Literature DB >> 21701025

A rational approach to the clinical use of cumulative effective dose estimates.

Daniel J Durand1.   

Abstract

OBJECTIVE: This article will address ongoing efforts to track cumulative dose estimates of patient radiation exposure that have the potential to transform radiation protection research.
CONCLUSION: There is no clear consensus on how to use this information clinically. A rational consideration of this question reveals that until the linear no-threshold model is supplanted, cumulative dose estimates are of little clinical relevance and never constitute a logical reason to avoid an imaging evaluation that is otherwise medically indicated.

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Mesh:

Year:  2011        PMID: 21701025     DOI: 10.2214/AJR.10.6195

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  10 in total

1.  Falling prey to the sunk cost bias: a potential harm of patient radiation dose histories.

Authors:  Jonathan D Eisenberg; H Benjamin Harvey; Donald A Moore; G Scott Gazelle; Pari V Pandharipande
Journal:  Radiology       Date:  2012-06       Impact factor: 11.105

2.  Prioritizing examination-centered over patient-centered dose reduction: a hazard of institutional "benchmarking".

Authors:  Jonathan D Eisenberg; Michael E Gilmore; Mannudeep K Kalra; Chung Yin Kong; Pari V Pandharipande
Journal:  AJR Am J Roentgenol       Date:  2014-05       Impact factor: 3.959

3.  The fisherman's cards: how to address past and future radiation exposures in clinical decision making.

Authors:  Jonathan D Eisenberg; Sarah O Lewin; Pari V Pandharipande
Journal:  AJR Am J Roentgenol       Date:  2014-02       Impact factor: 3.959

4.  Radiation overexposure from repeated CT scans in young adults with acute abdominal pain.

Authors:  Massimo Tonolini; Elena Valconi; Angelo Vanzulli; Roberto Bianco
Journal:  Emerg Radiol       Date:  2017-09-18

5.  Measured Head CT/CTA Skin Dose and Intensive Care Unit Patient Cumulative Exposure.

Authors:  R D Nawfel; G S Young
Journal:  AJNR Am J Neuroradiol       Date:  2017-01-19       Impact factor: 3.825

6.  Cumulative Doses of Ionizing Radiation From Computed Tomography: A Population-Based Study.

Authors:  Konrad H Stopsack; James R Cerhan
Journal:  Mayo Clin Proc       Date:  2019-06-24       Impact factor: 7.616

7.  Patients with testicular cancer undergoing CT surveillance demonstrate a pitfall of radiation-induced cancer risk estimates: the timing paradox.

Authors:  Pari V Pandharipande; Jonathan D Eisenberg; Richard J Lee; Michael E Gilmore; Ekin A Turan; Sarabjeet Singh; Mannudeep K Kalra; Bob Liu; Chung Yin Kong; G Scott Gazelle
Journal:  Radiology       Date:  2012-12-18       Impact factor: 11.105

8.  Journal club: How radiation exposure histories influence physician imaging decisions: a multicenter radiologist survey study.

Authors:  Pari V Pandharipande; Jonathan D Eisenberg; Laura L Avery; Martin L Gunn; Stella K Kang; Alec J Megibow; Ekin A Turan; H Benjamin Harvey; Chung Yin Kong; Emily C Dowling; Elkan F Halpern; Karen Donelan; G Scott Gazelle
Journal:  AJR Am J Roentgenol       Date:  2013-06       Impact factor: 3.959

9.  How to Reduce Head CT Orders in Children with Hydrocephalus Using the Lean Six Sigma Methodology: Experience at a Major Quaternary Care Academic Children's Center.

Authors:  A Tekes; E M Jackson; J Ogborn; S Liang; M Bledsoe; D J Durand; G Jallo; T A G M Huisman
Journal:  AJNR Am J Neuroradiol       Date:  2016-01-21       Impact factor: 3.825

Review 10.  Patient-centered imaging: shared decision making for cardiac imaging procedures with exposure to ionizing radiation.

Authors:  Andrew J Einstein; Daniel S Berman; James K Min; Robert C Hendel; Thomas C Gerber; J Jeffrey Carr; Manuel D Cerqueira; S James Cullom; Robert DeKemp; Neal W Dickert; Sharmila Dorbala; Reza Fazel; Ernest V Garcia; Raymond J Gibbons; Sandra S Halliburton; Jörg Hausleiter; Gary V Heller; Scott Jerome; John R Lesser; Gilbert L Raff; Peter Tilkemeier; Kim A Williams; Leslee J Shaw
Journal:  J Am Coll Cardiol       Date:  2014-02-13       Impact factor: 24.094

  10 in total

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