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01.06.2009

Estimating Radiation Risk from Computed Tomography Scanning

verfasst von: Vadim Fayngersh, Michael Passero

Erschienen in: Lung | Ausgabe 3/2009

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Abstract

Medical imaging is the largest contributor to per capita radiation dose in the United States. A majority of that medical imaging dose can be attributed to the increasing number of computed tomography (CT) procedures performed every year, at last count more than 62 million scans. As a result, increased attention to the possible risks of radiation exposure has entered the popular media and therefore the public at large. This review informs the medical practitioner on the nomenclature, dosimetry, and estimated risk of CT scan radiation exposure, thereby better allowing the clinician to address the risks/benefits of CT scanning and to answer questions concerning risk.

Baskerville JR (2008) Screening patients with multi-detector computed axial tomography (MDCT): when will we inform patients about the risk of radiation? Emerg Med J 25(6):323–324. doi:10.1136/emj.2007.057067 PubMedCrossRef

Heilman RS (2006) CT: time to face the facts. Radiographics 26(4):1133. doi:10.1148/rg.264065094 PubMedCrossRef

Rabin RC (2007) With rise in radiation exposure, experts urge caution on tests. New York Times

(2007) Advances in radiation protection in medicine. In: Forty-third annual meeting program. National Council on Radiation Protection and Measurements, Arlington, VA. http://www.ncrponline.org/annual_mtgs/2007_ann_meet_prog.pdf

Lee CI et al (2004) Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 231(2):393–398. doi:10.1148/radiol.2312030767 PubMedCrossRef

Wiest PW et al (2002) CT scanning: a major source of radiation exposure. Semin Ultrasound CT MR 23(5):402–410. doi:10.1016/S0887-2171(02)90011-9 PubMedCrossRef

Mayo JR, Aldrich J, Muller NL (2003) Radiation exposure at chest CT: a statement of the Fleischner Society. Radiology 228(1):15–21. doi:10.1148/radiol.2281020874 PubMedCrossRef

Shope TB (1996) Radiation-induced skin injuries from fluoroscopy. Radiographics 16(5):1195–1199PubMed

Huda W (2007) Radiation doses and risks in chest computed tomography examinations. Proc Am Thorac Soc 4(4):316–320. doi:10.1513/pats.200611-172HT PubMedCrossRef

10.

Huda W (1997) Radiation dosimetry in diagnostic radiology. AJR Am J Roentgenol 169(6):1487–1488PubMed

11.

UNSCEAR (1993) 1993 REPORT: sources and effects of ionizing radiaiton. United Nations Scientific Committee on the Effects of Ionizing Radiation, New York

12.

ICRP (1991) Recommendations of the ICRP—ICRP report 60. In: Annals of ICRP international commission on radiological protection, pp 1–201

13.

Brenner D, Huda W (2008) Effective dose: a useful concept in diagnostic radiology? Radiat Prot Dosimetry 128(4):503–508. doi:10.1093/rpd/ncn056 PubMedCrossRef

14.

Valentin J (2003) Relative biological effectiveness (RBE), quality factor (Q), and radiation weighting factor (WR) ICRP publication 92. Ann ICRP 33(4):1–121. doi:10.1016/S0146-6453(03)00024-1 CrossRef

15.

Managing patient dose in multi-detector computed tomography. (MDCT) In: Annals of the ICRP. 2007, International Commission on Radiological Protection. http://www.icrp.org/docs/ICRP-MDCT-for_web_cons_32_219_06.pdf

16.

Shrimpton PC, Edyvean S (1998) CT scanner dosimetry. Br J Radiol 71(841):1–3PubMed

17.

Polacin A, Kalender WA, Marchal G (1992) Evaluation of section sensitivity profiles and image noise in spiral CT. Radiology 185(1):29–35PubMed

18.

Andreo P (1991) Monte Carlo techniques in medical radiation physics. Phys Med Biol 36:861–920. doi:10.1088/0031-9155/36/7/001 PubMedCrossRef

19.

McCollough CH, Schueler BA (2000) Calculation of effective dose. Med Phys 27(5):828–837. doi:10.1118/1.598948 PubMedCrossRef

20.

European Guidelines on Quality Criteria for Computed Tomography (1999) EUR 16262 EN. http://www.drs.dk/guidelines/ct/quality/htmlindex.htm

21.

Huda W et al (2008) Computing effective doses from dose-length product in CT. Radiology 248(1):321–322. doi:10.1148/radiol.2481080042 PubMedCrossRef

22.

United Nations Scientific Committee on the Effects if Atomic Radiation (1993) Sources and effects of ionizing radiation. UNSCEAR, United Nations

23.

D.O.E. Facts about radiation. January 2005 [cited 2008 June 3] http://www.ocrwm.doe.gov/factsheets/doeymp0403.shtml

24.

Sigurdson AJ, Ron E (2004) Cosmic radiation exposure and cancer risk among flight crew. Cancer Invest 22(5):743–761. doi:10.1081/CNV-200032767 PubMedCrossRef

25.

Weinberg CR, Brown KG, Hoel DG (1987) Altitude, radiation, and mortality from cancer and heart disease. Radiat Res 112(2):381–390. doi:10.2307/3577265 PubMedCrossRef

26.

Mettler FA Jr et al (2008) Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 248(1):254–263. doi:10.1148/radiol.2481071451 PubMedCrossRef

27.

Brenner DJ (2004) Radiation risks potentially associated with low-dose CT screening of adult smokers for lung cancer. Radiology 231(2):440–445. doi:10.1148/radiol.2312030880 PubMedCrossRef

28.

Nishizawa K et al (1996) Estimation of the exposure and a risk-benefit analysis for a CT system designed for a lung cancer mass screening unit. Radiat Prot Dosimetry 67(2):101–108

29.

Nickoloff EL, Alderson PO (2001) Radiation exposures to patients from CT: reality, public perception, and policy. AJR Am J Roentgenol 177(2):285–287PubMed

30.

Huda W, Vance A (2007) Patient radiation doses from adult and pediatric CT. AJR Am J Roentgenol 188(2):540–546. doi:10.2214/AJR.06.0101 PubMedCrossRef

31.

McCollough CH, Zink FE (1999) Performance evaluation of a multi-slice CT system. Med Phys 26(11):2223–2230. doi:10.1118/1.598777 PubMedCrossRef

32.

Heggie JC (2005) Patient doses in multi-slice CT and the importance of optimisation. Australas Phys Eng Sci Med 28(2):86–96PubMedCrossRef

33.

McCollough CH, Bruesewitz MR, Kofler JM Jr (2006) CT dose reduction and dose management tools: overview of available options. Radiographics 26(2):503–512. doi:10.1148/rg.262055138 PubMedCrossRef

34.

Ravenel JG et al (2001) Radiation exposure and image quality in chest CT examinations. AJR Am J Roentgenol 177(2):279–284PubMed

35.

Koller CJ, Eatough JP, Bettridge A (2003) Variations in radiation dose between the same model of multislice CT scanner at different hospitals. Br J Radiol 76(911):798–802. doi:10.1259/bjr/33117342 PubMedCrossRef

36.

Preston DL, Pierce DA, Suyama A, Mabuchi K (2003) Studies of mortality of atomic bomb survivors report 13: solid cancer and noncancer disease mortality: 1950–1997. Radiat Res 160(4):381–407. doi:10.1667/RR3049 PubMedCrossRef

37.

Brenner DJ et al (2003) Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci USA 100(24):13761–13766. doi:10.1073/pnas.2235592100 PubMedCrossRef

38.

Pierce DA, Preston DL (2000) Radiation-related cancer risks at low doses among atomic bomb survivors. Radiat Res 154(2):178–186. doi:10.1667/0033-7587(2000)154[0178:RRCRAL]2.0.CO;2 PubMedCrossRef

39.

Vrijheid M et al (2007) The 15-Country Collaborative Study of cancer risk among radiation workers in the nuclear industry: design, epidemiological methods and descriptive results. Radiat Res 167(4):361–379. doi:10.1667/RR0554.1 PubMedCrossRef

40.

Cardis E, Gilbert ES, Carpenter L, Howe G, Kato I, Armstrong BK, Beral V, Cowper G, Douglas A, Fix J et al (1995) Effects of low doses and low dose rates of external ionizing radiation. Cancer mortality among nuclear industry workers in three countries. Radiat Res 142(2):117–132. doi:10.2307/3579020

41.

Muirhead CR (1999) Occupational radiation exposure and mortality: second analysis of the National Registry for Radiation Workers. J Radiologic Protection 19:3–26. doi:10.1088/0952-4746/19/1/002 CrossRef

42.

Travis LB et al (1991) Second cancers following non-Hodgkin’s lymphoma. Cancer 67:2002–2009PubMedCrossRef

43.

Tokunaga M et al (1994) Incidence of female breast cancer among atomic bomb survivors, 1950–1985. Radiat Res 138(2):209–223. doi:10.2307/3578591 PubMedCrossRef

44.

Storm HH, Boice JDJ (1985) Leukaemia after cervical cancer irradiation in Denmark. Int J Epidemiol 14(3):363–368. doi:10.1093/ije/14.3.363 PubMedCrossRef

45.

Ron E et al (1995) Thyroid cancer after exposure to external radiation: a pooled analysis of seven studies. Radiat Res 141(3):259–277. doi:10.2307/3579003 PubMedCrossRef

46.

Inskip PD, Stovall M, Flannery JT (1994) Lung cancer risk and radiation dose among women treated for breast cancer. J Natl Cancer Inst 86(13):983–988. doi:10.1093/jnci/86.13.983 PubMedCrossRef

47.

Health Risks from Exposure to Low Levels of Ionizing Radiation. BEIR VII—phase 2. 2006, Committee to assess health risks from exposure to low levels of ionizing radiation. National Research Council

48.

Amis ES et al (2007) American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 4:272–284PubMedCrossRef

49.

American College of Radiology (2008) CT accreditation program requirements

50.

Willis CE, Slovis TL (2005) The ALARA concept in pediatric CR and DR: dose reduction in pediatric radiographic exams a white paper conference executive summary. Radiology 234(2):343–344. doi:10.1148/radiol.2342041831 CrossRef

51.

Seeram E, Brennan PC (2006) Diagnostic reference levels in radiology. Radiol Technol 77(5):373–384PubMed

Titel: Estimating Radiation Risk from Computed Tomography Scanning
verfasst von: Vadim Fayngersh
Michael Passero
Publikationsdatum: 01.06.2009
Verlag: Springer-Verlag
Erschienen in: Lung / Ausgabe 3/2009
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI: https://doi.org/10.1007/s00408-009-9143-9

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