – European Region - RER6032
National Training Courses
Quality Assurance Audit for Diagnostic Radiology Improvement and
Learning (QUAADRIL), Oct. 11-15, 2015
Wide beam CT and Cardiac Imaging: Physics & Clinical applications,
Nov. 10-14, 2014
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Training – Handbooks and slides
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Fundamentals of Atomic and Nuclear Physics
Interactions of Radiation with Matter
Fundamentals of Dosimetry
Measures of Image Quality
X ray Production
Projection Radiography
Receptors for Projection Radiography
Fluoroscopic Imaging Systems
Mammography
Special Topics in Radiography
Computed Tomography
Physics of Ultrasound
Ultrasound Imaging
Physics of Magnetic Resonance
Magnetic Resonance Imaging
Digital Imaging
Image Post Processing and Analysis
Image Perception and Assessment
Quality Management
Radiation Biology
Instrumentation for Dosimetry
Patient Dosimetry
Justification and Optimisation in Clinical Practice
Radiation Protection
Human Health Campus & Webinars
The IAEA online information resource for
health professionals working in nuclear
medicine, radiation oncology, medical
physics, and nutrition, providing insight
into the different aspects of modern
clinical practice.
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IAEA activities in medical imaging
•
•
•
•
•
•
•
•
Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
IAEA
Coordinated research projects
Coordinated Research Projects (CRPs) are designed to
encourage the acquisition and dissemination of new
knowledge from the use of nuclear technologies and
isotopic techniques.
E1.30.39 - Enhancing Capacity for Early Detection of Breast Cancer
through Imaging [2011-2017]
E2.40.20 - Evaluation and Optimization of Paediatric Imaging in Diagnostic
Radiology and Nuclear Medicine [2015-2018]
E2.40.19 - Advances in Medical Imaging Techniques (doctoral CRP)
[2013-2017]
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IAEA activities in medical imaging
•
•
•
•
•
•
•
•
Definition of roles and responsibilities of Professionals
Development of guidelines to support and standardize harmonization of training
Development of guidelines to support clinical practice
 Quality assurance
 Dosimetry
 Safety
Support to comprehensive clinical audits
Dosimetry and calibration services (through IAEA DOL)
Education and training activities
 ICTP courses
 Regional courses (through TC courses)
 Individual training (through TC fellowships)
 Education and training material (handbooks, Human Health campus)
 Webinars
Research
 Coordinated research projects
 Doctoral coordinated research projects
Technical Cooperation
IAEA
Technical Cooperation
Technical Cooperation (TC) Programme is the main mechanism
through which the IAEA delivers services to its Member States to build,
strengthen and maintain capacities.
All Member States are eligible for support, although TC activities focus
on the needs and priorities of low & middle income countries.
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Technical Cooperation
• TC Programmes is based on requests from the
Member States
• TC programme is developed and managed jointly
by the Member States and the IAEA Secretariat.
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Technical Cooperation
Support mechanism different than “turnkey” solutions…
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Technical Cooperation
• 125 countries/territories receive support from the
IAEA
• Per year
 ~ 3200 expert missions fielded
 ~ 1600 fellowships and scientific visits
 ~ 3200 participants in training courses
 ~ 190 training courses
 ~ 2500 Purchase Orders
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Examples TC projects supported
• MNE6004 - Upgrading the Quality Assurance and Quality
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Control Programme in Diagnostic Radiology for a National
Breast Screening Programme
??????? - Establishing the Quality and Safety of Diagnostic
Radiology Services
??????? - Upgrading Dose Management and Optimization in
Computerized Tomography
??????? - Establishing a Telemedicine Programme at xxx
Teaching Hospital
??????? - Developing National Capacity for Nuclear
Applications in a Medical and Training Context for Sustainable
Improvement of Human Health
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Overview of MNE6004 activities
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International Atomic Energy Agency
MNE6004 activities
Training:
12 fellows and scientific visitors
~ 10 months of training
1 training course (SLO)
9 participants
1 Workshop
1 PhD (medical physics)
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MNE6004 activities
Experts and meetings:
3 project meetings (2 MNE, 1 AUT)
1 fact finding - project implementation
1 QA and acceptance testing
1 prone biopsy
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MNE6004 activities
Procurements:
Digital mammography / Tomosynthesis
Stereotactic biopsy Unit
QA set for mammography
Advanced QA set for digital mammography
Consumables for breast biopsy
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Sandra Steyskal (PMO)
Programme Management Officer
Harry Delis (TO)
Medical Physicist (Diagnostic Radiology)
Ravi Kashyap (TO)
Diagnostic Radiologist / Nuclear Radiologist
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