DIRE
SOLUTION

• Provide patients with expected radiation dose prior to undergoing recommended DIRE examinations. Confirm and compare with actual DIRE dosage.

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• Require “real-time” radiation monitoring for patients undergoing DIRE from prescribed medical tests using wearable, recordable Geiger counters to calculate DIRE.

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• The calculation will contain data per incidence and per year including patient's history of DIRE, exposure to environmental radiation in their region and their age is considered in the DIRE Act.

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• This aims to reduce confusion and alleviates the need to convert from mR (millirad) or other unit. Consistency will provide the most accurate data and lead to further understanding of DIRE risks.

• Implement DIRE training in medical schools and medical facilities via a virtual course provided by ADOM, Academy of Diagnostic & Osteopathic Medicine.

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• Implement the REYS (Radiation Exposure Yearly Score) Portal within the Radiation Registry. Ensure ionization radiation is not compared to UV or other forms of radiation. Ensure DIRE is reported in mSv for consistency. 

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• ​Ensure clinicians no longer compare DIRE to environmental radiation.

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• It is irresponsible for medical practitioners and scientists to equate CT and PET CT scan exposure to “7 years in the sun” as these forms of radiation are entirely different with unique wavelengths and varying cellular effects.

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• Ionizing Radiation from CT/PET scans is cumulative and causes electrons to be stripped from the atom, mutating and destroying the cells in order to get an x-ray.

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• UV radiation has been shown to have some health benefits. 

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• UV radiation can prevent Rickets and has the potential to maintain health by stimulating the body’s natural vitamin D production – something Ionization Radiation will never do.

• Set Limits for DIRE. Mandate DIRE limits. Alleviate the common expression that all medical exams with radiation are “low dose” and, instead, calculate and monitor the actual dose. Input DIRE data in the radiation registry. 

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• Require medical facilities to prescribe DIRE, similar to medication, using the DIRE limits set forth in the Nussbaumer Method for DIRE Reduction. (NMDR)

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ANNUAL DIRE LIMITS:

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ADULTS 25 to 45:  100 mSv

(cancer detected)

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ADULTS 46 AND OVER:  75 mSv

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YOUNG ADULTS 14 to 24:  50 mSv

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CHILDREN 13 and UNDER:  25 mSv

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PREGNANT WOMEN:  0 mSv

 

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• Pregnant women and children should never be exposed to DIRE with only life threatening exceptions

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• These limits aim to reduce DIRE in medical tests to encourage clinicians to only prescribe DIRE examinations when absolutely necessary.

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• The lowest level cancer has been detected is 100mSv. This includes environmental radiation plus all manmade radiation. (Source: www.worldnuclear.org)

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• The incidence of cancer increases with any dose above 100 mSv. Therefore, environmental plus man-made radiation exposure should not exceed 100mSv per year to reduce the risk of developing cancer and disease from DIRE. Due to the cumulative nature of ionizing radiation, lifetime exposure should not exceed 100 mSVto reduce thevrisk of cancer. (Nussbaumer Health)

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• Complications exist in utero at different phases of fetal growth. (Source NIH) During the course of pregnancy, women should never be exposed to DIRE. (Nussbaumer Method to Reduce and Regulate DIRE)

 

• Compare DIRE in medical tests to other sources of man-made ionizing radiation on a regular basis within the Radiation Registry to more effectively track the amount and impact of DIRE on our lives and our environment.

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• Allow patient access the Radiation Registry, via a ”patient login” to view their DIRE, input their Environmental Radiation Exposure (ERE) to view comparisons to other man-made radiation sources.