ArticleRadiology2024
Increased Emergency Department Medical Imaging: Association with Short-Term Exposures to Ambient Heat and Particulate Air Pollution.
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In one paragraph
Article in Radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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What it found
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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
8 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
- Sustainable radiology in practice: insights into radiographers' knowledge and attitudes toward environmental health.BMC medical education · 2026Article
- Greenhouse gas emissions due to long-term data storage of CT with reformats and strategies for mitigation.European radiology · 2026Article
- Association between Long-term Exposure to Ambient Air Pollution and Myocardial Fibrosis Assessed with Cardiac MRI.Radiology · 2025Article
- Review
- Climate resilient and environmentally sustainable radiology: a framework for implementation.Radiology advances · 2025Review
- EcoRad: sustainable radiology and the ecology of economics.BJR open · 2025Review
Corrections and comments
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Authors and funding
13 authors.
Kate HannemanFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0002-3077-2218
Omar TabounFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-8893-1974
Anish KirpalaniFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).
Birgit Ertl-WagnerFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-5306-7549
Julien AguetFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-9201-0123
Scott DelaneyFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0002-0813-018X
Rachel C NetheryFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-9895-1477
Joseph ChoiFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0002-5815-9431
Hayley PanetFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0009-0004-0603-2000
Maura J BrownFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-5232-4494
Heidi SchmidtFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).
Ania KielarFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-6887-5266
Michael PatlasFrom the Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (K.H., A. Kirpalani, B.E.W., J.A., H.S., A. Kielar, M.P.); Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network and Sinai Health System, 585 University Ave, 1 PMB-298, Toronto, ON, Canada M5G 2N2 (K.H., H.P., H.S., A. Kielar, M.P.); Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada (O.T.); Department of Medical Imaging, St Michael's Hospital, Toronto, Ontario, Canada (A. Kirpalani); Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada (B.E.W., J.A.); Departments of Environmental Health (S.D.) and Biostatistics (R.C.N.), Harvard T. H. Chan School of Public Health, Boston, Mass; Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada (J.C.); and Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (M.J.B.).ORCID 0000-0001-9304-6355
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Climate change adversely affects human health, resulting in higher demand for health care services. However, the impact of climate-related environmental exposures on medical imaging utilization is currently unknown. Purpose To determine associations of short-term exposures to ambient heat and particulate air pollution with utilization of emergency department medical imaging. Materials and Methods In this retrospective time-stratified case-crossover study, daily imaging utilization counts from four emergency departments were linked to local daily environmental data-including fine particulate matter with 2.5-µm or smaller aerodynamic diameter (PM
Indexed as
Air PollutionEmergency Service, HospitalEnvironmental ExposureHot TemperatureParticulate MatterClimate ChangeCross-Over StudiesDiagnostic ImagingFemaleHumansMaleRetrospective StudiesParticulate Matter
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