Implementation of the principle of optimization (ALARA), an essential
radiation protection regulations, remains very limited in the medical
field, even though 80% of workers whose exposure exceeds 50 mSv are to
be found in this domain. The doses measured by legal dosimetry someti
mes underestimate the real exposure of workers. It is therefore necess
ary to optimize the protection of occupational exposure in the medical
field. This paper reviews the steps of the optimization procedure wit
h emphasis on specificity of its application in this domain. Operation
al dosimetry as well as information on the residual risk due to low ex
posures and a better estimation of the risk/benefit factor for the pat
ient are needed for satisfactory implementation.