Chiropractors must comply with the provisions of the Code of practice for radiation protection and the application of ionizing radiation by chiropractors (2009) (ARPANSA Code) (or any subsequent version as published by the Australian Radiation Protection and Nuclear Safety Agency), and applicable commonwealth, state or territory laws in relation to best practice (see the Publications section on the APRANSA website).
This is in addition to their obligations under the Health Practitioner Regulation National Law, as in force in each state and territory (National Law).
The ARPANSA Code relates to the end exposure to radiation and therefore applies to both the decision to obtain radiographic imaging and the taking of radiographic images. The aim of the guidelines is to ensure that the radiation dose received by a chiropractic patient is as low as possible.
This means that radiographic imaging must only be undertaken when the benefits outweigh the harms, and that it is administered at the lowest dose possible.
Therefore, before a procedure involving exposure of an individual to ionising radiation is approved or commenced, the indications for it must be clinically justified in an evidence based context by the chiropractor.