(ALARA) 'As low as reasonably achievable' is a precautionary principle that should be part of basic radiation safety considerations in protection to the exposure as well as in other technologies of the medical, the nuclear and the industrial fields.
ALARA is based on three principles: Justification means that possible exposure to humans should yield a sufficient benefit to society to justify the risks of the radiation exposure. The ICRP in 1977 states that 'all exposures shall be kept as low as reasonably achievable, economic and social factors being taken into account'. The radiation exposure must be reduced to the lowest level possible, considering the costs of such a limitation in dose.

Dosage is an important factor in the use of ionization radiation as well as in application of contrast agents or radiopharmaceuticals and the dosage should be comply with the ALARA principle (As Low As Reasonably Achievable).
Ionizing radiation comes from natural and artificial sources. Radiation effects depend on the type of radiation, and various units are used for measurement of dosages including gray, sievert, radiation absorbed dose (RAD), roentgen equivalent in man (REM), and roentgen. The amount of radiopharmaceutical given to a patient is measured in becquerels (Bq).
The dosage of contrast media in radiographic or computer-tomographic procedures should be tailored according to the diagnostic indications, the iodine concentration, and the patient's body size and age.

See also Administrative Dose Guidelines.

Image quality is an important value of all radiographic imaging procedures. Accurate measures of both image quality and patient radiation risk are needed for effective optimization of diagnostic imaging. Images are acquired for specific purposes, and the result depends on how well this task is performed. The imaging performance is mainly influenced by the imaging procedure, examined object, contrast agents, imaging system, electronic data processing, display, maintenance and the operator. Spatial resolution (sharpness), contrast resolution and sensitivity, artifacts and noise are indicators of image quality.
A high image contrast provides the discrimination between tissues of different densities.
The image resolution states the distinct visibility of linear structures, masses and calcifications.
Noise and artifacts degrade the image quality. In computed tomography (CT), high spatial resolution improves the visibility of small details, but results in increased noise. Increased noise reduces the low contrast detectability. Noise can be reduced by the use of large voxels, increased radiation dose, or an additional smoothing filter, but this type of filter increases blurring.
An image acquisition technique taking these facts into account maximizes the received information content and minimizes the radiation risk or keeps it at a low level.

See also As Low As Reasonably Achievable.

Radiation can ionize matter caused by the high energy which displaces electrons during interactions with atoms. In the electromagnetic spectrum higher frequency ultraviolet radiation begins to have enough energy to ionize matter.
Examples of ionizing radiation include alpha particles, beta particles, gamma rays, x-rays, neutrons, high-speed electrons, high-speed protons, and other particles capable of producing ions by direct or secondary processes in passage through tissues.
Damage of living tissue results from the transfer of energy to atoms and molecules in the cellular structure. Ionized cells have to repair themselves to remain alive. Generally, healthy cells have a higher capability to repair themselves than cancer cells.

Biological effects of ionizing radiation exposure:
Ionizing radiation are used in a wide range of facilities, including health care, research institutions, nuclear reactors and their support facilities, and other manufacturing settings. These radiation sources can pose a serious hazard to affected people and environment if not properly controlled.

See also Radiation Safety, Controlled Area, Radiotoxicity and As Low As Reasonably Achievable.

Radiation safety concerns the safe use of ionizing radiation. The radiation exposure has to be controlled to protect people and the environment from unnecessary exposure and the damaging effect to the health. Legal regulations require that radiation exposure (individual radiation exposure as well as collective dose) must be kept as low as reasonably achievable.
The electromagnetic spectrum includes x-rays, gamma rays, ultraviolet radiation, visible light, infrared radiation, and radio waves. Additionally, there are several types of particulate radiation e.g., alpha and beta particles. All types of radiation are used in a wide range of medicine, industry, research and communication. Radiation risks can occur due to either long-term low level exposure or short-term high level exposure. A well-functioning dosimetry program is essential for a safe use and for compliance with federal and state regulations.

Three basic rules have to be observed for a safe use of ionizing radiation.

See also Inverse Square Law, Administrative Dose Guidelines and Annual Dose Limit.