JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.
Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.
The journal is included in the List of Russian Reviewed Scientific Journals of the Higher Attestation Commission. Since 2008 the journal has been available on the Internet and indexed in the RISC database which is placed on Web of Science. Since February 2nd, 2018, the journal "Medical Radiology and Radiation Safety" has been indexed in the SCOPUS abstract and citation database.
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The main working language of the journal is Russian, an additional language is English, which is used to write titles of articles, information about authors, annotations, key words, a list of literature.
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The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.
Medical Radiology and Radiation Safety. 2025. Vol. 70. № 1
DOI:10.33266/1024-6177-2025-70-1-30-38
E.I. Matkevich, A.N. Bashkov, O.V. Parinov, A.S. Samoylov
CT and MRI in Diagnostic Practice at the A.I. Burnazyan Federal Medical Biological Center:
Opportunities for Optimizing Studies to Reduce Radiation Exposure
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: E.I. Matkevich, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: To analyze the frequency and structure of computed tomography (CT) and magnetic resonance imaging (MRI) studies at the A.I. Burnazyan Federal Medical Biophysical Center from 2020 to 2023 by major anatomical regions, to assess the potential for reducing radiation exposure in CT.
Material and methods: The number and structure of CT and MRI studies performed at a multidisciplinary medical institution from 2020 to 2023 were analyzed. During this period, a total of 62,340 CT studies were conducted on three multispiral CT scanners, and 29,942 MRI studies were conducted on four high-field MRI scanners. The primary areas of study, as per form No. 30 approved by Rosstat Order No. 681 dated December 25, 2023, include the head, neck, chest, heart and blood vessels, abdominal cavity, retroperitoneal space, pelvis, spine and spinal cord, bones, soft tissues and mammary glands. The number of studies in these areas, both with and without administration of intravenous contrast, was evaluated.
Results: An increase of 1.2 times in the total number of CT studies and 1.5 times in the total number of MRI studies was established in 2023 compared to 2020. At the same time, in 2023, the number of CT studies was 2.2 times higher than the number of MRI studies. In the structure of CT studies for the entire period from 2020 to 2023, the main share fell on the abdominal and retroperitoneal space (35.2–53. %) and chest (33.4–42.9 %), in the structure of MRI during this period, head studies prevailed (28.9–36.6 %), bones and MT (14.3–21.1 %), and spine (20.1–27.5 %). When assessing the ratio of CT and MRI frequencies, a significant predominance of CT over MRI was established for the abdominal and retroperitoneal space (in 2023 – 7.5 times). In the areas of head, neck, pelvis, spine, bones and MT, the prevalence of MRI studies over CT was found to be from 1.1 to 13.9 times.
Conclusion: A growth in the number of CT and MRI studies was recorded at the A.I. Burnazyan Federal Medical Biophysical Center during the period from 2020 to 2023 in 2 time, which aligns with the data from the State Report “On the State of Sanitary and Epidemiological Well-being of the Population in the Russian Federation in 2022”. The area of abdominal and retroperitoneal space studies can be considered as the primary potential for increasing the share of MRI studies, following an additional assessment of indication optimization, to reduce patient radiation exposure.
Keywords: multidisciplinary clinic, radiology diagnostics, CT, MRI, number of studies, research structure
For citation: Matkevich EI, Bashkov AN, Parinov OV, Samoylov AS. CT and MRI in Diagnostic Practice at the A.I. Burnazyan Federal Medical Biological Center: Opportunities for Optimizing Studies to Reduce Radiation Exposure. Medical Radiology and Radiation Safety. 2025;70(1):30–38. (In Russian). DOI:10.33266/1024-6177-2025-70-1-30-38
References
1. Tyurin I.Ye. Radiation Diagnostics in the Russian Federation. Onkologicheskiy Zhurnal: Luchevaya Diagnostika, Luchevaya Terapiya = Oncological Journal: Radiation Diagnostics, Radiation Therapy. 2018;14:43-51 (In Russ.). doi: 10.37174/2587-7593-2018-1-4-43-51
2. On the State of Sanitary and Epidemiological Well-Being of the Population in the Russian Federation in 2022. State report. Moscow, Federal Service for Supervision of Consumer Rights Protection and Human Welfare Publ., 2023. 368 p. (In Russ.).
3. On the State of Sanitary and Epidemiological Well-Being of the Population in the Russian Federation in 2014: State report. Moscow, Federal Service for Supervision of Consumer Rights Protection and Human Welfare Publ., 2015. 206 p. (In Russ.).
4. Shuxia Hao, Mengxue Li, Shengnan Fan, Hui Xu, Jinsheng Cheng, Jun Deng An Analysis of the Status of Diagnostic Radiology Equipment in China. Radiation Medicine and Protection. 2023;4;4:170-175. doi: 10.1016/j.radmp.2023.08.001 DOI:10.1016/j.radmp.2023.08.001
5. On the State of Sanitary and Epidemiological Well-Being of the Population in the Russian Federation in 2017. State report. Moscow Publ., 2018. 268 p. (In Russ.).
6. Kontorovich D.I., Rudnev A.O., Pak V.I. On the Issue of Organizing Radiation Diagnostics in Russia. Problemy Gigiyenicheskoy Bezopasnosti i Profilaktiki Narusheniy Trudosposobnosti u Rabotayushchikh = Problems of Hygienic Safety and Prevention of Disabilities in Workers. Proceedings of the All-Russian Scientific and Practical Internet Conference with International Participation. Nizhny Novgorod, November 29-30, 2023. Nizhny Novgorod, Medial’ Publ., 2023. P. 232-236 (In Russ.).
7. Golubev N.A., Ogryzko Ye.V., Tyurina Ye.M, et al. Features of the Development of the Radiation Diagnostic Service in the Russian Federation for 2014-2019. Sovremennyye Problemy Zdravookhraneniya i Meditsinskoy Statistiki = Current Problems of Health Care and Medical Statistics. 2021;2:356 – 376 (In Russ.). doi: 10.24412/2312-2935-2021-2-356-376.
8. Martella M., Lenzi J., Gianino M.M. Diagnostic Technology: Trends of Use and Availability in a 10-Year Period (2011-2020) among Sixteen OECD Countries. Healthcare (Basel). 2023 Jul 20;11;14:2078. doi: 10.3390/healthcare11142078. PMID: 37510518; PMCID: PMC10378781.
9. Morrill S., Baerlocher M.O., Patlas M.N., Kanani S., Kantarevic J., van der Pol C.B. CT, MRI, and Medical Radiation Technologist Trends in Ontario. Can Assoc Radiol J. 2024 May;75;2:432-434. doi: 10.1177/08465371231209923. Epub 2023 Nov 6. PMID: 37932882.
10. Methodological Recommendations for Ensuring Radiation Safety. Filling out Forms of Federal State Statistical Observation No. 3-DOZ dated 16.02.2007 No. 0100/1659-07-26 (In Russ.).
11. On Approval of federal statistical monitoring forms with instructions for filling them out for the organization by the Ministry of Health of the Russian Federation: Order of Rosstat dated 25.12.2023 No. 681 (In Russ.).
12. Morozov S.P., Ivanova G.V., Burmistrov D.S., Shapiyeva A.N. Informativnost’ Metodov Luchevoy Diagnostiki pri Razlichnykh Patologicheskikh Sostoyaniyakh. Razdel 6. Luchevaya Diagnostika Zabolevaniy Serdechno-Sosudistoy Sistemy = Information Content of Radiation Diagnostic Methods for Various Pathological Conditions. Section 6. Radiation Diagnostics of Cardiovascular Diseases. Guidelines. Ed. S.P. Morozov. Series “Best Practices in Radiation and Instrumental Diagnostics”. Issue 52. Moscow Publ., 2020. 24 p. (In Russ.).
13. Badawy M.K., Lane H., Galea M. Radiation Dose Associated with Over Scanning in Neck CT. Curr Probl Diagn Radiol. 2019 Jul-Aug;48;4:359-362. doi: 10.1067/j.cpradiol.2018.05.010. Epub 2018 May 24. PMID: 31130179.
14. Garba I., Zarb F., McEntee M.F., Fabri S.G. Computed Tomography Diagnostic Reference Levels for Adult Brain, Chest and Abdominal Examinations: a Systematic Review. Radiography (Lond). 2021 May;27;2:673-681. doi: 10.1016/j.radi.2020.08.011. Epub 2020 Sep 15. PMID: 32948454.
15. Matkevich Ye.I., Sinitsyn V.Ye., Mershina Ye.A. Comparative Survey of Radiation Doses to Patients in Computed Tomography in a Federal Hospital. Vestnik Rentgenologii i Radiologii. = Bulletin of Roentgenology and Radiology. 2016;97;1:33-39 (In Russ.). doi:10.20862/0042-4676-2016-97-1-33-40.
16. Osipov M.V. Computed Tomography as a Risk Factor for Malignant Neoplasms among the Population of the Nuclear Industry City of Ozersk. Radiatsiya i Risk (Byulleten’ Natsional’nogo Radiatsionno-Epidemiologicheskogo Registra) = Radiation and Risk (Bulletin of the National Radiation and Epidemiological Registry). 2023;32;3:109-121 (In Russ.). doi: 10.21870/0131-3878-2023-32-3-109-121.
17. Zhuk Ye.G. Algorithm for the Application of Radiation Diagnostic Methods in Assessing the Prevalence of Cervical Cancer. Zdravookhraneniye (Minsk) = Healthcare (Minsk). 2022;6;903:53-58 (In Russ.)
18. Reva S.A., Shaderkin I.A., Zyatchin I.V., Arnautov A.V., Petrov S.B., Shaderkina V.A. Examination of high-risk prostate cancer patients: real practice in Russia. Eksperimental’naya i Klinicheskaya Urologiya = Experimental and Clinical Urology, 2021;14;3:80-85 (In Russ.). doi: 10.29188/2222-8543-2021-14-3-80-85.
19. Morozov S.P., Ivanova G.V., Burmistrov D.S., Shapiyeva A.N. Informativnost’ Metodov Luchevoy Diagnostiki pri Razlichnykh Patologicheskikh Sostoyaniyakh. Razdel 4. Diagnostika Patologicheskikh Sostoyaniy i Zabolevaniy Tsentral’noy Nervnoy Sistemy = Information Content of Methods of Radiation Diagnostics in Various Pathological Conditions. Section 4. Diagnostics of Pathological Conditions and Diseases of the Central Nervous System. Ed. S.P.Morozov. Series Best Practices of Radiation and Instrumental Diagnostics. Issue 17. Moscow Publ., 2018. 20 p. (In Russ.).
20. 2.6.1. Ionizing Radiation, Radiation Safety. Monitoring Effective Doses of Radiation to Patients During Medical X-ray Examinations. Guidelines 2.6.1.2944-11. (approved by the Chief State Sanitary Doctor of the Russian Federation on 19.07.2011) (as amended on 30.10.2019) (In Russ.).
21. Buldakov L.A., Kalistratova V.S. Radioaktivnoye Izlucheniye i Zdorov’ye = Radioactive Radiation and Health. Moscow, Inform-Atom Publ., 2003. 165 p. (In Russ.).
22. Kalistratova V.S. The Role of Dose Rate in the Occurrence of Stochastic Effects and Reduction of Life Expectancy Under the Influence of Incorporated Radionuclides and External Radiation Sources. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost = Мedical Radiology and Radiation Safety. 2004;49;3:5-27 (In Russ.).
23. Ivanov I.V. Iskhodnaya Reaktivnost’ Organizma i Radiatsionnyye Vozdeystviya v Malykh Dozakh = Initial Reactivity of Organism and Radiation Effects in Small Doses: Moscow, RMAPO Publ., 2010. 272 p. (In Russ.).
24. Ivanov I.V. Kriterial’nyye Pokazateli Vozdeystviya Ioniziruyushchikh Izlucheniy v Subletal’nykh i Letal’nykh Dozakh = Criterial Indicators of the Impact of Ionizing Radiation in Sublethal and Lethal Doses. Methodological manual. Moscow, RMAPO Publ., 2005. 56 p. (In Russ.).
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.10.2024. Accepted for publication: 25.11.2024.