Physicians' and midlevel providers' awareness of lifetime radiation - Attributable cancer risk associated with commonly performed CT studies: Relationship to practice behavior

American Journal of Roentgenology

Volumn 199, Issue 6, 2012, Pages 1328-1336

  Puri, Savita ^a   Hu, Rui ^a   Quazi, Robin R ^b   Voci, Susan ^a   Veazie, Peter ^a   Block, Robert ^a  

^a STRONG MEMORIAL HOSPITAL   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

CT scans; Emergency department physicians; Lifetime radiation Attributable cancer risk; Providers' ordering behavior; Radiation risk; Risk benefit analysis

Indexed keywords

ADULT; AGED; ARTICLE; AWARENESS; CANCER RISK; CLINICAL DECISION MAKING; COMPUTER ASSISTED TOMOGRAPHY; CROSS-SECTIONAL STUDY; DIAGNOSTIC IMAGING; EMERGENCY WARD; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL PRACTICE; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; PROFESSIONAL KNOWLEDGE; QUESTIONNAIRE; RADIATION DOSE; RADIATION HAZARD; RADIATION INDUCED NEOPLASM; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; WORK EXPERIENCE;

ADULT; AGED; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; DECISION MAKING; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; NEOPLASMS, RADIATION-INDUCED; QUESTIONNAIRES; RADIOGRAPHY, ABDOMINAL; RISK; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84870860287     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.12.8581     Document Type: Article

References (25)

1. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects of ionizing radiation: 2000 report to the General Assembly with annexes. New York, NY: United Nations, 2000
2. 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; 100:13,761-13,766 (Pubitemid 37499140)
3. Preston DL, Ron E, Tokuoka S, et al. Solid cancer incidence in atomic bomb survivors: 1958-1998. Radiat Res 2007; 168:1-64 (Pubitemid 351292925)
4. Cardis E, Vrijheid M, Blettner M, et al. Risk of cancer after low doses of ionizing radiation: retrospective cohort study in 15 countries. BMJ 2005; 331:77
5. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, Nuclear and Radiation Studies Board, Division on Earth and Life Studies, National Research Council of the National Academies. Health risks from exposure to low levels of ionizing radiation: BEIRVII phase 2. Washington, DC: National Academy Press, 2006
6. Amis ES Jr, Butler PF, Applegate KE, et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007; 4:272-284 (Pubitemid 46671375)
7. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med 2007; 357:2277-2284 (Pubitemid 350190758)
8. Mettler FA Jr, Thomadsen BR, Bhargavan M, et al. Medical radiation exposure in the U.S. in 2006: preliminary results. Health Phys 2008; 95:502-507
9. Wiest PW, Locken JA, Heintz PH, Mettler FA Jr. CT scanning: a major source of radiation exposure. Semin Ultrasound CT MR 2002; 23:402-410 (Pubitemid 36002016)
10. Broder J, Bowen J, Lohr J, Babcock A, Yoon J. Cumulative CT exposures in emergency department patients evaluated for suspected renal colic. J Emerg Med 2007; 33:161-168 (Pubitemid 47199014)
11. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007; 298:317-323 (Pubitemid 47080486)
12. 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
13. Royal HD. Effects of low level radiation: what is new? Semin Nucl Med 2008; 38:392-402 (Pubitemid 352033562)
14. American College of Radiology. Inappropriate utilization of diagnostic imaging modalities. American College of Radiology Website. www.acr.org/Advocacy/ Legislative-Issues/Inappropriate-Utilization. Published October 16, 2009. Accessed August 17, 2012
15. Berrington de González A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009; 169:2071-2077
16. Frishberg BM. The utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations. Neurology 1994; 44:1191-1197 (Pubitemid 24232213)
17. Evans RW. Diagnostic testing for the evaluation of headaches. Neurol Clin 1996; 14:1-26
18. [No authors listed]. Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J 2000; 21:1301-1336
19. Fadullo PF, Tapson VF. Clinical practice: the evaluation of suspected pulmonary embolism. N Engl J Med 2003; 349:1247-1256 (Pubitemid 37152035)
20. Morton AR, Iliescu EA, Wilson JW. Nephrology. I. Investigation and treatment of recurrent kidney stones. CMAJ 2002; 166:213-218 (Pubitemid 34298033)
21. UCLA Medical Group. Practice guidelines: ambulatory radiology. UCLA Medical Group Website. mcoperations.mednet.ucla.edu. Published May 2006. Accessed August 8, 2010
22. Lee CI, Maims AK, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 2004; 231:393-398 (Pubitemid 38552895)
23. Berrington de González A. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet 2004; 363:345-351
24. Shiralkar S, Rennie A, Snow M, Galland RB, Lewis MH, Gower-Thomas K. Doctor's knowledge of radiation exposure. BMJ 2003; 327:371-372
25. Ratnapalan S, Bona N, Chandra K, Koren G. Physician's perceptions of teratogenic risk associated with radiography and CT during early pregnancy. AJR 2004; 182:1107-1109 (Pubitemid 38525497)