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Aaron D Sodickson, MD, PhD Brigham and Women’s Hospital, Harvard Medical School , Boston , USA Search for other works by this author on: Oxford Academic
https://orcid.org/0000-0003-1275-681X British Journal of Radiology, Volume 94, Issue 1126, 1 October 2021, 20210543, https://doi.org/10.1259/bjr.20210543
Published:
21 September 2021
Article history
Received:
03 May 2021
Revision received:
29 June 2021
Accepted:
15 July 2021
Published:
21 September 2021
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Aaron D Sodickson, Radiation concerns in frequent flyer patients: should imaging history influence decisions about recurrent imaging?, British Journal of Radiology, Volume 94, Issue 1126, 1 October 2021, 20210543, https://doi.org/10.1259/bjr.20210543
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Radiation risks from diagnostic imaging have captured the attention of patients and medical practitioners alike, yet it remains unclear how these considerations can best be incorporated into clinical decision-making. This manuscript presents a framework to consider these issues in a potentially at-risk population, the so called “frequent flyer” patients undergoing a large amount of recurrent imaging over time. Radiation risks from the low-dose exposures of diagnostic imaging are briefly reviewed, as applied to recurrent exposures. Some scenarios are then explored in which it may be helpful to incorporate knowledge of a patient’s imaging history. There is no simple or uniformly applicable approach to these challenging and often nuanced clinical decisions. The complexity and variability of the underlying disease states and trajectories argues against alerting mechanisms based on a simple cumulative dose threshold. Awareness of imaging history may instead be beneficial in encouraging physicians and patients to take the long view, and to identify those populations of frequent flyers that might benefit from alternative imaging strategies.
© 2021 The Authors. Published by the British Institute of Radiology
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
Issue Section:
Contemporary issues in radiation protection in medical imaging special feature: Review Article
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