Radiation exposure from radionuclide myocardial perfusion imaging: Concerns and solutions

Journal of Nuclear Cardiology

Volumn 18, Issue 4, 2011, Pages 562-565

  Fazel, Reza ^a,b   Shaw, Leslee J ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b EMORY UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

RADIOISOTOPE;

CANCER RISK; DISEASE ASSOCIATION; HEART SCINTISCANNING; HUMAN; IONIZING RADIATION; LONG TERM EXPOSURE; LOW ENERGY RADIATION; MYOCARDIAL PERFUSION IMAGING; PATIENT EDUCATION; POSTGRADUATE EDUCATION; PRIORITY JOURNAL; PROCESS OPTIMIZATION; RADIATION DOSE; RADIATION EXPOSURE; RADIATION HAZARD; RADIATION PROTECTION; RADIATION SAFETY; REVIEW; RISK BENEFIT ANALYSIS; SMART CARD; SPECIALIZATION; STANDARDIZATION; STRATEGIC PLANNING;

HUMANS; MYOCARDIAL PERFUSION IMAGING; RADIATION PROTECTION; RADIOLOGY;

EID: 80052548292     PISSN: 10713581     EISSN: 15326551     Source Type: Journal    
DOI: 10.1007/s12350-011-9403-y     Document Type: Review

References (20)

1. National Council on Radiation Protection and Measurements. NCRP Report No. 160, Ionizing Radiation Exposure of the Population of the United States. Bethesda, MD: National Council on Radiation Protection and Measurements; March 2009.
2. R Fazel HM Krumholz Y Wang JS Ross J Chen HH Ting, et al. 2009 Exposure to low-dose ionizing radiation from medical imaging procedures N Engl J Med 361 849 857 19710483 10.1056/NEJMoa0901249 1:CAS:528:DC%2BD1MXhtVKhtL7M
3. A Berrington de Gonzalez KP Kim R Smith-Bindman D McAreavey 2010 Myocardial perfusion scans: Projected population cancer risks from current levels of use in the United States Circulation 122 2403 2410 21098448 10.1161/CIRCULATIONAHA.110.941625
4. AJ Einstein MJ Henzlova S Rajagopalan 2007 Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography JAMA 298 317 323 17635892 10.1001/jama.298.3.317 1:CAS:528:DC%2BD2sXotVarsbw%3D (Pubitemid 47080486)
5. United States Nuclear Regulatory Commission Regulations (10 CFR) (2011) Subpart B 20.1101-Radiation protection programs. http://www.nrc.gov/reading-rm/ doc-collections/cfr/part020/part020-1101.html. Last accessed April 26.
6. K Jacob G Vivian JR Steel 2004 X-ray dose training: Are we exposed to enough? Clin Radiol 59 928 934 15451354 10.1016/j.crad.2004.04.020 1:STN:280:DC%2BD2cvot1CmtQ%3D%3D discussion 926-7 (Pubitemid 39276934)
7. CI Lee AH Haims EP Monico JA Brink HP Forman 2004 Diagnostic CT scans: Assessment of patient, physician, and radiologist awareness of radiation dose and possible risks Radiology 231 393 398 15031431 10.1148/radiol.2312030767 (Pubitemid 38552895)
8. AD Quinn CG Taylor T Sabharwal T Sikdar 1997 Radiation protection awareness in non-radiologists Br J Radiol 70 102 106 9059306 1:STN:280:DyaK2s3ht1Cmsg%3D%3D (Pubitemid 27077568)
9. S Shiralkar A Rennie M Snow RB Galland MH Lewis K Gower-Thomas 2003 Doctors' knowledge of radiation exposure: Questionnaire study BMJ 327 371 372 12919987 10.1136/bmj.327.7411.371 1:STN:280:DC%2BD3szotlalsg%3D%3D (Pubitemid 37000070)
10. LT Dauer RH Thornton JL Hay R Balter MJ Williamson J St Germain 2011 Fears, feelings, and facts: Interactively communicating benefits and risks of medical radiation with patients AJR Am J Roentgenol 196 756 761 21427321 10.2214/AJR.10.5956
11. Radiation Exposure in X-ray Examinations. Radiological Society of North America (RSNA), March 30, 2007. http://www.radiologyinfo.org/.
12. R Fazel V Dilsizian AJ Einstein EP Ficaro M Henzlova LJ Shaw 2011 Strategies for defining an optimal risk-benefit ratio for stress myocardial perfusion SPECT J Nucl Cardiol 18 3 385 392 21432002 10.1007/s12350-011-9353-4
13. RG Brindis PS Douglas RC Hendel ED Peterson MJ Wolk JM Allen, et al. 2005 ACCF/ASNC appropriateness criteria for single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI): A report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group and the American Society of Nuclear Cardiology endorsed by the American Heart Association J Am Coll Cardiol 46 1587 1605 16226194 10.1016/j.jacc.2005.08.029 (Pubitemid 41446203)
14. RC Hendel DS Berman MF Di Carli PA Heidenreich RE Henkin PA Pellikka, et al. 2009 ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 appropriate use criteria for cardiac radionuclide imaging: A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine Circulation 119 e561 e587 19451357 10.1161/CIRCULATIONAHA. 109.192519
15. MR Patel JA Spertus RG Brindis RC Hendel PS Douglas ED Peterson, et al. 2005 ACCF proposed method for evaluating the appropriateness of cardiovascular imaging J Am Coll Cardiol 46 1606 1613 16226195 10.1016/j.jacc.2005.08.030 (Pubitemid 41446204)
16. RC Hendel DS Berman MF Di Carli PA Heidenreich RE Henkin PA Pellikka, et al. 2009 ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 Appropriate Use Criteria for Cardiac Radionuclide Imaging: A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine J Am Coll Cardiol 53 2201 2229 19497454 10.1016/j.jacc.2009. 02.013
17. Hendel RC, Cerqueira M, Douglas PS, Caruth KC, Allen JM, Jensen NC, Pan W, Brindis R, Wolk M. A multicenter assessment of the use of single-photon emission computed tomography myocardial perfusion imaging with appropriateness criteria. J Am Coll Cardiol 2010;55(2):156-62.
18. LH Young FJ Wackers DA Chyun JA Davey EJ Barrett R Taillefer, et al. 2009 Cardiac outcomes after screening for asymptomatic coronary artery disease in patients with type 2 diabetes: The DIAD study: A randomized controlled trial JAMA 301 1547 1555 19366774 10.1001/jama.2009.476 1:CAS:528:DC%2BD1MXksVylu7s%3D
19. MD Cerqueira KC Allman EP Ficaro CL Hansen KJ Nichols RC Thompson, et al. 2010 Recommendations for reducing radiation exposure in myocardial perfusion imaging J Nucl Cardiol 17 709 718 20503120 10.1007/s12350-010-9244-0
20. AJ Einstein SD Weiner A Bernheim M Kulon S Bokhari LL Johnson, et al. 2010 Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging JAMA 304 2137 2144 21078807 10.1001/jama.2010.1664 1:CAS:528:DC%2BC3cXhsVyqsrrP