Table 4

Summary of Level of Recommendations for Laboratory-Based and Population-Based Radiation Reduction

Recommendation2013 Level
Reporting of appropriate use criteria categories of appropriate, may be appropriate (uncertain), and rarely appropriate (inappropriate)Required
Dosimetry reportingRequired
Development of DRLs for a variety of specific cardiac imaging tasksRequired
Implementation of continuous quality improvement programsRequired
Implementation of decision support toolsRecommended
Continuing medical education for referring physiciansRecommended
Creation of a repository from electronic health record data on each patient's history of medical imaging radiation exposureSuggested

Although these recommendations were made in 2013, it should be emphasized that all recommendations should in time become mandatory.

DRL = diagnostic reference level.

  • Majority opinion that standardized laboratory practice of this recommendation is consistent with effective, patient-centered imaging.

  • General agreement that standardized laboratory practice of this recommendation would enhance patient-centered imaging.

  • Expert opinion that standardized laboratory practice of this recommendation would enhance patient-centered imaging.