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Published in: Abdominal Radiology 4/2023

17-02-2023 | Computed Tomography | Review

The why, who, how, and what of communicating CT radiation risks to patients and healthcare providers

Authors: Nayla Mroueh, Anushri Parakh, Jessica Serrao, Susanna I. Lee, Brian H. Eisner, Debra A. Gervais, Avinash R. Kambadakone, Dushyant V. Sahani

Published in: Abdominal Radiology | Issue 4/2023

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Abstract

Computed tomography (CT) has witnessed tremendous growth in utilization. Despite its immense benefits, there is a growing concern from the general public and the medical community about the detrimental consequences of ionizing radiation from CT. Anxiety from the perceived risks associated with CT can deter referring physicians from ordering clinically indicated CT scans and patients from undergoing medically necessary exams. This article discusses various strategies for educating patients and healthcare providers on the benefits and risks of CT scanning and salient techniques for effective communication.
Literature
2.
go back to reference Brenner DJ. Radiation and chest CT scans: are there problems? What should we do? Chest. 2012;142:549–50. PubMedCrossRef Brenner DJ. Radiation and chest CT scans: are there problems? What should we do? Chest. 2012;142:549–50. PubMedCrossRef
3.
go back to reference Verdun FR, Bochud F, Gundinchet F, Aroua A, Schnyder P, Meuli R. Quality initiatives* radiation risk: what you should know to tell your patient. Radiographics. 2008;28:1807–16. PubMedCrossRef Verdun FR, Bochud F, Gundinchet F, Aroua A, Schnyder P, Meuli R. Quality initiatives* radiation risk: what you should know to tell your patient. Radiographics. 2008;28:1807–16. PubMedCrossRef
4.
go back to reference Freudenberg LS, Beyer T. Subjective perception of radiation risk. J Nucl Med. 2011;52 Suppl 2:29S-35S. PubMedCrossRef Freudenberg LS, Beyer T. Subjective perception of radiation risk. J Nucl Med. 2011;52 Suppl 2:29S-35S. PubMedCrossRef
5.
go back to reference Horowitz JM, Yaghmai V, Miller FH, Russell EJ. Will CT ordering practices change if we educate residents about the potential effects of radiation exposure? Experience at a large academic medical center. Acad Radiol. 2011;18:1447–52. PubMedCrossRef Horowitz JM, Yaghmai V, Miller FH, Russell EJ. Will CT ordering practices change if we educate residents about the potential effects of radiation exposure? Experience at a large academic medical center. Acad Radiol. 2011;18:1447–52. PubMedCrossRef
6.
go back to reference Brenner DJ, Hall EJ. Computed tomography--an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–84. PubMedCrossRef Brenner DJ, Hall EJ. Computed tomography--an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–84. PubMedCrossRef
7.
go back to reference Dauer LT, Thornton RH, Hay JL, Balter R, Williamson MJ, St Germain J. Fears, feelings, and facts: interactively communicating benefits and risks of medical radiation with patients. AJR Am J Roentgenol. 2011;196:756–61. PubMedCrossRef Dauer LT, Thornton RH, Hay JL, Balter R, Williamson MJ, St Germain J. Fears, feelings, and facts: interactively communicating benefits and risks of medical radiation with patients. AJR Am J Roentgenol. 2011;196:756–61. PubMedCrossRef
8.
go back to reference Brenner DJ, Doll R, Goodhead DT, Hall EJ, Land CE, Little JB, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003;100:13761–6. PubMedPubMedCentralCrossRef Brenner DJ, Doll R, Goodhead DT, Hall EJ, Land CE, Little JB, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003;100:13761–6. PubMedPubMedCentralCrossRef
9.
10.
go back to reference Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. AJR Am J Roentgenol. 2009;192:887–92. PubMedCrossRef Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. AJR Am J Roentgenol. 2009;192:887–92. PubMedCrossRef
11.
go back to reference Hartwig H-DR, Clingenpeel J, Perkins AM, Rose W, Abdullah-Anyiwo J. Parental knowledge of radiation exposure in medical imaging used in the pediatric emergency department. Pediatr Emerg Care. 2013;29:705–9. Hartwig H-DR, Clingenpeel J, Perkins AM, Rose W, Abdullah-Anyiwo J. Parental knowledge of radiation exposure in medical imaging used in the pediatric emergency department. Pediatr Emerg Care. 2013;29:705–9.
12.
go back to reference 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;231:393–8. PubMedCrossRef 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;231:393–8. PubMedCrossRef
13.
go back to reference Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH, et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009;361:849–57. PubMedPubMedCentralCrossRef Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH, et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009;361:849–57. PubMedPubMedCentralCrossRef
14.
go back to reference Nickoloff EL, Alderson PO. Radiation exposures to patients from CT: reality, public perception, and policy. AJR Am J Roentgenol. 2001;177:285–7. PubMedCrossRef Nickoloff EL, Alderson PO. Radiation exposures to patients from CT: reality, public perception, and policy. AJR Am J Roentgenol. 2001;177:285–7. PubMedCrossRef
15.
go back to reference Lockwood D, Einstein D, Davros W. Diagnostic imaging: radiation dose and patients’ concerns. Cleve Clin J Med. 2006;73:583–6. PubMedCrossRef Lockwood D, Einstein D, Davros W. Diagnostic imaging: radiation dose and patients’ concerns. Cleve Clin J Med. 2006;73:583–6. PubMedCrossRef
16.
go back to reference Milano MT, Mahesh M, Mettler FA, Elee J, Vetter RJ. Patient radiation exposure: imaging during radiation oncology procedures: executive summary of NCRP report No. 184. J Am Coll Radiol. 2020;17:1176–82. Milano MT, Mahesh M, Mettler FA, Elee J, Vetter RJ. Patient radiation exposure: imaging during radiation oncology procedures: executive summary of NCRP report No. 184. J Am Coll Radiol. 2020;17:1176–82.
17.
go back to reference Schultz CH, Fairley R, Murphy LS-L, Doss M. The risk of cancer from CT scans and other sources of low-dose radiation: a critical appraisal of methodologic quality. Prehosp Disaster Med. 2020;35:3–16. Schultz CH, Fairley R, Murphy LS-L, Doss M. The risk of cancer from CT scans and other sources of low-dose radiation: a critical appraisal of methodologic quality. Prehosp Disaster Med. 2020;35:3–16.
18.
go back to reference Moorthy S. How safe are radiation doses in diagnostic radiology? A historical perspective and review of current evidence. Indian J Radiol Imaging. 2021;31:653–60. PubMedPubMedCentralCrossRef Moorthy S. How safe are radiation doses in diagnostic radiology? A historical perspective and review of current evidence. Indian J Radiol Imaging. 2021;31:653–60. PubMedPubMedCentralCrossRef
19.
go back to reference Pauwels EKJ, Bourguignon M. Cancer induction caused by radiation due to computed tomography: a critical note. Acta Radiol. 2011;52:767–73. PubMedCrossRef Pauwels EKJ, Bourguignon M. Cancer induction caused by radiation due to computed tomography: a critical note. Acta Radiol. 2011;52:767–73. PubMedCrossRef
20.
go back to reference Siegel JA, Brooks AL, Fisher DR, Zanzonico PB, Doss M, OʼConnor MK, et al. A critical assessment of the linear no-threshold hypothesis: its validity and applicability for use in risk assessment and radiation protection. Clin Nucl Med. 2019;44:521–5. Siegel JA, Brooks AL, Fisher DR, Zanzonico PB, Doss M, OʼConnor MK, et al. A critical assessment of the linear no-threshold hypothesis: its validity and applicability for use in risk assessment and radiation protection. Clin Nucl Med. 2019;44:521–5.
21.
go back to reference Calabrese EJ. Ethical failings: The problematic history of cancer risk assessment. Environ Res. 2021;193:110582. PubMedCrossRef Calabrese EJ. Ethical failings: The problematic history of cancer risk assessment. Environ Res. 2021;193:110582. PubMedCrossRef
22.
go back to reference 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. PubMedPubMedCentralCrossRef 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. PubMedPubMedCentralCrossRef
23.
go back to reference Berrington de Gonzalez A, Pasqual E, Veiga L. Epidemiological studies of CT scans and cancer risk: the state of the science. Br J Radiol. 2021;94:20210471. Berrington de Gonzalez A, Pasqual E, Veiga L. Epidemiological studies of CT scans and cancer risk: the state of the science. Br J Radiol. 2021;94:20210471.
24.
go back to reference Abalo KD, Rage E, Leuraud K, Richardson DB, Le Pointe HD, Laurier D, et al. Early life ionizing radiation exposure and cancer risks: systematic review and meta-analysis. Pediatr Radiol. 2021;51:45–56. PubMedCrossRef Abalo KD, Rage E, Leuraud K, Richardson DB, Le Pointe HD, Laurier D, et al. Early life ionizing radiation exposure and cancer risks: systematic review and meta-analysis. Pediatr Radiol. 2021;51:45–56. PubMedCrossRef
25.
go back to reference Karsli T, Kalra MK, Self JL, Rosenfeld JA, Butler S, Simoneaux S. What physicians think about the need for informed consent for communicating the risk of cancer from low-dose radiation. Pediatr Radiol. 2009;39:917–25. PubMedCrossRef Karsli T, Kalra MK, Self JL, Rosenfeld JA, Butler S, Simoneaux S. What physicians think about the need for informed consent for communicating the risk of cancer from low-dose radiation. Pediatr Radiol. 2009;39:917–25. PubMedCrossRef
26.
go back to reference DeMaio DN. CT radiation dose and risk: fact vs fiction. Radiol Technol. 2017;89:199–205. PubMed DeMaio DN. CT radiation dose and risk: fact vs fiction. Radiol Technol. 2017;89:199–205. PubMed
27.
go back to reference Mahesh M, Morin RL. CT scans and cancer risks—a practical middle path. J Am Coll Radiol. 2016;13:828–30. PubMedCrossRef Mahesh M, Morin RL. CT scans and cancer risks—a practical middle path. J Am Coll Radiol. 2016;13:828–30. PubMedCrossRef
28.
29.
go back to reference Lee CI, Flaster HV, Haims AH, Monico EP, Forman HP. Diagnostic CT scans: institutional informed consent guidelines and practices at academic medical centers. AJR Am J Roentgenol. 2006;187:282–7. PubMedCrossRef Lee CI, Flaster HV, Haims AH, Monico EP, Forman HP. Diagnostic CT scans: institutional informed consent guidelines and practices at academic medical centers. AJR Am J Roentgenol. 2006;187:282–7. PubMedCrossRef
30.
go back to reference Alawad S, Abujamea A. Awareness of radiation hazards in patients attending radiology departments. Radiat Environ Biophys. 2021;60:453–8. PubMedCrossRef Alawad S, Abujamea A. Awareness of radiation hazards in patients attending radiology departments. Radiat Environ Biophys. 2021;60:453–8. PubMedCrossRef
31.
go back to reference Heyer CM, Peters S, Lemburg S, Nicolas V. [Awareness of radiation exposure of thoracic CT scans and conventional radiographs: what do non-radiologists know?]. Rofo. 2007;179:261–7. PubMedCrossRef Heyer CM, Peters S, Lemburg S, Nicolas V. [Awareness of radiation exposure of thoracic CT scans and conventional radiographs: what do non-radiologists know?]. Rofo. 2007;179:261–7. PubMedCrossRef
32.
go back to reference Schuster AL, Forman HP, Strassle PD, Meyer LT, Connelly SV, Lee CI. Awareness of radiation risks from CT scans among patients and providers and obstacles for informed decision-making. Emerg Radiol. 2018;25:41–9. PubMedCrossRef Schuster AL, Forman HP, Strassle PD, Meyer LT, Connelly SV, Lee CI. Awareness of radiation risks from CT scans among patients and providers and obstacles for informed decision-making. Emerg Radiol. 2018;25:41–9. PubMedCrossRef
33.
go back to reference Keijzers GB, Britton CJ. Doctors’ knowledge of patient radiation exposure from diagnostic imaging requested in the emergency department. Med J Aust. 2010;193:450–3. PubMedCrossRef Keijzers GB, Britton CJ. Doctors’ knowledge of patient radiation exposure from diagnostic imaging requested in the emergency department. Med J Aust. 2010;193:450–3. PubMedCrossRef
34.
go back to reference Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008;81:725–9. PubMedCrossRef Soye JA, Paterson A. A survey of awareness of radiation dose among health professionals in Northern Ireland. Br J Radiol. 2008;81:725–9. PubMedCrossRef
35.
go back to reference Hobbs JB, Goldstein N, Lind KE, Elder D, Dodd GD, Borgstede JP. Physician knowledge of radiation exposure and risk in medical imaging. J Am Coll Radiol. 2018;15 1 Pt A:34–43. Hobbs JB, Goldstein N, Lind KE, Elder D, Dodd GD, Borgstede JP. Physician knowledge of radiation exposure and risk in medical imaging. J Am Coll Radiol. 2018;15 1 Pt A:34–43.
36.
go back to reference Daye D, Joseph E, Flores E, Kambadakone A, Chinn G, Bennett S, et al. Point-of-care virtual radiology consultations in primary care: a feasibility study of a new model for patient-centered care in radiology. J Am Coll Radiol. 2021;18:1239–45. PubMedCrossRef Daye D, Joseph E, Flores E, Kambadakone A, Chinn G, Bennett S, et al. Point-of-care virtual radiology consultations in primary care: a feasibility study of a new model for patient-centered care in radiology. J Am Coll Radiol. 2021;18:1239–45. PubMedCrossRef
37.
go back to reference Lam DL, Larson DB, Eisenberg JD, Forman HP, Lee CI. Communicating potential radiation-induced cancer risks from medical imaging directly to patients. AJR Am J Roentgenol. 2015;205:962–70. PubMedCrossRef Lam DL, Larson DB, Eisenberg JD, Forman HP, Lee CI. Communicating potential radiation-induced cancer risks from medical imaging directly to patients. AJR Am J Roentgenol. 2015;205:962–70. PubMedCrossRef
38.
go back to reference Thornton RH, Dauer LT, Shuk E, Bylund CL, Banerjee SC, Maloney E, et al. Patient perspectives and preferences for communication of medical imaging risks in a cancer care setting. Radiology. 2015;275:545–52. PubMedCrossRef Thornton RH, Dauer LT, Shuk E, Bylund CL, Banerjee SC, Maloney E, et al. Patient perspectives and preferences for communication of medical imaging risks in a cancer care setting. Radiology. 2015;275:545–52. PubMedCrossRef
39.
go back to reference Wagner LK. Toward a holistic approach in the presentation of benefits and risks of medical radiation. Health Phys. 2011;101:566–71. PubMedCrossRef Wagner LK. Toward a holistic approach in the presentation of benefits and risks of medical radiation. Health Phys. 2011;101:566–71. PubMedCrossRef
41.
go back to reference 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;189:271–5. PubMedCrossRef 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;189:271–5. PubMedCrossRef
42.
go back to reference Semelka RC, Armao DM, Elias J, Picano E. The information imperative: is it time for an informed consent process explaining the risks of medical radiation? Radiology. 2012;262:15–8. PubMedCrossRef Semelka RC, Armao DM, Elias J, Picano E. The information imperative: is it time for an informed consent process explaining the risks of medical radiation? Radiology. 2012;262:15–8. PubMedCrossRef
43.
go back to reference Rehani MM, Applegate K, Bodzay T, Heon Kim C, Miller DL, Ali Nassiri M, et al. Accounting for radiation exposure from previous CT exams while deciding on the next exam: What do referring clinicians think? Eur J Radiol. 2022;155:110468. PubMedCrossRef Rehani MM, Applegate K, Bodzay T, Heon Kim C, Miller DL, Ali Nassiri M, et al. Accounting for radiation exposure from previous CT exams while deciding on the next exam: What do referring clinicians think? Eur J Radiol. 2022;155:110468. PubMedCrossRef
44.
go back to reference O’Neill S, Glynn D, Murphy KP, James K, Twomey M, Kavanagh R, et al. An assessment of the quality of CT radiation dose information on the internet. J Am Coll Radiol. 2018;15 1 Pt A:11–8. O’Neill S, Glynn D, Murphy KP, James K, Twomey M, Kavanagh R, et al. An assessment of the quality of CT radiation dose information on the internet. J Am Coll Radiol. 2018;15 1 Pt A:11–8.
45.
go back to reference Johnson EJ, Doshi AM, Rosenkrantz AB. Strengths and deficiencies in the content of US radiology private practices’ websites. J Am Coll Radiol. 2017;14:431–5. PubMedCrossRef Johnson EJ, Doshi AM, Rosenkrantz AB. Strengths and deficiencies in the content of US radiology private practices’ websites. J Am Coll Radiol. 2017;14:431–5. PubMedCrossRef
46.
47.
go back to reference Hawkins CM, DeLaO AJ, Hung C. Social media and the patient experience. J Am Coll Radiol. 2016;13 12 Pt B:1615–21. Hawkins CM, DeLaO AJ, Hung C. Social media and the patient experience. J Am Coll Radiol. 2016;13 12 Pt B:1615–21.
48.
go back to reference Rosenkrantz AB, Won E, Doshi AM. Assessing the content of youtube videos in educating patients regarding common imaging examinations. J Am Coll Radiol. 2016;13 12 Pt A:1509–13. Rosenkrantz AB, Won E, Doshi AM. Assessing the content of youtube videos in educating patients regarding common imaging examinations. J Am Coll Radiol. 2016;13 12 Pt A:1509–13.
49.
go back to reference Zondervan RL, Hahn PF, Sadow CA, Liu B, Lee SI. Body CT scanning in young adults: examination indications, patient outcomes, and risk of radiation-induced cancer. Radiology. 2013;267:460–9. PubMedCrossRef Zondervan RL, Hahn PF, Sadow CA, Liu B, Lee SI. Body CT scanning in young adults: examination indications, patient outcomes, and risk of radiation-induced cancer. Radiology. 2013;267:460–9. PubMedCrossRef
50.
go back to reference Brenner DJ. Medical imaging in the 21st century--getting the best bang for the rad. N Engl J Med. 2010;362:943–5. PubMedCrossRef Brenner DJ. Medical imaging in the 21st century--getting the best bang for the rad. N Engl J Med. 2010;362:943–5. PubMedCrossRef
51.
go back to reference Garcia Peña BM, Cook EF, Mandl KD. Selective imaging strategies for the diagnosis of appendicitis in children. Pediatrics. 2004;113 1 Pt 1:24–8. PubMedCrossRef Garcia Peña BM, Cook EF, Mandl KD. Selective imaging strategies for the diagnosis of appendicitis in children. Pediatrics. 2004;113 1 Pt 1:24–8. PubMedCrossRef
52.
go back to reference Hadley JL, Agola J, Wong P. Potential impact of the American College of Radiology appropriateness criteria on CT for trauma. AJR Am J Roentgenol. 2006;186:937–42. PubMedCrossRef Hadley JL, Agola J, Wong P. Potential impact of the American College of Radiology appropriateness criteria on CT for trauma. AJR Am J Roentgenol. 2006;186:937–42. PubMedCrossRef
53.
go back to reference Stein SC, Fabbri A, Servadei F, Glick HA. A critical comparison of clinical decision instruments for computed tomographic scanning in mild closed traumatic brain injury in adolescents and adults. Ann Emerg Med. 2009;53:180–8. PubMedCrossRef Stein SC, Fabbri A, Servadei F, Glick HA. A critical comparison of clinical decision instruments for computed tomographic scanning in mild closed traumatic brain injury in adolescents and adults. Ann Emerg Med. 2009;53:180–8. PubMedCrossRef
54.
go back to reference Loftus ML, Minkowitz S, Tsiouris AJ, Min RJ, Sanelli PC. Utilization guidelines for reducing radiation exposure in the evaluation of aneurysmal subarachnoid hemorrhage: A practice quality improvement project. AJR Am J Roentgenol. 2010;195:176–80. PubMedPubMedCentralCrossRef Loftus ML, Minkowitz S, Tsiouris AJ, Min RJ, Sanelli PC. Utilization guidelines for reducing radiation exposure in the evaluation of aneurysmal subarachnoid hemorrhage: A practice quality improvement project. AJR Am J Roentgenol. 2010;195:176–80. PubMedPubMedCentralCrossRef
55.
go back to reference Oikarinen H, Meriläinen S, Pääkkö E, Karttunen A, Nieminen MT, Tervonen O. Unjustified CT examinations in young patients. Eur Radiol. 2009;19:1161–5. PubMedCrossRef Oikarinen H, Meriläinen S, Pääkkö E, Karttunen A, Nieminen MT, Tervonen O. Unjustified CT examinations in young patients. Eur Radiol. 2009;19:1161–5. PubMedCrossRef
56.
go back to reference Berlin L. Informing patients about risks and benefits of radiology examinations utilizing ionizing radiation: a legal and moral dilemma. J Am Coll Radiol. 2011;8:742–3. PubMedCrossRef Berlin L. Informing patients about risks and benefits of radiology examinations utilizing ionizing radiation: a legal and moral dilemma. J Am Coll Radiol. 2011;8:742–3. PubMedCrossRef
58.
go back to reference Mezrich RS. Radiation exposure from medical imaging procedures. N Engl J Med. 2009;361:2290; author reply 2291–2292. Mezrich RS. Radiation exposure from medical imaging procedures. N Engl J Med. 2009;361:2290; author reply 2291–2292.
59.
go back to reference Bastiani L, Paolicchi F, Faggioni L, Martinelli M, Gerasia R, Martini C, et al. Patient perceptions and knowledge of ionizing radiation from medical imaging. JAMA Netw Open. 2021;4:e2128561. PubMedPubMedCentralCrossRef Bastiani L, Paolicchi F, Faggioni L, Martinelli M, Gerasia R, Martini C, et al. Patient perceptions and knowledge of ionizing radiation from medical imaging. JAMA Netw Open. 2021;4:e2128561. PubMedPubMedCentralCrossRef
60.
go back to reference Zeng W. Communicating radiation exposure: a simple approach. J Nucl Med Technol. 2001;29:156–8. PubMed Zeng W. Communicating radiation exposure: a simple approach. J Nucl Med Technol. 2001;29:156–8. PubMed
62.
go back to reference Goldberg-Stein S, Liu B, Hahn PF, Lee SI. Body CT during pregnancy: utilization trends, examination indications, and fetal radiation doses. AJR Am J Roentgenol. 2011;196:146–51. PubMedCrossRef Goldberg-Stein S, Liu B, Hahn PF, Lee SI. Body CT during pregnancy: utilization trends, examination indications, and fetal radiation doses. AJR Am J Roentgenol. 2011;196:146–51. PubMedCrossRef
63.
go back to reference Tremblay E, Thérasse E, Thomassin-Naggara I, Trop I. Quality initiatives: guidelines for use of medical imaging during pregnancy and lactation. Radiographics. 2012;32:897–911. PubMedCrossRef Tremblay E, Thérasse E, Thomassin-Naggara I, Trop I. Quality initiatives: guidelines for use of medical imaging during pregnancy and lactation. Radiographics. 2012;32:897–911. PubMedCrossRef
64.
go back to reference Oikarinen HT, Perttu AM, Mahajan HM, Ukkola LH, Tervonen OA, Jussila A-LI, et al. Parents’ received and expected information about their child’s radiation exposure during radiographic examinations. Pediatr Radiol. 2019;49:155–61. Oikarinen HT, Perttu AM, Mahajan HM, Ukkola LH, Tervonen OA, Jussila A-LI, et al. Parents’ received and expected information about their child’s radiation exposure during radiographic examinations. Pediatr Radiol. 2019;49:155–61.
65.
go back to reference Portelli JL, McNulty JP, Bezzina P, Rainford L. Benefit-risk communication in paediatric imaging: What do referring physicians, radiographers and radiologists think, say and do? Radiography (Lond). 2018;24:33–40. PubMedCrossRef Portelli JL, McNulty JP, Bezzina P, Rainford L. Benefit-risk communication in paediatric imaging: What do referring physicians, radiographers and radiologists think, say and do? Radiography (Lond). 2018;24:33–40. PubMedCrossRef
66.
go back to reference World Health Organization. Communicating radiation risks in paediatric imaging: Information to support healthcare discussions about benefit and risk. World Health Organization. Communicating radiation risks in paediatric imaging: Information to support healthcare discussions about benefit and risk.
67.
go back to reference Youssef NA, Gordon AJ, Moon TH, Patel BD, Shah SJ, Casey EM, et al. Emergency department patient knowledge, opinions, and risk tolerance regarding computed tomography scan radiation. J Emerg Med. 2014;46:208–14. PubMedCrossRef Youssef NA, Gordon AJ, Moon TH, Patel BD, Shah SJ, Casey EM, et al. Emergency department patient knowledge, opinions, and risk tolerance regarding computed tomography scan radiation. J Emerg Med. 2014;46:208–14. PubMedCrossRef
69.
go back to reference Younger CWE, Douglas C, Warren-Forward H. Informed consent guidelines for ionising radiation examinations: A Delphi study. Radiography (Lond). 2020;26:63–70. PubMedCrossRef Younger CWE, Douglas C, Warren-Forward H. Informed consent guidelines for ionising radiation examinations: A Delphi study. Radiography (Lond). 2020;26:63–70. PubMedCrossRef
70.
go back to reference Harvey HB, Brink JA, Frush DP. Informed consent for radiation risk from CT is unjustified based on the current scientific evidence. Radiology. 2015;275:321–5. PubMedCrossRef Harvey HB, Brink JA, Frush DP. Informed consent for radiation risk from CT is unjustified based on the current scientific evidence. Radiology. 2015;275:321–5. PubMedCrossRef
71.
go back to reference Berlin L. Shared decision-making: is it time to obtain informed consent before radiologic examinations utilizing ionizing radiation? Legal and ethical implications. J Am Coll Radiol. 2014;11:246–51. PubMedCrossRef Berlin L. Shared decision-making: is it time to obtain informed consent before radiologic examinations utilizing ionizing radiation? Legal and ethical implications. J Am Coll Radiol. 2014;11:246–51. PubMedCrossRef
72.
go back to reference Brink JA, Goske MJ, Patti JA. Informed decision making trumps informed consent for medical imaging with ionizing radiation. Radiology. 2012;262:11–4. PubMedCrossRef Brink JA, Goske MJ, Patti JA. Informed decision making trumps informed consent for medical imaging with ionizing radiation. Radiology. 2012;262:11–4. PubMedCrossRef
Metadata
Title
The why, who, how, and what of communicating CT radiation risks to patients and healthcare providers
Authors
Nayla Mroueh
Anushri Parakh
Jessica Serrao
Susanna I. Lee
Brian H. Eisner
Debra A. Gervais
Avinash R. Kambadakone
Dushyant V. Sahani
Publication date
17-02-2023
Publisher
Springer US
Published in
Abdominal Radiology / Issue 4/2023
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-022-03778-w

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