Member States shall ensure that:

1. (a)

   written protocols for every type of standard medical radiological procedure are established for each equipment for relevant categories of patients;

2. (b)

   information relating to patient exposure forms part of the report of the medical radiological procedure;

3. (c)

   referral guidelines for medical imaging, taking into account the radiation doses, are available to the referrers;

4. (d)

   in medical radiological practices, a medical physics expert is appropriately involved, the level of involvement being commensurate with the radiological risk posed by the practice. In particular:

   1. (i)

      in radiotherapeutic practices other than standardised therapeutic nuclear medicine practices, a medical physics expert shall be closely involved;

   2. (ii)

      in standardised therapeutical nuclear medicine practices as well as in radiodiagnostic and interventional radiology practices, involving high doses as referred to in point (c) of Article 61(1), a medical physics expert shall be involved;

   3. (iii)

      X1for other medical radiological practices not covered by points (i) and (ii), a medical physics expert shall be involved, as appropriate, for consultation and advice on matters relating to radiation protection concerning medical exposure.

5. (e)

   clinical audits are carried out in accordance with national procedures;

6. (f)

   appropriate local reviews are undertaken whenever diagnostic reference levels are consistently exceeded and that appropriate corrective action is taken without undue delay.