Radiation protection in medicine: Ethical framework revisited

Radiation Protection Dosimetry

Volumn 135, Issue 2, 2009, Pages 71-78

  Malone, J F ^a  

^a ST JAMES S HOSPITAL   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

CULTURAL FACTOR; DOSIMETRY; HEALTH CARE COST; HEALTH CARE SYSTEM; HUMAN; LEGAL ASPECT; MEDICAL ETHICS; MEDICAL PRACTICE; MEDICAL PROFESSION; MEDICAL SPECIALIST; PUBLIC HEALTH; RADIATION EXPOSURE; RADIATION HAZARD; RADIATION PROTECTION; RADIOLOGIST; REVIEW; UNITED KINGDOM; VERBAL COMMUNICATION; WORKSHOP;

CULTURAL CHARACTERISTICS; DIAGNOSTIC IMAGING; ETHICS, MEDICAL; HUMANS; MASS MEDIA; PROGRAM DEVELOPMENT; RADIATION DOSAGE; RADIATION INJURIES; RADIATION PROTECTION; RADIOLOGY; RADIOMETRY;

EID: 67651113694     PISSN: 01448420     EISSN: None     Source Type: Journal    
DOI: 10.1093/rpd/ncp010     Document Type: Review

References (53)

1. Malone, J. F. New ethical issues for radiation protection in diagnostic radiology. Radiat. Prot. Dosim. 129(1-3), 6-12 (2008), 10.1093/rpd/ncn012.
2. Faulkner, K., Schultz, F. W. and Zoetlief, H., Eds. Safety and efficacy for new techniques and imaging using new equipment to support European Legislation. Radiat. Prot. Dosim. 129, 358 pp. (2008) (special issue).
3. Schreiner-Karoussou, A. Review of existing issues, ethics and practices in general medical research and in radiation protection research. Radiat. Prot. Dosim. 129(1-3), 303-306 (2008), 10.1093/rpd/ncn146.
4. Bryman, A. Ethnography and participant observation Chapter 14. In: Social Research Methods (Oxford: Oxford University Press) (2001).
5. Fulcher, J. and Scott, J. Sociology (Oxford: Oxford University Press) (1999).
6. Wilson, G. B. Clericalism: The Death of Priesthood (Collegeville, Minnesota: Liturgical Press) (2008).
7. Wilson, J. Clericalism: The Death of Priesthood (Collegeville, Minnesota: Liturgical Press) pp. 3-9 (2008).
8. Malone, J. Images and reflections on the school's theme: Orthodoxies and heresies in science, medicine and popular culture. In: The New Ireland and its Sacred Cows: Orthodoxies and Heresies at the Merriman Summer School 2004. Malone, J. Ed. (Dublin: The Liffey Press) pp. 9-26 (2005).
9. Malone, J. Ed. The New Ireland and its Sacred Cows: Orthodoxies and Heresies at the Merriman Summer School 2004. (Dublin: The Liffey Press) 193+xi pp. (2005).
10. Mc Adams, D. P. The Stories We Live By: Personal Myths and the Making of the Self (New York and London: The Guilford Press) (1993).
11. Shea, J. Stories of God: An Unauthorised Biography (Chicago: The Thomas More Press) (1978) and Booker, C. The Seven Basic Plots: Why We Tell Stories (London and New York: Continuum) 728 pp. (2004).
12. Steak and Kidney Pie, from Damien Hirst's "The Last Supper Series". Tate on line. Available on http://www.tate.org.uk/servlet/ ViewWork?cgroupid=999999961&workid=26766&searchid= 10034&tabview=text and Economic Expert.Com at http://www.economicexpert.com/a/Damien:Hirst.htm (both accessed on 29/12/2008).
13. Biondi-Zoccai, G. G. L., Abbate, A., Agostoni, P., Testa, L., Burzotta, F., Lotrionte, M., Trani, C. and Biasucci, L. M. Long-term benefits of an early invasive management in acute coronary syndromes depend on intracoronary stenting and aggressive antiplatelet treatment: A metaregression. Am. Heart J. 149(3), 504-511 (2005). Available on http://linkinghub.elsevier.com/retrieve/pii/S0002870304007781
14. Di Mario, C. and Sutaria, N. Coronary angiography in the angioplasty era: Projections with a meaning. Heart 91(7), 968-976 (2005).
15. Mac Cormaic, R. Director of Public Prosecutions (DPP) drops case over hepatitis C infections scandal. Irish Times, 13 December 2008. Available on http://www.irishtimes.com/newspaper/ireland/2008/1213/ 1229035663522.html and Case against biochemist dropped. RTE News Report. Available on http://www.rte.ie/news/2008/1212/ hepatitisc_av.html?2462554,null, 230 (both accessed on 29/12/2008). Charging and arrest of participants in Dawn Raid. 2008. Irish Independent, 7th Feb 2007. For background: http://positiveaction.ie/ history.html
16. DOHC (Department of Health and Children). Report of the Expert Group on the Blood Transfusion Board (Dublin: The Stationery Office) (1995).
17. DOHC (Department of Health and Children). Report of the Tribunal of Inquiry into the Infection with HIV and Hepatitis C of Persons with Haemophilia and Related Matters (Dublin: The Stationery Office) (2006). Online available on: http://www.dohc.ie/publications/ lindsay.html (accessed 1 May 2007).
18. Corbett, R. and Corbett, R. Ethical issues, justification, referral criteria for budget limited and high dose procedures. Radiat. Prot. Dosim. 2009 (in press).
19. Durand-Zaleski, I. Organisations and delivery of imaging services: The contribution of ethics and political economy. Radiat. Prot. Dosim. 2009 (in press).
20. Sia, S. Ethical issues in radiology: A philosophical perspective. Also see, Justification and radiology: Some ethical considerations Radiat. Prot. Dosim. 2009 (in press).
21. Warnock, M. An Intelligent Person's Guide to Ethics (London and New York: Duckworth Overlook) (1998).
22. Wolpert, L. The Unnatural Nature of Science (London and Boston: Faber and Faber) 1992.
23. McEwan, I. Saturday. (London: Jonathan Cape) (2005).
24. Dawkins, R. The God Delusion (London: Black Swan) (2007).
25. Sheehan, M. Ethics and policy: Dealing with public attitudes. Radiat. Prot. Dosim. 129(1-3), 295-298 (2008), 10.1093/rpd/ncn044.
26. Hunter, N. Consent and communication: A commentary. Radiat. Prot. Dosim. (2009) (in press).
27. Hogan, L. Ethical issues in radiology: Perspectives from the Christian tradition. Radiat. Prot. Dosim. (2009) (in press)
28. Hoffman, B. and Lysdahl, K. B. Moral principles and medical practice: the role of patient autonomy in the extensive use of radiological services. J. Med. Ethics 34, 446-449 (2008).
29. Alaszewski, A. and Horlick-Jones, T. How can doctors communicate information about risk more effectively? BMJ 327(7417), 728-731 (2003), 10.1136/bmj.327.7417.728.
30. Bellaby, P. Communication and miscommunication of risk: Understanding UK parents' attitudes to combined MMR vaccination. BMJ 327 (7417), 725-728 (2003), 10.1136/bmj.327.7417.725.
31. ICRP. Radiological protection in medicine, Publication 105. Ann. ICRP 37(6), 1-63 (2007).
32. ICRP. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann. ICRP 37 (2-4), 1-332 (2007).
33. Shiralkar, S., Rennie, A., Snow, M., Galland, R. B., Lewis, M. H. and Gower-Thomas, K. Doctors' knowledge of radiation exposure: questionnaire study. BMJ 327(7411), 371-372 (2003), 10.1136/ bmj.327.7411.371.
34. Lee, C. I., Haims, A. H., Monico, E. P., Brink, J. A. and Forman, H. P. Diagnostic CT scans: Assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 231(2), 393-398 (2004).
35. Soye, J. A. and Paterson, A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br. J. Radiol. 81 725-729 (2008).
36. Picano, E. Informed consent and communication of risk from radiological and nuclear medicine examinations: How to escape from a communication inferno. BMJ 329(7470), 849-851 (2004), 10.1136/ bmj.329.7470.849.
37. Shulman, M. Facing a CT scan? Think about radiation. US News and World Report (30 May 2008). Available on http://health.usnews.com/ articles/health/cancer/2008/05/30/ facing-a-ct-scan-think-about-radiation.html (accessed 29 December 2008).
38. Baskerville, J. R. Screening patients with multi-detector computed axial tomography (MDCT): When will we inform patients about risks of radiation. Emerg. Med. J. 25(8), 323-324 (2008).
39. Brenner, D. J. and Hall, E. J. Current concepts - computed tomography - an increasing source of radiation exposure. N. Engl. J. Med. 357 2277-2284 (2007).
40. IAEA. Report of justification 1 meeting. This Proceedings (2009).
41. Schreiner-Karoussou, A. Review of existing issues and practices with respect to irradiation of patients and staff during pregnancy. Radiat Prot. Dosim. 129(1-3), 299-302 (2008).
42. Ratnapalan, S. et al. Physicians' perception of teratogenic risk associated with radiography and CT during early pregnancy. Am. J. Roentgenol. 182, 1107-1109 (2004), 10.1093/rpd/ncn145.
43. EU. Medico-legal exposures, exposures with ionising radiation without medical indication. Proceedings of the International Symposium (Luxembourg: European Commission, DG TREN) (2003).
44. Shulman, M. The doctor says get a CT scan. Should you? US News and World Report (28 November 2007). Available on http://health.usnews.com/ articles/health/2007/11/28/the-doctor-says-get-a-ct-scan-should-you.html (accessed 29 December 2008).
45. Mankad, K. and Bull, M. Awareness of "Making the best use of a department of clinical radiology" among physicians. Clin. Radiol. 60, 618-619 (2005).
46. Royal College of Radiologists, R.C.R. Making the Best Use of Clinical Radiology Services: Referral Guidelines (London: Royal College of Radiologists) (2007).
47. Kumar, S., Mankad, K. and Bhartia, B. Awareness of making the best use of a Department of Clinical Radiology among physicians in Leeds Teaching Hospitals, UK. Br. J. Radiol. 80, 140-141 (2007).
48. Eccles, M. et al. Effect of audit and feedback, and reminder messages on primary-care radiology referrals: A randomised trial. Lancet 357(9266), 1406-1409 (2001).
49. Hadley, J. L., Agola, J. and Wong, P. Potential impact of the American College of Radiology appropriateness criteria on CT for trauma Am. J. Roentgenol. 186, 937-942 (2006).
50. Frush, D. R. Pediatric CT quality and dose: Clinical perspective. In: From Invisible to Visible - The Science and Practice of X-ray Imaging and Radiation Dose Optimization. Frush, D. R. and Huda, W., Eds. (Oak Brook, Illinois: Radiological Society of North America) (2006).
51. Picano, E. Sustainability of medical imaging. BMJ 328 (7439), 578-580 (2004), 10.1136/bmj.328.7439.578.
52. O'Reilly, G. and Malone, J. F. Ethical issues in medicolegal exposures. Radiat. Prot. Dosim. 129(1-3), 307-310 (2008), 10.1093/rpd/ncn087.
53. Snow, C. P. The Two Cultures and a Second Look (Cambridge: Cambridge University Press) (1964).