RT Journal Article SR Electronic T1 NATIONAL DIAGNOSTIC REFERENCE LEVELS FOR NUCLEAR MEDICINE IN KUWAIT JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP jnmt.121.262175 DO 10.2967/jnmt.121.262175 A1 Mashari Alnaaimi A1 Mousa Alduaij A1 Musab Algaily A1 Fisal Shanawey A1 Talal Mohammedzein A1 Farida Alkandri A1 Mohamed Shaban A1 Saud Alenezi YR 2021 UL http://tech.snmjournals.org/content/early/2021/09/27/jnmt.121.262175.abstract AB The diagnostic reference level (DRL) is an optimization tool of patients exposure used to evaluate and provide guidance for radiation doses in medical imaging. In the past few decades, there has been a global increase in the number of diagnostic imaging procedures, including nuclear medicine procedures, and consequently the patient radiation exposure. This has encouraged international and national healthcare organizations to take actions and keep up with such changes to meet the expectations of an increasing use of ionizing radiation in medicine. The DRL in Kuwait was established by investigating the administered activity of radiopharmaceuticals and computed tomography (CT) radiation doses in hybrid imaging systems. The DRL were determined based on the 75th percentile of radiopharmaceuticals administered activity distribution as recommended by the international commission on radiation protection (ICRP). This study presents the establishment process and results of the first national DRLs for nuclear medicine procedures in Kuwait as a way to optimize radiation exposure. The DRLs determined in Kuwait are in good agreement with other published DRLs in Europe, Japan, Korea, Australia and the US.