ArticleEuropean radiology2020
Multinational data on cumulative radiation exposure of patients from recurrent radiological procedures: call for action.
Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.
- The use of hybrid operating rooms in neurosurgery, advantages, disadvantages, and future perspectives: a systematic review.Acta neurochirurgica · 2023Pooled it
- Cumulative radiation doses due to nuclear medicine examinations: a systematic review.The British journal of radiology · 2021Pooled it
- European multicenter study on recurrent imaging practice in computed tomography.The British journal of radiology · 2026Article
- Cumulative effective dose among 5.6 million CT exams in a multinational radiation dose registry.The British journal of radiology · 2026Article
- Comprehensive estimation of patient radiation exposure in hip joint surgery using a tissue-equivalent phantom.Radiological physics and technology · 2026Article
- Awareness and Understanding of Ionizing and Non-Ionizing Radiation Modalities Among Patients in Saudi Arabia.International journal of general medicine · 2026Article
- Deep Learning-Based Multi-View Projection Synthesis Approach for Improving the Quality of Sparse-View CBCT in Image-Guided Radiotherapy.Journal of imaging informatics in medicine · 2025Article
- Translational approaches for radiation protection: treating patients, not their images.European radiology · 2025Article
- Radiation burden from recurrent computed tomography examinations in patients treated with immunotherapy for malignant melanoma.Quantitative imaging in medicine and surgery · 2025Article
- Relationship Between Effective Dose, Alternative Metrics, and SSDE: Experiences with Two CT Dose-Monitoring Systems.Diagnostics (Basel, Switzerland) · 2025Article
- Impact of a deep-learning image reconstruction algorithm on image quality and detection of solid lung lesions.Research in diagnostic and interventional imaging · 2025Article
- Expert panel on monitoring radiation doses from recurrent medical diagnostic procedures: Sixth Gilbert W. Beebe Webinar.Journal of applied clinical medical physics · 2025Review
- AI-Driven Advances in Low-Dose Imaging and Enhancement-A Review.Diagnostics (Basel, Switzerland) · 2025Review
- Article
- Radiation exposure in recurrent medical imaging: identifying drivers and high-risk populations.Frontiers in public health · 2025Review
- Serum sestrin 2 and fetuin-A are associated with early pleural involvement in patients with pulmonary tuberculosis: a cross-sectional study.Journal of thoracic disease · 2024Article
- Recurrent medical imaging exposures for the care of patients: one way forward.European radiology · 2024Review
- Cumulative Dose from Recurrent CT Scans: Exploring the DNA Damage Response in Human Non-Transformed Cells.International journal of molecular sciences · 2024Article
- Computed tomography dose index determination in dose modulation prospectively involving the third-generation iterative reconstruction and noise index.Journal of applied clinical medical physics · 2024Article
- Deep learning-based projection synthesis for low-dose cone-beam computed tomography imaging in image-guided radiotherapy.Quantitative imaging in medicine and surgery · 2024Article
Corrections and comments
- Commented on by
Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo have a global picture of the recurrent use of CT imaging to a level where cumulative effective dose (CED) to individual patients may be exceeding 100 mSv at which organ doses typically are in a range at which radiation effects are of concern
methodsThe IAEA convened a meeting in 2019 with participants from 26 countries, representatives of various organizations, and experts in radiology, medical physics, radiation biology, and epidemiology. Participants were asked to collect data prior to the meeting on cumulative radiation doses to assess the magnitude of patients above a defined level of CED.
resultsIt was observed that the number of patients with CED ≥ 100 mSv is much larger than previously known or anticipated. Studies were presented in the meeting with data from about 3.2 million patients who underwent imaging procedures over periods of between 1 and 5 years in different hospitals. It is probable that an additional 0.9 million patients reach the CED ≥ 100 mSv every year globally.
conclusionsThere is a need for urgent actions by all stakeholders to address the issue of high cumulative radiation doses to patients. The actions include development of appropriateness criteria/referral guidelines by professional societies for patients who require recurrent imaging studies, development of CT machines with lower radiation dose than today by manufacturers, and development of policies by risk management organizations to enhance patient radiation safety. Alert values for cumulative radiation exposures of patients should be set up and introduced in dose monitoring systems. KEY POINTS: • Recurrent radiological imaging procedures leading to high radiation dose to patients are more common than ever before. • Tracking of radiation exposure of individual patients provides useful information on cumulative radiation dose. • There is a need for urgent actions by all stakeholders to address the issue of high cumulative radiation doses to patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.