Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: A five-year study

Journal of Clinical Gastroenterology

Volumn 45, Issue 1, 2011, Pages 34-39

  Kroeker, Karen I ^a   Lam, Simon ^a   Birchall, Iain ^a   Fedorak, Richard N ^a  

^a UNIVERSITY OF ALBERTA   (Canada)

Author keywords

computed tomography; Crohn's disease; inflammatory bowel diseases; radiation

Indexed keywords

ABDOMINAL RADIOGRAPHY; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CROHN DISEASE; DATA BASE; DIAGNOSTIC IMAGING; ENTERITIS; FEMALE; HUMAN; IONIZING RADIATION; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RETROSPECTIVE STUDY; ULCERATIVE COLITIS;

ADULT; COLITIS, ULCERATIVE; CROHN DISEASE; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; RADIATION DOSAGE; RADIATION, IONIZING; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 78650937824     PISSN: 01920790     EISSN: None     Source Type: Journal    
DOI: 10.1097/MCG.0b013e3181e5d1c5     Document Type: Article

References (18)

1. Peloquin JM, Pardi DS, Sandborn WJ, et al. Diagnostic ionizing radiation exposure in a population-based cohort of patients with inflammatory bowel disease. Am J Gastroenterol. 2008;103:2015-2022.
2. Newnham E, Hawkes E, Surender SLJ, et al. Quantifying exposure to diagnostic medical radiation in patients with inflammatory bowel disease: are we contributing to malignancy? Aliment Pharmacol Ther. 2007;26:1019-1024.
3. Brenner DJ, Hall EJ. Computed tomography-an increasing source of radiation exposure.NEngl J Med. 2007;357:2277-2284.
4. Sodickson A, Baeyens PF, Andriole KP, et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology. 2009;251:175-184.
5. Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol. 2008;81:362-378.
6. Desmond AN, O'Regan K, Curran C, et al. Crohn's disease: factors associated with exposure to high levels of diagnostic radiation. Gut. 2008;57:1524-1529.
7. Task Group on Control of Radiation Dose in Computed Tomography.Managing patient dose in computed tomography. A report of the International commission on Radiological Protection. Ann ICRP. 2000;30:7-45.
8. The measurement, reporting, and management of radiation dose in CT, Report of the AAPM Task Group 23 of the Diagnostic Imaging Council CT Committee. American Association of Physicists in Medicine. 2008. Report No. 96.
9. Grasty RL, LaMarre JR. The annual effective dose from natural sources of ionising radiation in Canada. Radiat Prot Dosimetry. 2004;108:215-226.
10. Mettler FA, Huda W, Yoshizumi TT, et al. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology. 2008;248:254-263.
11. Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. AJR Am J Roentgenol. 2009;192: 887-892.
12. Wold BP, Fletcher JG, Johnson CD, et al. Assessment of small bowel Crohn disease: noninvasive peroral CT enterography compared with other imaging methods and endoscopy- feasibility study. Radiology. 2003;229:275-281.
13. Sinha R, Murphy P, Hawker P, et al. Role of MRI in Crohn's disease. Clin Radiol. 2009;64:341-352.
14. Pallotta N, Tomei E, Viscido A, et al. Small intestine contrast ultrasonography-an alternative to radiology in the assessment of small bowel disease. Inflamm Bowel Dis. 2005;11:146-153.
15. Palmer L, Herfarth H, Porter CQ, et al. Diagnostic ionizing radiation exposure in a population-based sample of children with inflammatory bowel diseases. Am J Gastroenterol. 2009; 104:2816-2823.
16. Fazel R, Krumholz HM, Wang Y, et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009;361:849-857.
17. Forbes A, Reading NG. Review article: the risks of malignancy from either immunosuppression or diagnostic radiation in inflammatory bowel disease. Aliment Pharmacol Ther. 1995;9: 465-470.
18. Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003;100: 13761-13766.