Experiences of medical physicists and radiographers with automated dose monitoring software tools in computed tomography

Dose monitoring software (DMS) tools have been introduced to automate the collection and analysis of patient radiation exposure data. However, their practical benefits and challenges in clinical settings remain underexplored. This study aimed to examine the experiences of medical physicists and radiographers using DMS in computed tomography in Australia, focusing on perceived benefits, challenges, and opportunities to optimise their use. An online survey was distributed through national professional organisations and social media. The survey included multiple-choice, Likert-scale, and open-ended questions on participant demographics, DMS experience, perceived impact on workflow, staff and patients, as well as participant recommendations. Descriptive statistics were used to analyse quantitative data, and thematic analysis was applied to qualitative responses. A total of 71 complete responses were received, with 44% reporting prior DMS experience, most of whom were medical physicists (77%). Participants generally reported positive experiences with DMS. Compared to manual methods of dose data collection/analysis, 97% agreed that DMS improved efficiency, with 74% and 71% reporting reductions in time and staff demands, respectively. Additionally, 58% found DMS easy to use, and 74% agreed it would help reduce overall patient radiation exposure. Key reported benefits included workflow efficiency, automated benchmarking, and improved radiation awareness. Challenges included complex setup, infrastructure requirements, data accuracy issues, and potential misunderstanding of DMS data. Recommendations centred on staff training, clear role assignment, and routine data validation. The findings demonstrate positive end-user experiences with the use of DMS to enhance radiation safety and workflow efficiency in radiology. The results also highlight the importance of a structured plan for implementing and operating DMS.