Online citations, reference lists, and bibliographies.
← Back to Search

Communicating Potential Radiation-Induced Cancer Risks From Medical Imaging Directly To Patients.

D. Lam, D. Larson, J. Eisenberg, H. Forman, C. Lee
Published 2015 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE Over the past decade, efforts have increasingly been made to decrease radiation dose from medical imaging. However, there remain varied opinions about whether, for whom, by whom, and how these potential risks should be discussed with patients. We aimed to provide a review of the literature regarding awareness and communication of potential radiation-induced cancer risks from medical imaging procedures in hopes of providing guidance for communicating these potential risks with patients. MATERIALS AND METHODS We performed a systematic literature review on the topics of radiation dose and radiation-induced cancer risk awareness, informed consent regarding radiation dose, and communication of radiation-induced cancer risks with patients undergoing medical imaging. We included original research articles from North America and Europe published between 1995 and 2014. RESULTS From more than 1200 identified references, a total of 22 original research articles met our inclusion criteria. Overall, we found that there is insufficient knowledge regarding radiation-induced cancer risks and the magnitude of radiation dose associated with CT examinations among patients and physicians. Moreover, there is minimal sharing of information before nonacute imaging studies between patients and physicians about potential long-term radiation risks. CONCLUSION Despite growing concerns regarding medical radiation exposure, there is still limited awareness of radiation-induced cancer risks among patients and physicians. There is also no consensus regarding who should provide patients with relevant information, as well as in what specific situations and exactly what information should be communicated. Radiologists should prioritize development of consensus statements and novel educational initiatives with regard to radiation-induced cancer risk awareness and communication.
This paper references
10.1148/radiol.2015142859
Informed Consent for Radiation Risk from CT Is Unjustified Based on the Current Scientific Evidence.
H. Harvey (2015)
10.1148/radiol.15132905
Patient perspectives and preferences for communication of medical imaging risks in a cancer care setting.
R. Thornton (2015)
10.1007/s00247-009-1307-5
What physicians think about the need for informed consent for communicating the risk of cancer from low-dose radiation
Tijen Karsli (2009)
10.1148/radiol.10101335
Image Wisely: a campaign to increase awareness about adult radiation protection.
J. Brink (2010)
10.1148/radiol.10100640
National trends in CT use in the emergency department: 1995-2007.
D. Larson (2011)
10.2214/AJR.12.8581
Physicians' and midlevel providers' awareness of lifetime radiation-attributable cancer risk associated with commonly performed CT studies: relationship to practice behavior.
S. Puri (2012)
10.1016/j.crad.2011.03.009
Doctors' knowledge of radiation -- a two-centre study and historical comparison.
D. Bosanquet (2011)
10.1097/01.HP.0000326333.42287.a2
MEDICAL RADIATION EXPOSURE IN THE U.S. IN 2006: PRELIMINARY RESULTS
F. Mettler (2008)
10.2214/AJR.10.6195
A rational approach to the clinical use of cumulative effective dose estimates.
D. Durand (2011)
10.2214/AJR.07.2248
Informing parents about CT radiation exposure in children: it's OK to tell them.
D. Larson (2007)
10.1038/nrurol.2015.242
Imaging and evaluation of patients with high-risk prostate cancer
M. Bjurlin (2015)
10.1259/bjr/94101717
A survey of awareness of radiation dose among health professionals in Northern Ireland.
J. A. Soye (2008)
10.1016/J.JPEDSURG.2007.02.007
Peer assessment of pediatric surgeons for potential risks of radiation exposure from computed tomography scans.
H. Rice (2007)
10.2214/AJR.13.10896
The fisherman's cards: how to address past and future radiation exposures in clinical decision making.
J. Eisenberg (2014)
10.1016/S8756-3452(08)79173-4
Computed Tomography — An Increasing Source of Radiation Exposure
L. Tanoue (2009)
10.1148/radiol.2015142860
Debriefing the Brief: It is Time for the Provision of Informed Consent before Pediatric CT.
Diane M. Armao (2015)
10.2214/AJR.09.2754
In defense of body CT.
C. McCollough (2009)
Patient Knowledge and Understanding of Radiation From Diagnostic Imaging
E. Campbell (2013)
10.1111/acem.12311
Barriers to computed tomography radiation risk communication in the emergency department: a qualitative analysis of patient and physician perspectives.
T. Robey (2014)
10.1259/bjr.20150868
Communicating radiation risk to patients and referring physicians in the emergency department setting.
Jeffrey Y. Shyu (2016)
10.1148/radiol.12112459
Falling prey to the sunk cost bias: a potential harm of patient radiation dose histories.
J. Eisenberg (2012)
10.1259/bjr.20160022
Radiation dose awareness and disclosure practice in paediatric emergency medicine: how far have we come?
K. Boutis (2016)
Effective doses in
FA Mettler
10.1001/jamainternmed.2013.2918
Weighing the potential harms of computed tomography: patient survey.
Tanner J Caverly (2013)
Doctors' and intern doctors' knowledge about patients' ionizing radiation exposure doses during common radiological examinations.
A. Arslanoğlu (2007)
10.1136/BMJ.329.7470.849
Informed consent and communication of risk from radiological and nuclear medicine examinations: how to escape from a communication inferno
E. Picano (2004)
10.1097/00007611-199611000-00008
Survey of Physicians' Attitudes About Risks and Benefits of Chest Computed Tomography
J. Renston (1996)
10.1007/s00261-012-9933-z
Perspective on radiation risk in CT imaging
J. Fletcher (2012)
10.1016/j.carj.2012.05.002
Perception of Radiation Exposure and Risk among Patients, Medical Students, and Referring Physicians at a Tertiary Care Community Hospital
M. Ricketts (2013)
10.1148/RADIOL.2312030767
Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks.
C. Lee (2004)
10.1016/S0098-1672(09)79049-6
Effective Doses in Radiology and Diagnostic Nuclear Medicine: A Catalog
A. Elster (2010)
Effective doses in
FA Mettler
10.1016/j.ejrad.2009.06.014
Paediatrician awareness of radiation dose and inherent risks in chest imaging studies--a questionnaire study.
C. Heyer (2010)
10.17226/9526
Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2
Division on Earth (2006)
10.1161/CIRCOUTCOMES.108.791863
Converting the Informed Consent From a Perfunctory Process to an Evidence-Based Foundation for Patient Decision Making
Suzanne V Arnold (2008)
10.1016/j.jacr.2012.03.003
Utilization strategies for cumulative dose estimates: a review and rational assessment.
D. Durand (2012)
10.1148/radiol.11102452
Impact of reduced patient life expectancy on potential cancer risks from radiologic imaging.
D. Brenner (2011)
10.1007/S10406-005-0164-Z
New challenges in MDCT
M. Prokop (2005)
10.1148/radiol.11111421
Informed decision making trumps informed consent for medical imaging with ionizing radiation.
J. Brink (2012)
10.1259/BJR.70.829.9059306
Radiation protection awareness in non-radiologists.
A. D. Quinn (1997)
10.1016/J.JEMERMED.2011.08.007
Rising Use of CT in Child Visits to the Emergency Department in the United States, 1995–2008
J. F. Anderson (2011)
10.2214/AJR.15.15142
Section Editor's Notebook: Health Policy and Practice.
Howard P. Forman (2015)
10.2214/AJR.09.3847
Knowledge and attitudes of emergency department patients regarding radiation risk of CT: Effects of age, sex, race, education, insurance, body mass index, pain, and seriousness of illness.
K. M. Takakuwa (2010)
10.1016/J.CRAD.2004.04.009
‘X-ray dose training: are we exposed to enough?’
B. Bury (2004)
10.5694/j.1326-5377.2011.tb04205.x
Doctors’ knowledge of patient radiation exposure from diagnostic imaging requested in the emergency department
A. Lavoipierre (2011)
10.1111/j.1742-1241.2012.02938.x
Lack of radiation awareness among referrers: implications and possible solutions
I. Uri (2012)
10.1007/s11845-009-0341-5
Survey of medical students and junior house doctors on the effects of medical radiation: is medical education deficient?
M. W. McCusker (2009)
10.1111/j.1754-9485.2012.02471.x
Assessing local patients' knowledge and awareness of radiation dose and risks associated with medical imaging: A questionnaire study
Ho-kwan Sin (2013)
10.2214/AJR.176.2.1760289
Estimated risks of radiation-induced fatal cancer from pediatric CT.
D. Brenner (2001)
10.2214/AJR.05.0813
Diagnostic CT scans: institutional informed consent guidelines and practices at academic medical centers.
C. Lee (2006)
10.1007/s00247-006-0170-x
Assessment of radiation dose awareness among pediatricians
Karen E. Thomas (2006)
10.1016/j.annemergmed.2010.10.018
Patient perceptions of computed tomographic imaging and their understanding of radiation risk and exposure.
B. Baumann (2011)
10.1136/BMJ.327.7411.371
Doctors' knowledge of radiation exposure: questionnaire study
S Shiralkar (2003)



This paper is referenced by
10.1007/s10140-017-1557-8
Awareness of radiation risks from CT scans among patients and providers and obstacles for informed decision-making
Angel Lorrine Schuster (2017)
10.1007/s00068-019-01297-w
Distribution of radiation exposure in patients with partially stable and unstable pelvic ring fractures: first-time use of highly accurate assessment by Monte Carlo calculations
Jakob C. F. Gunneweg (2020)
10.1016/j.radi.2019.10.002
Ionising radiation exposure from medical imaging - A review of Patient's (un) awareness.
A. Ribeiro (2019)
Don ’ t miss it ! How to accomplish a 24 / 7 thrombectomy serviceIAT : training and implementation in practice
Kamil Jabarkhel (2018)
10.1007/174_2017_84
Informed Use of Medical Radiation in Diagnostic Imaging
Donald P Frush (2017)
10.1007/s00247-017-4057-9
Correction to: Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations
Michael J. Callahan (2017)
10.1007/s00381-020-04822-0
Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective
Diane Armao (2020)
10.1259/bjr.20160022
Radiation dose awareness and disclosure practice in paediatric emergency medicine: how far have we come?
K. Boutis (2016)
10.1007/s00247-017-3991-x
Radiation dose management for pediatric cardiac computed tomography: a report from the Image Gently ‘Have-A-Heart’ campaign
C. Rigsby (2017)
10.1007/s00247-017-3814-0
Radiation dose associated with CT-guided drain placement for pediatric patients
Cody J. Schwartz (2017)
10.1259/bjr.20150868
Communicating radiation risk to patients and referring physicians in the emergency department setting.
Jeffrey Y. Shyu (2016)
10.1007/s00247-016-3739-z
The Think A-Head campaign: an introduction to ImageGently 2.0
D. Frush (2016)
10.1016/j.ejmp.2017.10.014
Awareness of medical radiation exposure among patients: A patient survey as a first step for effective communication of ionizing radiation risks.
Francesco Ria (2017)
10.1007/s00270-018-1968-2
Fighting the Gender Gap in Interventional Radiology: Facts and Fiction Relating to Radiation
W. Jaschke (2018)
10.1177/2382120518798812
Maximizing Benefit and Minimizing Risk in Medical Imaging Use: An Educational Primer for Health Care Professions Students
Diane M. Armao (2018)
10.1016/j.envres.2017.04.002
Children, medical radiation and the environment: An important dialogue
D. Frush (2017)
10.1111/1754-9485.12628
Effective doses and standardised risk factors from paediatric diagnostic medical radiation exposures: Information for radiation risk communication
G. Bibbo (2018)
10.5811/westjem.2015.12.29466
Achieving the Triple Aim Through Informed Consent for Computed Tomography
Dylan Carney (2015)
Cumulative radiation in critically ill patients: a retrospective audit of ionising radiation exposure in an intensive care unit.
James H McEvoy (2019)
10.3174/ajnr.A5718
Think A-Head Campaign of Image Gently: Shared Decision-Making in Pediatric Head Trauma
N. Kadom (2018)
10.2214/AJR.13.10896
The fisherman's cards: how to address past and future radiation exposures in clinical decision making.
J. Eisenberg (2014)
MEDICAL PHYSICS INTERNATIONAL
K. Ng (2018)
10.1067/j.cpradiol.2017.10.007
Trainee Knowledge of Imaging Appropriateness and Safety: Results of a Series of Surveys From a Large Academic Medical Center.
T. D. Hollingsworth (2019)
EMERGENCY RADIOLOGY SPECIAL FEATURE: COMMENTARY Radiation dose awareness and disclosure practice in paediatric emergency medicine: how far have we come?
Kathy Boutis (2016)
10.7326/L16-0364
Radiation-Induced Breast Cancer
Diana L. Miglioretti (2016)
10.1016/J.JRADNU.2016.12.002
Radiation, Risks, and … a Rational Approach in Diagnostic Imaging: What the Radiology Team Should Know
Donald P Frush (2017)
10.7326/L16-0193
Diagnosis of Latent Tuberculous Infection
Colin L Crawford (2016)
10.3348/kjr.2018.0416
Radiation Safety in Emergency Medicine: Balancing the Benefits and Risks
R. Azman (2019)
10.25259/JCIS_92_2020
Patients Radiation Risks from Computed Tomography Lymphography
Abdullah Almujally (2020)
10.1007/s12529-018-9730-3
Prevalence and Correlates of Worry About Medical Imaging Radiation Among United States Cancer Survivors
J. Hay (2018)
10.1016/j.radi.2017.04.001
Patient information regarding medical radiation exposure is inadequate: Patients' experience in a university hospital.
L. Ukkola (2017)
Awareness of medical radiation exposure among patients : A patient survey as a fi rst step for e ff ective communication of ionizing radiation risks
F. Riaa (2017)
See more
Semantic Scholar Logo Some data provided by SemanticScholar