Ravels · Medical practice and diagnostic imaging

An unnecessary
scan is nota favour.

Every examination using ionising radiation has to be justified: the benefit to you must outweigh the harm, and a radiation-free alternative has to be considered first. A request from a patient is not itself a justification, which surprises people.

  • 2008practice since
  • Nonepatient limit
  • ALARAthe dose
  • Ravelsand Vosselaar
BEFORE AN EXAMINATION Two questions first 50 % complete Is it justified at all? Is there a way without? Then the lowest dose And the result explained Fees on request Stated in advance Next step « We reply within 2 business days »
The practice

Four things, described plainly

This page describes what the practice does. It is not advice and it is not an encouragement to seek any examination.

How it works

How the practice works

Ask whether an examination is justified before asking how to do it, consider whether anything without radiation answers the same question, keep the dose as low as reasonably achievable, and explain a result rather than issuing it.

Fees stated in advance

On request, before rather than after.

Justification first

Including the decision not to examine.

Dose kept low

As low as reasonably achievable.

Results explained

In clinical context, not in isolation.

Working together

Fees

Fees are in euro and are those applicable to the practice. They are stated in advance on request, before an appointment rather than after it.

Consultation

The applicable fee, told to you beforehand.

  • Convention status stated
  • Any supplement said in advance
  • No charge found at invoicing
  • Errors corrected and refunded
  • Reimbursement is for your fund
Get in touch

What is not here

Absent on purpose, not by oversight.

  • No patient testimonials
  • No comparison with others
  • No success rates
  • No promised outcomes
  • No scan on request alone
Read why

Every engagement is quoted after a free consultation. No subscription.

A typical week Mon Contact Tue Consult Wed Justify Thu Examine Fri Explain
How we work

Protection without a ceiling

DR. CAROLINE COENE BV was created on 25 March 2008 and is registered with the Crossroads Bank for Enterprises under number 0896.700.167, with its registered office at 1 Weteringstraat in Ravels and a further establishment at 54 Diepvenneke in Vosselaar. The registered activities are general medical practice and diagnostic imaging and medical laboratory activities.

Radiation protection for patients works differently from how most people assume, and the difference is worth understanding. Workers and members of the public are protected by dose limits, a ceiling that must not be exceeded. There is no such limit for a patient undergoing a medical exposure, because a limit would sometimes prevent an examination that was genuinely needed. What protects a patient instead are two principles applied before and during every exposure. Justification asks whether the examination should happen at all: the expected benefit for that individual must outweigh the harm, and an alternative achieving the same objective with no radiation or less of it has to be considered first. Optimisation asks how: the dose is kept as low as reasonably achievable while still answering the clinical question. The consequence of the first principle is the one patients find hardest, which is that asking for a scan is not a justification for one, and that agreeing to an unnecessary examination is not an act of service. Ultrasound sits outside all of this, using no ionising radiation at all, and the two are confused often enough to be worth separating.

See how we work

Frequently asked

The questions we get most

Why might a scan be refused when I have asked for one?

Because an examination using ionising radiation has to be justified, and a request is not itself a justification. The expected benefit for you must outweigh the harm the exposure causes, and an alternative achieving the same thing without radiation has to be considered. Carrying out an unjustified examination is an exposure with nothing on the other side of the scale, and it can also produce a finding that leads to further investigation without ever helping you.

Is there a limit on how much radiation a patient can receive?

No, and that surprises people. Dose limits apply to workers and to the public, but not to a patient undergoing a medical exposure, because a ceiling would sometimes block an examination that was genuinely necessary. Protection is delivered instead through justification, deciding whether the exposure should happen, and optimisation, keeping the dose as low as reasonably achievable for the diagnostic purpose.

Does an ultrasound involve radiation?

No. Ultrasound uses no ionising radiation at all, so the justification and optimisation framework described here does not apply to it in the same way. The two get confused constantly, which is why they are separated plainly. If a question can be answered with ultrasound rather than with an examination using radiation, that is exactly the sort of alternative the justification principle requires to be considered.

What if I am pregnant, or might be?

Tell the practice before any examination involving ionising radiation, and tell us even if you are unsure. The information changes the assessment, sometimes changes the technique and sometimes means the examination is deferred or replaced. It is not an awkward question and nobody minds being told after the fact that the answer turned out to be no.

Will I just be given my results?

You will be given them and they will be explained. A result read in isolation misleads more often than it informs, because the meaning of a finding depends on the clinical picture it sits in. You also have a right to a carefully kept record, a right of access to it and a right to obtain a copy, along with the right to information, to free and informed consent and to bring a complaint to the competent mediation service.

Why does this site tell me so little about what you treat?

Because the rules governing what a doctor may say publicly exclude comparisons with other practitioners, claims of superiority, patient testimonials, success rates and any promise about an outcome. A page containing those would be both prohibited and untrue in the way an advertisement needs them to be. What belongs here is practical information, which is why radiation protection and your rights take up the space instead.

Need to contact the practice?

Fees are stated in advance on request. In an emergency, contact the emergency services.