ArticleEuropean radiology2018
Computed tomography use in a large Italian region: trend analysis 2004-2014 of emergency and outpatient CT examinations in children and adults.
Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- A systematic review of radiation dose to the eye lens from pediatric brain computed tomography scans.Pediatric radiology · 2025Pooled it
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- A Review of Factors Affecting Radiation Dose and Image Quality in Coronary CTA Performed with Wide-Detector CT.Tomography (Ann Arbor, Mich.) · 2024Review
- Cumulative Dose from Recurrent CT Scans: Exploring the DNA Damage Response in Human Non-Transformed Cells.International journal of molecular sciences · 2024Article
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- Individualized scan protocols for CT angiography: an animal study for contrast media or radiation dose optimization.European radiology experimental · 2023Article
- ICU patients with infectious complications after abdominopelvic surgery: Is thoracic CT in addition to abdominal CT helpful?Annals of intensive care · 2023Article
- The impact of performance feedback reports on physician ordering behavior in the use of computed tomography pulmonary angiography (CTPA).Emergency radiology · 2023Article
- Sarcopenia: how to measure, when and why.La Radiologia medica · 2022Review
- National Trends in Pediatric CT Scans in South Korea: A Nationwide Cohort Study.Taehan Yongsang Uihakhoe chi · 2022Article
- Workload of diagnostic radiologists in the foreseeable future based on recent scientific advances: growth expectations and role of artificial intelligence.Insights into imaging · 2021Article
- The reliability of radiation dose display of a computed tomography scanner.European journal of radiology open · 2021Article
- Impact of the COVID-19 pandemic on emergency department CT for suspected diverticulitis.Emergency radiology · 2020Article
- Assessing and coping with the financial burden of computed tomography utilization in Limbe, Cameroon: a sequential explanatory mixed-methods study.BMC health services research · 2020Article
- Patient organ and effective dose estimation in CT: comparison of four software applications.European radiology experimental · 2020Article
- Exposure to Tomographic Scans and Cancer Risks.JNCI cancer spectrum · 2020Article
- Analysis of a multicentre cloud-based CT dosimetric database: preliminary results.European radiology experimental · 2019Article
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Authors and funding
14 authors at 6 institutions in 1 country.
Funding
Abstract
objectivesTo analyse CT use in recent years in a high-density Italian area (±10 million inhabitants, including 1 million children), focusing on developing age.
methodsRetrospective analysis of records from HealthCare IT System, covering >400 hospitals and clinics. Description of CT use between 2004-2014 in emergency and outpatient care and assessment of radiation exposure trend.
resultsOver 9 million scans were performed. Emergency procedures showed a global increase of 230 %, mainly head examinations. In the global outpatient setting, the annual number of CT scans/person increased ±19 %. A moderate increase in CT examinations was observed in the developing age population, while a remarkable increase in dental, chest and abdominal procedures occurred for the 10- to 30-year age range. The increase in mean annual dose/capita in the global patient pool was approximately 42 %, increasing from 0.72-1.03 mSv. The population rate receiving an annual CT radiation dose/capita higher than 1 mSv tripled in the 11-year interval, increasing from 16-48 %.
conclusionsThe remarkable increase in radiation exposure raises a special concern for teenagers and young adults, whose risk tends to be underestimated. The fivefold increase in dental CTs in the younger age groups requires further investigations. KEY POINTS: • Literature highlights a remarkable increase in CT use over the last decades. • The paediatric age had higher exposure to X-ray risk. • A detailed retrospective analysis of more than 9 million scans was performed. • Dental, chest, abdominal procedures increased remarkably in 10- to 30-year age range. • This study raises concern about exposure for teenagers and young adults.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.