The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound

被引：45

作者：

Gargani L. ^{[1
]}

Picano E. ^{[1
]}

机构：

[1] Institute of clinical Physiology, National Research Council, Via Moruzzi 1, Pisa

来源：

Critical Ultrasound Journal | 2015年 / 7卷 / 1期

关键词：

Chest imaging; Lung ultrasound; Point of care; Radiation exposure;

D O I：

10.1186/s13089-015-0020-x

中图分类号：

学科分类号：

摘要：

The increasing use and complexity of imaging techniques have not been matched by increasing awareness and knowledge by prescribers and practitioners. Imaging examinations that expose to ionizing radiation provide immense benefits when appropriate, yet they may result in an increased incidence of radiation-induced cancer in the long-term. The radiation issue is relevant not only for the individual patient but also for the community because small individual risks multiplied by millions of examinations become a significant population risk. As recently highlighted by recent European and American Guidelines, the long-term risk associated with radiation exposure should be considered in the risk-benefit assessment behind appropriate prescription of diagnostic testing. © 2015, Gargani and Picano.

引用

页数：4

共 21 条

[1]

Picano E., Sustainability of medical imaging. BMJ 328:578–80, Education and Debate, (2004)

[2]

Picano E., Vano E., Rehani M.M., Cuocolo A., Mont L., Bodi V., Bar O., Maccia C., Pierard L., Sicari R., Plein S., Mahrholdt H., Lancellotti P., Knuuti J., Heidbuchel H., Di Mario C., Badano L.P., The appropriate and justified use of medical radiation in cardiovascular imaging: A position document of the ESC Associations of Cardiovascular Imaging, Percutaneous Cardiovascular Interventions and Electrophysiology, Eur Heart J, 35, 10, pp. 665-672, (2014)

[3]

Fazel R., Gerber T.C., Balter S., Brenner D.J., Carr J.J., Cerqueira M.D., Chen J., Einstein A.J., Krumholz H.M., Mahesh M., McCollough C.H., Min J.K., Morin R.L., Nallamothu B.K., Nasir K., Redberg R.F., Shaw L.J., American Heart Association Council on Quality of Care and Outcomes Research, Council on Clinical Cardiology, and Council on Cardiovascular Radiology and Intervention. Approaches to enhancing radiation safety in cardiovascular imaging: A scientific statement from the American Heart A

[4]

Commission E., Radiation protection 118: Referral guidelines for imaging. Office for Official Publications of the European, (2001)

[5]

Dorfman A.L., Fazel R., Einstein A.J., Applegate K.E., Krumholz H.M., Wang Y., Christodoulou E., Chen J., Sanchez R., Nallamothu B.K., Use of medical imaging procedures with ionizing radiation in children: A population-based study, Arch Pediatr Adolesc Med, 165, pp. 458-464, (2011)

[6]

Sidhu M., Coley B.D., Goske M.J., Connolly B., Racadio J., Yoshizumi T.T., Utley T., Strauss K.J., Image Gently Step Lightly: Increasing radiation dose awareness in pediatric interventional radiology, Pediatr Radiol, 39, pp. 1135-1138, (2011)

[7]

Lee C.I., Haims A.H., Monico E.P., Brink J.A., Forman H.P., Diagnostic CT scans: Assessment of patient, physician, and radiologist awareness of radiation dose and possible risks, Radiology, 231, 2, pp. 393-398, (2004)

[8]

Einstein A.J., Tilkemeier P., Fazel R., Rakotoarivelo H., Shaw L.J., American Society of Nuclear Cardiology, Radiation safety in nuclear cardiology-current knowledge and practice: Results from the 2011 American Society of Nuclear Cardiology member survey, JAMA. Intern Med, 173, 11, pp. 1021-1023, (2013)

[9]

Picano E., Informed consent and communication of risk from radiological and nuclear medicine examinations: How to escape from a communication inferno, BMJ, 329, 7470, pp. 849-851, (2004)

[10]

Terranova G., Ferro M., Carpeggiani C., Recchia V., Braga L., Semelka R.C., Picano E., Low quality and lack of clarity of current informed consent forms in cardiology: How to improve them, JACC Cardiovasc Imaging, 5, 6, pp. 649-655, (2012)

← 1 2 3 →