ReviewRadiology. Cardiothoracic imaging2024
Cardiovascular Imaging, Climate Change, and Environmental Sustainability.
Abstract readReview
In one paragraph
Review in Radiology. Cardiothoracic imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Society for Cardiovascular Magnetic Resonance recommendations toward environmentally sustainable cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025Guideline
- Imperative for a health-centred focus on climate change in radiology.Journal of medical imaging and radiation oncology · 2026Review
- Sustainability in Radiology: Position Paper and Call to Action From ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA.Journal of medical imaging and radiation oncology · 2026Article
- Green at heart: can cardiology become more environmentally sustainable without compromising patient care?The British journal of cardiology · 2026Article
- An EACVI survey assessing the awareness of cardiovascular imaging's environmental impact among cardiovascular imagers.European heart journal. Imaging methods and practice · 2026Article
- Role of 3D left ventricular end-systolic volume in risk stratification and outcome prediction in significant mitral regurgitation.European heart journal. Imaging methods and practice · 2026Article
- From precision to planetary health: the carbon cost of AI in multimodality cardiovascular imaging.European heart journal. Imaging methods and practice · 2026Article
- Advancing circular economy practices in radiography: a narrative review of sustainable medical imaging.Translational cancer research · 2025Review
- Sustainability in the Interventional Radiology Suite: Environmental and Financial Implications.Cardiovascular and interventional radiology · 2025Review
- Sustainability in radiology: position paper and call to action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA.European radiology · 2025Article
- Association between Long-term Exposure to Ambient Air Pollution and Myocardial Fibrosis Assessed with Cardiac MRI.Radiology · 2025Article
- Review
- Sustainability in Radiology: Position Paper and Call to Action From ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA.Korean journal of radiology · 2025Review
- Highlights of the Cardiovascular Magnetic Resonance 2024 Conference: the first joint European Association of Cardiovascular Imaging, European Society of Cardiovascular Radiology, and Society for Cardiovascular Magnetic Resonance conference.European heart journal. Cardiovascular Imaging · 2025Article
- Climate resilient and environmentally sustainable radiology: a framework for implementation.Radiology advances · 2025Review
- EcoRad: sustainable radiology and the ecology of economics.BJR open · 2025Review
- Use of AI in Cardiac CT and MRI: A Scientific Statement from the ESCR, EuSoMII, NASCI, SCCT, SCMR, SIIM, and RSNA.Radiology · 2025Review
- Highlights of the Cardiovascular Magnetic Resonance 2024 Conference: the first joint European Association of Cardiovascular Imaging, European Society of Cardiovascular Radiology, and Society for Cardiovascular Magnetic Resonance conference.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025Article
- Cardiac MRI Pectoralis Muscle Thickness as a Measure of Sarcopenia: Prognostic Significance, Interreader Agreement, and Physiologic Correlation.Radiology. Cardiothoracic imaging · 2024Article
- Increased Emergency Department Medical Imaging: Association with Short-Term Exposures to Ambient Heat and Particulate Air Pollution.Radiology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Suvai GunasekaranFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Andrew Szava-KovatsFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).ORCID 0009-0003-2187-5009
Thomas BatteyFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Jonathan GrossFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).ORCID 0000-0001-8928-7420
Eugenio PicanoFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Subha V RamanFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Emil LeeFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Malenka M BissellFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).ORCID 0000-0002-1282-2859
Mirvat AlasnagFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).
Adrienne E Campbell-WashburnFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).ORCID 0000-0002-7169-5693
Kate HannemanFrom the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canada (A.S.K.); Department of Radiology, University of Calgary, Calgary, Canada (A.S.K.); Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Va (T.B.); Department of Radiology, Texas Children's Hospital, Baylor School of Medicine, Houston, Tex (J.G.); Division of Cardiology, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia (E.P.); OhioHealth, Columbus, Ohio (S.V.R.); Langley Memorial Hospital, British Columbia, Canada (E.L.); Department of Biomedical Imaging Science, University of Leeds, Leeds, United Kingdom (M.M.B.); Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia (M.A.); Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md (A.E.C.W.); Joint Department of Medical Imaging, Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Medical Imaging Toronto, University Health Network (UHN), 585 University Avenue, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H.); and Department of Medical Imaging, University of Toronto, Toronto, Canada (K.H.).ORCID 0000-0002-3077-2218
Funding
Intramural NIH HHS Z99 HL999999
Abstract
Environmental exposures including poor air quality and extreme temperatures are exacerbated by climate change and are associated with adverse cardiovascular outcomes. Concomitantly, the delivery of health care generates substantial atmospheric greenhouse gas (GHG) emissions contributing to the climate crisis. Therefore, cardiac imaging teams must be aware not only of the adverse cardiovascular health effects of climate change, but also the downstream environmental ramifications of cardiovascular imaging. The purpose of this review is to highlight the impact of climate change on cardiovascular health, discuss the environmental impact of cardiovascular imaging, and describe opportunities to improve environmental sustainability of cardiac MRI, cardiac CT, echocardiography, cardiac nuclear imaging, and invasive cardiovascular imaging. Overarching strategies to improve environmental sustainability in cardiovascular imaging include prioritizing imaging tests with lower GHG emissions when more than one test is appropriate, reducing low-value imaging, and turning equipment off when not in use. Modality-specific opportunities include focused MRI protocols and low-field-strength applications, iodine contrast media recycling programs in cardiac CT, judicious use of US-enhancing agents in echocardiography, improved radiopharmaceutical procurement and waste management in nuclear cardiology, and use of reusable supplies in interventional suites. Finally, future directions and research are highlighted, including life cycle assessments over the lifespan of cardiac imaging equipment and the impact of artificial intelligence tools.
Indexed as
Cardiovascular DiseasesClimate ChangeCardiac Imaging TechniquesEnvironmental ExposureGreenhouse GasesHumansGreenhouse GasesCardiovascular ImagingHeartSafetySustainability
Identifiers
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Registered trials
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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.