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Monitoring of Medical Radiation Exposure for Individuals

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Radiological Safety and Quality

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Abstract

Radiation exposure and the potential risks from medical imaging continue to be highly visible issues, especially for the medical imaging community. There has been progress with dose management, particularly dose reduction, due to both technical and application advancements. There are various existing actions focusing on the collection and analysis of population exposure data for radiological procedures. However, there is an increasing mandate, particularly in the United States but globally as well, for dose recording, monitoring and reporting of medical radiation exposure for individual patients. There are many benefits to radiation monitoring and the strategies for implementation will vary, partly depending on resources. This action supports tenants of medical professionalism, including transparency and the primacy of patients. While challenges remain, the medical imaging community must take ownership of the innovative actions related to the recording and monitoring of cumulative exposures from medical radiation procedures. A successful outcome requires vision; leadership and collaborations from the different stakeholders in medical imaging to overcome challenges and ensure implementation of actions to further improve quality in radiology and radiation safety.

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References

  1. Ahmed BA, Connolly BL, Shroff P et al (2010) Cumulative effective doses from radiologic procedures for pediatric oncology patients. Pediatrics 126(4):851–858

    Article  Google Scholar 

  2. Ait-Ali L, Andreassi MG, Foffa I et al (2010) Cumulative patient effective dose and acute radiation-induced chromosomal DNA damage in children with congenital heart disease. Heart 96(4):269–274

    Article  PubMed  Google Scholar 

  3. American Association of Physicists in Medicine (2011) AAPM Report No. 204. Size-specific dose estimates (SSDE) in pediatric and adult body CT examinations. Available at: http://www.aapm.org/pubs/reports/RPT_204.pdf. Accessed 18 July 2012

  4. Baerlocher MO, Talanow R, Baerlocher AF (2010) Radiation passport: an iPhone and iPod touch application to track radiation dose and estimate associated cancer risks. J Am Coll Radiol 7(4):277–280

    Article  PubMed  Google Scholar 

  5. Bartley K, Metayer C, Selvin S et al (2010) Diagnostic x-rays and risk of childhood leukaemia. Int J Epidemiol 39(6):1628–1637

    Article  PubMed  Google Scholar 

  6. Berrington de Gonzalez A, Mahesh M, Kim KP et al (2009) Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 169(22):2071–2077

    Article  PubMed  Google Scholar 

  7. Brenner DJ, Hall EJ (2007) Computed tomography: an increasing source of radiation exposure. N Engl J Med 357(22):2277–2284

    Article  CAS  PubMed  Google Scholar 

  8. Brink JA, Amis ES (2010) Image Wisely: a campaign to increase awareness about adult radiation protection. Radiology 257(3):601–602

    Article  PubMed  Google Scholar 

  9. Dorfman AL, Fazel R, Einstein AJ et al (2011) Use of medical imaging procedures with ionizing radiation in children: a population-based study. Arch Pediatr Adolesc Med 165(5):458–464

    Article  PubMed Central  PubMed  Google Scholar 

  10. Durand DJ, Dixon RL, Morin RL (2012) Utilization strategies for cumulative dose estimates: a review and rational approach. J Am Coll Radiol 9(7):480–485

    Article  PubMed  Google Scholar 

  11. Fazel R, Krumholz HM, Wang Y et al (2009) Exposure to low-dose ionizing radiation from medical imaging procedures. N Eng J Med 361(9):849–857

    Article  CAS  Google Scholar 

  12. Frush DP (2011) Justification and optimization of CT in children: how are we performing? Pediatr Radiol 41(Suppl 2):467–471

    Article  PubMed  Google Scholar 

  13. Frush DP, Denham CR, Goske KJ et al (2012) Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action…but where will we arrive? J Patient Saf (in press)

    Google Scholar 

  14. GE Healthcare (2012) Track, report, and monitor radiation dose enabling optimization of scanning parameters and helping providers improve patient care. Available at: http://www.gehealthcare.com/dose/pdfs/DoseWatch-Sell-Sheet.pdf. Accessed 3 July 2012

  15. George WW, Denham CR, Burgess LH et al (2010) Leading in crisis: lessons for safety leaders. J Patient Saf 6(1):24–30

    Article  PubMed  Google Scholar 

  16. Goske MJ, Applegate KE, Frush DP et al (2008) The image gently campaign: working together to change practice. Am J Roentgenol 190(2):273–274

    Article  Google Scholar 

  17. Goske MJ, Applegate KE, Frush DP et al (2008) Image Gently: a national education and communication campaign in radiology using the science of social marketing. J Am Coll Radiol 5(12):1200–1205

    Article  PubMed  Google Scholar 

  18. Griffey RT, Sodickson A (2009) Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. Am J Roentgenol 192(4):887–892

    Article  Google Scholar 

  19. Hendee WR, Becker GJ, Borgstede JP et al (2010) Addressing overutilization in medical imaging. Radiology 257(1):240–245

    Article  PubMed  Google Scholar 

  20. Hendee WR, O’Conner MK (2012) Radiation risks of medical imaging: separating fact from fancy. Radiology 264:312–321

    Article  PubMed  Google Scholar 

  21. Hrabak M, Padovan RS, Kralik M et al (2008) Scenes from the past: Nikola Tesla and the discovery of x-rays. Radiographics 28(4):1189–1192

    Article  PubMed  Google Scholar 

  22. Hricak H, Brenner DJ, Adelstein SJ et al (2011) Managing radiation use in medical imaging: a multifaceted challenge. Radiology 258(3):889–905

    Article  PubMed  Google Scholar 

  23. IMV (2012) Latest IMV CT survey shows hospitals seek to improve productivity to manage increased outpatient and emergency CT procedure volume. Available at: http://www.imvinfo.com/user/documents/content_documents/def_dis/2012_06_05_04_54_16_458_IMV_2012_CT_Press_Release.pdf. Accessed 3 July 2012

  24. International Atomic Energy Agency (2012) Joint position statement for the IAEA Smart Card/SmartRadTrack project. Available at: https://rpop.iaea.org/RPOP/RPoP/Content/Documents/Whitepapers/iaea-smart-card-position-statement.pdf. Accessed 3 July 2012

  25. International Commission on Radiological Protection (2008) ICRP Publication 105. Radiological protection in medicine. Ann ICRP 37(6):1–63. Elsevier, Oxford

    Google Scholar 

  26. Lauer MS (2009) Elements of danger – the case of medical imaging. N Engl J Med 361(9):841–843

    Article  CAS  PubMed  Google Scholar 

  27. Martin CJ (2007) Effective dose: how should it be applied to medical exposures? Br J Radiol 80(956):639–647

    Article  CAS  PubMed  Google Scholar 

  28. McCollough CH, Christner JA, Kofler JM (2010) How effective is effective dose as a predictor of radiation risk? Am J Roentgenol 194(4):890–896

    Article  Google Scholar 

  29. Mercuri M, Rehani MM, Einstein AJ (2012) Tracking patient radiation exposure: challenges to integrating nuclear medicine with other modalities. J Nucl Cardiol (Epub ahead of print)

    Google Scholar 

  30. Morin RL, Coombs LP, Chatfield MB (2011) ACR dose index registry. J Am Coll Radiol 8(4):288–291

    Article  PubMed  Google Scholar 

  31. Moskowitz SI, Davros WJ, Kelly ME et al (2010) Cumulative radiation dose during hospitalization for aneurysmal subarachnoid hemorrhage. Am J Neuroradiol 31(8):1377–1382

    Article  CAS  PubMed  Google Scholar 

  32. National Council on Radiation Protection and Measurement (2009) NCRP Report No. 160: ionizing radiation exposure of the population of the United States. National Council on Radiation Protection and Measurement, Bethesda

    Google Scholar 

  33. National Institute of Health (2009) New diagnostic imaging devices at the NIH Clinical Center to automatically record radiation exposure. Available at http://www.nih.gov/news/health/aug2009/cc-17.htm. Accessed 6 July 2012

  34. National Quality Forum (2010) Safe practice 34: pediatric imaging. In: Safe practices for better healthcare – 2010 update: a consensus report. National Quality Forum, Washington, DC

    Google Scholar 

  35. National Quality Forum (2010) Safe practices for better healthcare – 2010 update: a consensus report. National Quality Forum, Washington, DC

    Google Scholar 

  36. National Research Council (2012) Tracking radiation exposure from medical diagnostic procedures: workshop report. Committee on Tracking Radiation Doses from Medical Diagnostic Procedures; Nuclear and Radiation Studies Board; Division on Earth and Life Studies. National Academies Press, Washington, DC

    Google Scholar 

  37. Pearce MS, Salotti JA, Little MP et al (2012) Radiation exposure from CT scans in childhood and subsequent risk of leukemia and brain tumors: a retrospective cohort study. Lancet (Epub ahead of print)

    Google Scholar 

  38. Radimetrics (2012) Available at: http://www.radimetrics.com/default/. Accessed 3 July 2012

  39. Redberg RF (2009) Cancer risks and radiation exposure from computed tomographic scans: how can we be sure that the benefits outweigh the risks? Arch Intern Med 169(22):2049–2050

    Article  PubMed  Google Scholar 

  40. Rehani MM, Berris T (2012) Templates and existing elements and models for implementation of patient exposure tracking. Eur J Radiol (accepted)

    Google Scholar 

  41. Rehani MM, Frush DP (2011) Patient exposure tracking: the IAEA smart card project. Radiat Prot Dosimetry 147(1–2):314–316

    Article  PubMed  Google Scholar 

  42. Rehani MM, Frush DP, Berris et al (2012) Patient radiation exposure tracking: worldwide programs and needs – results from the first IAEA survey. Eur J Radiol (Epub ahead of print)

    Google Scholar 

  43. Rehani MM, Holmberg O, Ortiz-Lopez P et al (2011) International action plan on the radiation protection of patients. Radiat Prot Dosimetry 147(1–2):38–42

    Article  PubMed  Google Scholar 

  44. Smith-Bindman R, Lipson J, Marcus R et al (2009) Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 169(22):2078–2086

    Article  PubMed  Google Scholar 

  45. Sodickson A, Baeyens PF, Andriole KP et al (2009) Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 251(1):175–184

    Article  PubMed  Google Scholar 

  46. Stein EG, Haramati LB, Bellin E et al (2010) Radiation exposure from medical imaging in patients with chronic and recurrent conditions. J Am Coll Radiol 7(5):351–359

    Article  PubMed  Google Scholar 

  47. The Joint Commission (2011) Sentinel event alert, Issue 47, Aug 24. Available at: http://www.jointcommission.org/assets/1/18/sea_471.pdf. Accessed 26 June 2012

  48. The New York Times (2009) Radiation overdoses point up dangers of CT scans. Available at: http://www.nytimes.com/2009/10/16/us/16radiation.html. Accessed 3 July 2012

  49. The New York Times (2010) Radiation worries for children in dentist’s chairs. Available at: http://www.nytimes.com/2010/11/23/us/23scan.html?_r=1&pagewanted=allNY. Accessed 3 July 2012

  50. The New York Times (2011) West Virginia hospital over radiated brain scan patients, records show. Available at: http://www.nytimes.com/2011/03/06/health/06radiation.html?_r=3. Accessed 3 July 2012

  51. The New York Times (2011) X-rays and unshielded infants. Available at: http://www.nytimes.com/2011/02/28/health/28radiation.html?pagewanted=all. Accessed 3 July 2012

  52. The State of California SB 1237 (2010) Available at: http://www.leginfo.ca.gov/pub/09-10/bill/sen/sb_1201-1250/sb_1237_bill_20100929_chaptered.html. Accessed 26 June 2012

  53. United Nations Scientific Committee on the Effects of Atomic Radiation (2010) Sources and effects of ionizing radiation. UNSCEAR 2008 report to the general assembly with scientific annexes. United Nations, New York

    Google Scholar 

  54. US Food and Drug Administration (2010) Initiative to reduce unnecessary radiation exposure from medical imaging. Available at: http://www.fda.gov/Radiation-EmittingProducts/RadiationSafety/RadiationDoseReduction/ucm199994.htm. Accessed 7 July 2012

  55. World Health Organization (2008) WHO global initiative on radiation safety in health care settings technical meeting report. WHO, Geneva

    Google Scholar 

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Author information

Authors and Affiliations

  1. Pediatric Radiology, 1905 Children’s Health Centre, 3808 DUMC, Durham, NC, 27710, USA

    Donald P. Frush

  2. Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, FL, 32224, USA

    Richard Morin

  3. Radiation Protection of Patients Unit, RSM, NSRW, International Atomic Energy Agency, 100, A 1400, Vienna, Austria

    Madan M. Rehani

Authors
  1. Donald P. Frush
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  2. Richard Morin
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  3. Madan M. Rehani
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Corresponding author

Correspondence to Donald P. Frush .

Editor information

Editors and Affiliations

  1. International Radiology Quality Network, Reston, Virginia, USA

    Lawrence Lau

  2. Department of Biomedical Imaging, University of Malaya, Kuala Lumpur, Malaysia

    Kwan-Hoong Ng

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Frush, D.P., Morin, R., Rehani, M.M. (2014). Monitoring of Medical Radiation Exposure for Individuals. In: Lau, L., Ng, KH. (eds) Radiological Safety and Quality. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7256-4_4

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  • DOI: https://doi.org/10.1007/978-94-007-7256-4_4

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7255-7

  • Online ISBN: 978-94-007-7256-4

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