Fees stated in advance
On request, before rather than after.
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.
This page describes what the practice does. It is not advice and it is not an encouragement to seek any examination.
General medical activities, carried on under the applicable professional regulation.
See the programDeciding whether an examination using ionising radiation should happen at all.
See the programImaging carried out with the dose kept as low as reasonably achievable.
See the programResults interpreted in clinical context, and a record you can access.
See the programAsk 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.
On request, before rather than after.
Including the decision not to examine.
As low as reasonably achievable.
In clinical context, not in isolation.
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.
The applicable fee, told to you beforehand.
Carried out only where it is justified.
Absent on purpose, not by oversight.
Every engagement is quoted after a free consultation. No subscription.
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.
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.
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.
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.
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.
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.
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.
Fees are stated in advance on request. In an emergency, contact the emergency services.