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Minimising medically unwarranted computed tomography scans

Abstract

As computed tomography (CT) is such a superb diagnostic tool and individual CT risks are small, whenever a CT scan is clinically warranted, the CT benefit/risk balance is by far in the patient's favour. However, if a CT scan is not clinically warranted, this balance shifts dramatically. It is likely that at least 25% of CT scans fall into this latter category, in that they could either be replaced with alternative imaging modalities or could be avoided entirely. Use of clinical decision rules for CT usage represents a powerful approach for slowing down the increase in CT usage, because they have the potential to overcome some of the major factors that result in some CT scans being undertaken when they may not be clinically helpful.
Authors:
Brenner, D.J., E-mail: djb3@columbia.edu [1] 
  1. Center for Radiological Research, Columbia University Medical Center, New York, NY 10032 (United States)
Publication Date:
Oct 15, 2012
Product Type:
Journal Article
Resource Relation:
Journal Name: Annals of the ICRP; Journal Volume: 41; Journal Issue: 3-4; Conference: 1. ICRP symposium on the international system of radiological protection, Bethesda, MD (United States), 24-26 Oct 2011; Other Information: Copyright (c) 2012 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA)
Subject:
61 RADIATION PROTECTION AND DOSIMETRY; COMPUTERIZED TOMOGRAPHY; HEALTH HAZARDS; IMAGE PROCESSING; RADIATION PROTECTION; RISK ASSESSMENT; SLOWING-DOWN
OSTI ID:
22152958
Country of Origin:
United Kingdom
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0146-6453; CODEN: ANICD6; Other: PII: S0146-6453(12)00019-X; TRN: GB13R0345107092
Availability:
Available from http://dx.doi.org/10.1016/j.icrp.2012.06.004
Submitting Site:
INIS
Size:
page(s) 161-169
Announcement Date:
Nov 21, 2013

Citation Formats

Brenner, D.J., E-mail: djb3@columbia.edu. Minimising medically unwarranted computed tomography scans. United Kingdom: N. p., 2012. Web. doi:10.1016/J.ICRP.2012.06.004.
Brenner, D.J., E-mail: djb3@columbia.edu. Minimising medically unwarranted computed tomography scans. United Kingdom. https://doi.org/10.1016/J.ICRP.2012.06.004
Brenner, D.J., E-mail: djb3@columbia.edu. 2012. "Minimising medically unwarranted computed tomography scans." United Kingdom. https://doi.org/10.1016/J.ICRP.2012.06.004.
@misc{etde_22152958,
title = {Minimising medically unwarranted computed tomography scans}
author = {Brenner, D.J., E-mail: djb3@columbia.edu}
abstractNote = {As computed tomography (CT) is such a superb diagnostic tool and individual CT risks are small, whenever a CT scan is clinically warranted, the CT benefit/risk balance is by far in the patient's favour. However, if a CT scan is not clinically warranted, this balance shifts dramatically. It is likely that at least 25% of CT scans fall into this latter category, in that they could either be replaced with alternative imaging modalities or could be avoided entirely. Use of clinical decision rules for CT usage represents a powerful approach for slowing down the increase in CT usage, because they have the potential to overcome some of the major factors that result in some CT scans being undertaken when they may not be clinically helpful.}
doi = {10.1016/J.ICRP.2012.06.004}
journal = []
issue = {3-4}
volume = {41}
journal type = {AC}
place = {United Kingdom}
year = {2012}
month = {Oct}
}