Ionizing radiation in abdominal CT: Unindicated multiphase scans are an important source of medically unnecessary exposure

Journal of the American College of Radiology

Volumn 8, Issue 11, 2011, Pages 756-761

  Guite, Kristie M ^a   Hinshaw, J Louis ^a   Ranallo, Frank N ^a,b   Lindstrom, Mary J ^b   Lee Jr , Fred T ^a  

^a UNIVERSITY OF WISCONSIN MADISON   (United States)

^b UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

Author keywords

abdomen; CT; pelvis; Radiation

Indexed keywords

ABDOMINAL RADIOGRAPHY; ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; HUMAN; INFANT; IONIZING RADIATION; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; PELVIS RADIOGRAPHY; PRESCHOOL CHILD; RADIATION DOSE; RADIATION EXPOSURE; RADIATION RESPONSE; SCHOOL CHILD;

EID: 84928096697     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2011.05.011     Document Type: Article

References (35)

1. Gazelle, G. Scott, and Halpern Utilization of diagnostic medical imaging: comparison of radiologist referral versus same-specialty referral Radiology 245 2007 517 522 (Pubitemid 47612534)
2. D.C. Levin, V.M. Rao, L. Parker, A.J. Frangos, and J.H. Sunshine Ownership or leasing of CT scanners by nonradiologist physicians: a rapidly growing trend that raises concern about self-referral J Am Coll Radiol 5 2008 1206 1209
3. D.M. Studdert, M.M. Mello, and W.M. Sage Defensive medicine among high-risk specialist physicians in a volatile malpractice environment JAMA 293 2005 2609 2617 (Pubitemid 40741199)
4. IMV 2006 CT market summary report 2006 IMV Medical Information Division Des Plains, Ill
5. D.J. Brenner, and E.J. Hall Computed tomographyan increasing source of radiation exposure N Engl J Med 357 2007 2277 2284 (Pubitemid 350190758)
6. F.A. Mettler Jr, P.W. Wiest, J.A. Locken, and C.A. Kelsey CT scanning: pattern of use and dose J Radiol Prot 204 2000 353 359
7. G. Brix, S. Nissen-Meyer, and U. Lechel Radiation exposures of cancer patients from medical x-rays: how relevant are they for individual patients and population exposure? Eur J Radiol 72 2009 342 347
8. D.A. Pierce, and D.L. Preston Radiation-related cancer risks at low doses among atomic bomb survivors Radiat Res 154 2000 178 186 (Pubitemid 30612918)
9. D.A. Pierce, Y. Shimizu, D.L. Preston, M. Vaeth, and K. Mabuchi Studies of the mortality of atomic bomb survivors Report 12, part I. Cancer19501990 Radiat Res 146 1996 1 27 (Pubitemid 26230829)
10. C.R. Muirhead Studies on the Hiroshima and Nagasaki survivors, and their use in estimating radiation risks Radiat Prot Dosimetry 104 2003 331 335 (Pubitemid 37265727)
11. R. Mezrich Are CT scans carcinogenic? J Am Coll Radiol 5 2008 691 693 (Pubitemid 351749583)
12. E. Cardis, M. Vrijheid, and M. Blettner Risk of cancer after low doses of ionizing radiation: retrospective cohort study in 15 countries BMJ 331 2005 77 90
13. M.P. Little, R. Wakeford, J.E. Tawn, S.D. Bouffler, and A. Berrington de Gonzalez Risks associated with low doses and low dose rates of ionizing radiation: why linearity may be (almost) the best we can do Radiology 251 2009 6 12
14. Committee on the Biological Effects of Ionizing Radiation Health effects of exposure to low levels of ionizing radiation 1990 National Academy Press Washington, DC
15. International Commission on Radiological Protection 1990 recommendations of the International Commission on Radiological Protection (ICRP Publication No 60) 1991 Pergamon Oxford, UK
16. H. Greess, A. Nomayr, and H. Wolf Dose reduction in CT examinations of children by an attenuation-based on-line modulation of tube current (CARE dose) Eur Radiol 12 2002 1571 1576 (Pubitemid 36940239)
17. D. Tack, V. De Maertelaer, and P.A. Gevenois Dose reduction in multidetector CT using attenuation-based online tube current modulation AJR Am J Roentgenol 181 2003 331 334 (Pubitemid 36909473)
18. A. Paterson, D. Frush, and L.F. Donnelly Helical CT of the body: are settings adjusted for pediatric patients? Am J Radiol 176 2001 297 301 (Pubitemid 32105629)
19. American College of Radiology ACR Appropriateness Criteria 2008 http://acr.org/ac Accessed July 26, 2011
20. M.F. McNitt-Gray AAMP/RSNA physics tutorial for residents: topics in CT Radiographics 22 2002 1541 1553
21. R. Smith-Bindman, J. Lipson, and R. Marcus Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer Arch Intern Med 169 2009 2078 2086
22. Conference of Radiation Control Program Directors Nationwide Evaluation of X-Ray Trends 2000 computed tomography http://www.crcpd.org/Pubs/NextTrifolds/ NEXT2000CT-T.pdf Accessed July 26, 2011
23. B. Nafziger Rad groups recommend keeping a closer eye on CT scan dosage protocols after Cedars-Sinai fiasco http://www.dotmed.com/news/story/10650 Accessed July 26, 2011
24. E. Dikomey, and I. Brammer Relationship between cellular radiosensitivity and non-repaired double strand breaks studied for different growth states, dose rates, and plating conditions in a normal fibroblast line Int J Radiat Biol 76 2000 773 781 (Pubitemid 30352760)
25. D. Boucher, J. Hindo, and D. Averbeck Increased repair of gamma-induced DNA double-strand breaks at lower dose-rate in CHO cells Can J Physiol Pharmacol 82 2004 125 132 (Pubitemid 38534719)
26. R. Smith-Bindman Is computed tomography safe? N Engl J Med 363 2010 1 4
27. J.H. Thrall Utilization of imaging: challenges and opportunities J Am Coll Radiol 6 2009 287 288
28. M. Tubiana, L.E. Feinendegen, C. Yang, and J. Kaminski The linear no threshold relation is inconsistent with radiation biologic and experimental data Radiology 251 2009 13 21
29. National Research Council BEIR VII: health risks from exposure to low levels of ionizing radiation 2006 National Academies Press Washington, DC
30. T.C. Gerber, J.J. Carr, and A.E. Arai Ionizing radiation in cardiac imaging Circulation 119 2009 1056 1065
31. R. Fazel, H.M. Krumholz, and Y. Wang Exposure to low-dose ionizing radiation from medical imaging procedures N Engl J Med 361 2009 849 857
32. B.F. Wall, G.M. Kendall, A.A. Edwards, S. Bouffler, C.R. Muirhead, and J.R. Meara What are the risks from medical X-rays and other low dose radiation? Br J Radiol 79 2006 285 294
33. D.J. Brenner One size does not fit all: reducing risks from pediatric CT ACR Bull 57 2001 20 23
34. Radiology Physician Performance Measure Set American Medical Association and National Committee for Quality Assurance 2008 1 43
35. M.A. Lewis, S. Edyvean, S.A. Sassi, H. Kiremidjian, N. Keat, and A.J. Britten Estimating patient dose on current CT scanners: results of the ImPACT CT dose survey 1999 ImPACT London