The fisherman's cards: How to address past and future radiation exposures in clinical decision making

American Journal of Roentgenology

Volumn 202, Issue 2, 2014, Pages 362-367

  Eisenberg, Jonathan D ^a,b   Lewin, Sarah O ^a,c   Pandharipande, Pari V ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b UNIVERSITY OF MASSACHUSETTS   (United States)

^c BROWN UNIVERSITY   (United States)

Author keywords

Clinical decision making; CT; Radiation exposure history; Radiation risks

Indexed keywords

CANCER RISK; CANCER SURVIVAL; CLINICAL DECISION MAKING; COMPUTER ASSISTED TOMOGRAPHY; DOWNWARD SLOPING; FISHERMAN; HORMESIS; HUMAN; IONIZING RADIATION; LINEAR QUADRATIC; LINEAR THRESHOLD; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIATION HAZARD; RADIATION INDUCED NEOPLASM; REVIEW;

ABNORMALITIES, RADIATION-INDUCED; DECISION MAKING; HUMANS; NEOPLASMS, RADIATION-INDUCED; RADIATION DOSAGE; RADIATION INJURIES; RADIATION, IONIZING; RADIOGRAPHY; RISK ASSESSMENT;

EID: 84892716255     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.13.10896     Document Type: Review

References (18)

1. Ikuta I, Sodickson A, Wasser EJ, Warden GI, Gerbaudo VH, Khorasani R. Exposing exposure: enhancing patient safety through automated data mining of nuclear medicine reports for quality assurance and organ dose monitoring. Radiology 2012; 264:406-413
2. Sodickson A, Warden GI, Farkas CE, et al. Exposing exposure: automated anatomy-specific CT radiation exposure extraction for quality assurance and radiation monitoring. Radiology 2012; 264:397-405
3. Wang S, Pavlicek W, Roberts CC, et al. An automated DICOM database capable of arbitrary data mining (including radiation dose indicators) for quality monitoring. J Digit Imaging 2011; 24: 223-233
4. McCollough CH. Automated data mining of exposure information for dose management and patient safety initiatives in medical imaging. Radiology 2012; 264:322-324
5. Committee on the Biological Effects of Ionizing Radiation (BEIR VII), National Research Council. Health effects of exposure to low levels of ionizing radiation: BEIR VII. Washington, DC: National Academy Press, 2006
6. Little MP, Wakeford R, Tawn EJ, Bouffler SD, Berrington de Gonzalez A. Risks associated with low doses and low dose rates of ionizing radiation: why linearity may be (almost) the best we can do. Radiology 2009; 251:6-12
7. Pearce MS, Salotti JA, Little MP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 2012; 380:499-505
8. Mathews JD, Forsythe AV, Brady Z, et al. Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 2013; 346:f2360
9. Durand DJ. A rational approach to the clinical use of cumulative effective dose estimates. AJR 2011; 197:160-162
10. Durand DJ, Dixon RL, Morin RL. Utilization strategies for cumulative dose estimates: a review and rational assessment. J Am Coll Radiol 2012; 9:480-485
11. Eisenberg JD, Harvey HB, Moore DA, Gazelle GS, Pandharipande PV. Falling prey to the sunk cost basis: a potential harm of patient radiation dose histories. Radiology 2012; 263:626-628
12. Pandharipande PV, Eisenberg JD, Avery LL et al. How radiation exposure histories influence physician imaging decisions: a multicenter radiologist survey study. AJR 2013; 200:1275-1283
13. 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 USA 2003; 100:13761-13766
14. Tubiana M. Dose-effect relationship and estimation of the carcinogenic effects of low doses of ionizing radiation: the joint report of the Academie des Sciences (Paris) and of the Academie Nationale de Medecine. Int J Radiat Oncol Biol Phys 2005; 63:317-319
15. Tubiana M, Feinendegen LE, Yang C, Kaminski JM. The linear no-threshold relationship is inconsistent with radiation biologic and experimental data. Radiology 2009; 251:13-22
16. Jolly D, Meyer J. A brief review of radiation hormesis. Australas Phys Eng Sci Med 2009; 32:180-187
17. U.S. Environmental Protection Agency website, Office of Radiation and Indoor Air. Modifying EPA radiation risk models based on BEIR VII: draft white paper. www.epa.gov/radiation/docs/assessment/white-paper8106.pdf. Published August 1, 2006. Accessed September 25, 2013
18. National Comprehensive Cancer Network website. National Comprehensive Cancer Network Guidelines. www.nccn.org/professionals/physician-gls/f- guidelines.asp. Accessed March 8, 2013