The information imperative: Is it time for an informed consent process explaining the risks of medical radiation?

Radiology

Volumn 262, Issue 1, 2012, Pages 15-18

  Semelka, Richard C ^a   Armao, Diane M ^a   Elias, Jorge ^b   Picano, Eugenio ^c  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

^c INSTITUTE OF CLINICAL PHYSIOLOGY   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

CANCER RISK; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC IMAGING; INFORMED CONSENT; INTERPERSONAL COMMUNICATION; IONIZING RADIATION; MEDICAL INFORMATION; PATIENT DECISION MAKING; PATIENT SAFETY; PRIORITY JOURNAL; RADIATION CARCINOGENESIS; RADIATION DOSE; RADIATION HAZARD; RADIATION SAFETY; REVIEW; RISK BENEFIT ANALYSIS;

EID: 84455206653     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.11110616     Document Type: Review

References (33)

1. Berrington de González A, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet 2004;363(9406):345- 351. (Pubitemid 38169539)
2. Birchard KR, Semelka RC, Hyslop WB, et al. Suspected pancreatic cancer: evaluation by dynamic gadolinium-enhanced 3D gradientecho MRI. AJR Am J Roentgenol 2005;185(3):700-703.
3. Reuter SR. An overview of informed consent for radiologists. AJR Am J Roentgenol 1987;148(1):219-227. (Pubitemid 17005396)
4. Mavroforou A, Giannoukas A, Mavrophoros D, Michalodimitrakis E. Physicians' liability in interventional radiology and endovascular therapy. Eur J Radiol 2003;46(3):240-243. (Pubitemid 36579236)
5. O'Dwyer HM, Lyon SM, Fotheringham T, Lee MJ. Informed consent for interventional radiology procedures: a survey detailing current European practice. Cardiovasc Intervent Radiol 2003;26(5):428-433. (Pubitemid 37486814)
6. Phatouros CC, Blake MP. How much now to tell? patients' attitudes to an information sheet prior to angiography and angioplasty. Australas Radiol 1995;39(2):135-139.
7. Brenner DJ, Hricak H. Radiation exposure from medical imaging: time to regulate? JAMA 2010;304(2):208-209.
8. National Research Council. Executive summary. In: Health risks from exposure to low levels of ionizing radiation - BEIR VII. Washington, DC: National Academies Press, 2005.
9. Brenner D, Elliston C, Hall E, Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 2001;176(2):289-296. (Pubitemid 32105628)
10. Salminen P, Laine S, Gullichsen R. Severe and fatal complications after ERCP: analysis of 2555 procedures in a single experienced center. Surg Endosc 2008;22(9):1965-1970.
11. Ingraham AM, Cohen ME, Ko CY, Hall BL. A current profile and assessment of North American cholecystectomy: results from the American College of Surgeons national surgical quality improvement program. J Am Coll Surg 2010;211(2):176-186.
12. Veterans Health Administration. Disclosure of adverse events to patients. VHA directive 2008-002. Department of Veterans Affairs. http://www1.va.gov/ vhapublications/viewpublication.asp?pub-id=1637. Published January 18, 2008. Accessed November 5, 2010.
13. Brant-Zawadzki M. Diagnostic radiology: major weapon in patient care or weapon of mass destruction? J Am Coll Radiol 2005;2(4):301-303. (Pubitemid 40403773)
14. 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 1991;21(1-3):1-201.
15. Committee on the Biological Effects of Ionizing Radiation, National Research Council. Health effects of exposure to low levels of ionizing radiation - BEIR V. Washington, DC: National Academies Press, 1990.
16. UNSCEAR. 2000 Report to the General Assembly. In: United Nations Scientific Committee on the Effects of Atomic Radiation. New York, NY: United Nations, 2000.
17. What are the radiation risks from CT? U.S. Food and Drug Administration. http://www.fda.gov/cdrh/ct/risks.html. Published 2005. Accessed July 15, 2011.
18. Einstein AJ, Weiner SD, Bernheim A, et al. Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging. JAMA 2010;304(19):2137-2144.
19. Rajaraman P, Simpson J, Neta G, et al. Early life exposure to diagnostic radiation and ultrasound scans and risk of childhood cancer: case-control study. BMJ 2011;342:d472.
20. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009;169(22):2078-2086.
21. Eisenberg MJ, Afilalo J, Lawler PR, Abrahamowicz M, Richard H, Pilote L. Cancer risk related to low-dose ionizing radiation from cardiac imaging in patients after acute myocardial infarction. CMAJ 2011;183(4):430-436.
22. Picano E. Informed consent and communication of risk from radiological and nuclear medicine examinations: how to escape from a communication inferno. BMJ 2004;329(7470):849-851. (Pubitemid 39388415)
23. Malone J, Guleria R, Craven C, et al. Justification of diagnostic medical exposures, some practical issues: report of an International Atomic Energy Agency (IAEA) consultation. Br J Radiol 2011 Feb 22. [Epub ahead of print]
24. Andrieu N, Easton DF, Chang-Claude J, et al. Effect of chest X-rays on the risk of breast cancer among BRCA1/2 mutation carriers in the international BRCA1/2 carrier cohort study: a report from the EMBRACE, GENEPSO, GEO-HEBON, and IBCCS Collaborators' Group. J Clin Oncol 2006;24(21):3361-3366. (Pubitemid 46638890)
25. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 2004;231(2):393-398. (Pubitemid 38552895)
26. Dudzinski DM, Hébert PC, Foglia MB, Gallagher TH. The disclosure dilemma: largescale adverse events. N Engl J Med 2010;363(10):978-986.
27. Hendee WR, Becker GJ, Borgstede JP, et al. Addressing overutilization in medical imaging. Radiology 2010;257(1):240-245.
28. Vartanians VM, Sistrom CL, Weilburg JB, Rosenthal DI, Thrall JH. Increasing the appropriateness of outpatient imaging: effects of a barrier to ordering low-yield examinations. Radiology 2010;255(3):842-849.
29. Baerlocher MO, Detsky AS. Discussing radiation risks associated with CT scans with patients. JAMA 2010;304(19):2170-2171.
30. Coakley FV, Gould R, Yeh BM, Arenson RL. CT radiation dose: what can you do right now in your practice? AJR Am J Roentgenol 2011;196(3):619-625.
31. Larson DB, Rader SB, Forman HP, Fenton LZ. Informing parents about CT radiation exposure in children: it's OK to tell them. AJR Am J Roentgenol 2007;189(2):271-275. (Pubitemid 47195909)
32. Brink JA, Amis ES Jr. Image Wisely: a campaign to increase awareness about adult radiation protection. Radiology 2010;257(3):601-602.
33. Martino A. Patient safety: road map to imaging wisely. ACR Bull 2010;65:7.