Effective doses in radiology and diagnostic nuclear medicine: a catalog.

@article{Mettler2008EffectiveDI,
  title={Effective doses in radiology and diagnostic nuclear medicine: a catalog.},
  author={Fred A Mettler and Walter Huda and Terry T. Yoshizumi and Mahadevappa Mahesh},
  journal={Radiology},
  year={2008},
  volume={248 1},
  pages={
          254-63
        }
}
Medical uses of radiation have grown very rapidly over the past decade, and, as of 2007, medical uses represent the largest source of exposure to the U.S. population. Most physicians have difficulty assessing the magnitude of exposure or potential risk. Effective dose provides an approximate indicator of potential detriment from ionizing radiation and should be used as one parameter in evaluating the appropriateness of examinations involving ionizing radiation. The purpose of this review is to… Expand

Paper Mentions

Interventional Clinical Trial
This is a pragmatic stepped-wedge cluster randomized controlled trial to explore variation in doses used for diagnostic CT by pooling radiation dose data across diverse healthcare… Expand
ConditionsIonizing Radiation Exposure, Quality Improvement
InterventionOther
Observational Clinical Trial
This study is a prospective, departmental funded study examining the outcomes of Low Dose CT scans compared to Conventional Dose CT scans in patients who present to Duke University with… Expand
ConditionsRadius Fractures
InterventionRadiation
Interventional Clinical Trial
Acute appendicitis is one of the most common causes of acute abdominal pain requiring surgical intervention. In the current era, with diagnostic imaging technique like Computed… Expand
ConditionsAcute Appendicitis
InterventionOther
Observational Clinical Trial
The investigators hypothesize that coronary artery calcium score (CACS), heart-type fatty acid binding protein (H-FABP) concentration, high-sensitive troponin t (hs-cTnT… Expand
ConditionsAcute Coronary Syndrome
InterventionBiological, Other, Radiation
Volume CT dose index and dose-length product displayed during CT: what good are they?
TLDR
It is the responsibility of the radiologist to ensure that no more radiation is used than needed for obtaining diagnostic information in any radiologic examination, especially CT, and ongoing advances suggest that CT will continue to be the most important contributor, by far, to medical doses in the United States. Expand
Introducing Radiology Select: Radiation Dose and Dose Reduction
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What ER radiologists need to know about radiation risks
  • W. Huda
  • Medicine
  • Emergency Radiology
  • 2009
TLDR
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Exposure to low-dose ionizing radiation from medical imaging procedures.
TLDR
Imaging procedures are an important source of exposure to ionizing radiation in the United States and can result in high cumulative effective doses of radiation, which increased with advancing age and were higher in women than in men. Expand
Informed Use of Medical Radiation in Diagnostic Imaging
TLDR
Experts must understand doses delivered and what is known about risks, and develop a practice based on the tenets of radiation protection relevant to medical use: justification and optimization. Expand
French Population Exposure to Ionizing Radiation from Diagnostic Medical Procedures in 2007
TLDR
The objective of this study was to update the 2002 data on medical exposure of the French population to ionizing radiation and only includes exposures from diagnostic procedures: conventional radiology, computed tomography, nuclear medicine, and diagnostic interventional radiology. Expand
Cumulative exposure to ionizing radiation from diagnostic and therapeutic cardiac imaging procedures: a population-based analysis.
TLDR
Cardiac imaging procedures lead to substantial radiation exposure and effective doses for many patients in the U.S. health care markets, and radiation exposure increased with age and were generally higher among men. Expand
Patient Exposure from Radiologic and Nuclear Medicine Procedures in the United States: Procedure Volume and Effective Dose for the Period 2006-2016.
TLDR
Estimated 2016 total collective effective dose and radiation dose per capita dose are lower than in 2006, and the trend from 1980 to 2006 of increasing dose from medical radiation has reversed. Expand
Assessment of the occupational dose and radiogenic risk in diagnostic radiology and nuclear medicine examinations
TLDR
The doses reported in this study were interestingly found to be less than the annual dose limits recommended by the concerned international organizations. Expand
Effective dose delivered by conventional radiology to Aosta Valley population between 2002 and 2009.
TLDR
It is demonstrated that conventional radiography still represents the biggest contributor to examination frequency in Aosta Valley in 2009, however, the frequency of the main procedures did not change significantly between 2002 and 2009. Expand
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References

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TLDR
The use of ionizing radiation for diagnostic medical procedures and the exposure of the Dutch population to this radiation were assessed for 1998 and Medically exposed people were found to be significantly older than the general population. Expand
An investigation into the radiation dose associated with different imaging systems for chest radiology.
TLDR
Typical radiation doses associated with the use of a conventional film-screen system, 100 mm film technique, large-field digital image intensifier radiography, computed radiography and a scanning slit system are determined. Expand
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TLDR
Data analysis shows significant differences in national radiological practices and a very uneven distribution of patient doses amongst the world population, and projection radiography has succeeded in reducing dose consumption, computed tomography and radiological interventions have given rise to a significant growth of patient exposure. Expand
Effective doses to members of the public from the diagnostic application of ionizing radiation in Germany
TLDR
Radiation risk must always be viewed in context with disease- and therapy-related risks and balanced against the benefit of the diagnostic examination, which should always exceed the risk for a well-indicated procedure. Expand
Average radiation dose in standard CT examinations of the head: results of the 1990 NEXT survey.
In 1990, as part of the Nationwide Evaluation of X-ray Trends (NEXT) program, 252 computed tomographic (CT) systems were evaluated to measure radiation doses associated with standard head CT inExpand
A comparison of radiation dose in examination of the abdomen using different radiological imaging techniques.
TLDR
A comparison of the imaging techniques on the basis of effective dose indicated that significant dose reductions may be expected if the abdomen is imaged using a postero-anterior rather than an antero-posterior projection for a given imaging system. Expand
Effective dose equivalents to patients undergoing cerebral angiography.
TLDR
The radiation doses (HE) to patients undergoing diagnostic cerebral angiography are comparable to the patient doses in nuclear medicine brain studies where the typical HE is approximately 10 mSv. Expand
American College of Radiology white paper on radiation dose in medicine.
TLDR
This white paper details a proposed action plan for the college derived from the deliberations of the ACR Blue Ribbon Panel on Radiation Dose in Medicine and reflects the findings of that panel. Expand
Coronary angiography: an analysis of radiographic practice in the UK.
TLDR
A survey of catheter laboratories nationwide to establish the range of practice in performing "routine" coronary angiography and left ventriculography found wide variations in the numbers of views obtained, mean ciné film lengths and mean fluoroscopy times. Expand
Estimation of doses to patients from "complex" conventional X-ray examinations.
TLDR
A numerical method has been developed to estimate the organ doses and effective dose-equivalent for patients undergoing three "complex" examinations (barium meal, barium enema and intravenous urography) using Monte Carlo conversion factors and measurements within a Remab phantom. Expand
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