Evidence map›Paper›PMID 39936713›Full record

ReviewBrazilian oral research2025

Principles of radiological protection and application of ALARA, ALADA, and ALADAIP: a critical review.

Rafael Pereira de Mendonça, Carlos Estrela, Mike Reis Bueno, Teresa Cristina Alves Silva Gonzalez Carvalho, Lucas Rodrigues de Araújo Estrela, Israel Chilvarquer

Abstract readReview
In one paragraph

Review in Brazilian oral research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rafael Pereira de MendonçaUniversidade de São Paulo, School of Dentistry, Oral Diagnosis, Dental Radiology, and Imaging Department, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2037-8855
Carlos EstrelaUniversidade Federal de Goiás - UFG, School of Dentistry, Stomatologic Science Department, Goiânia, GO, Brazil.ORCID http://orcid.org/0000-0002-1488-0366
Mike Reis BuenoCROIF, Diagnostic Imaging Center, Cuiabá, MT, Brazil.ORCID http://orcid.org/0000-0003-2632-2094
Teresa Cristina Alves Silva Gonzalez CarvalhoUniversidade de São Paulo, School of Dentistry, Oral Diagnosis, Dental Radiology, and Imaging Department, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-4552-9015
Lucas Rodrigues de Araújo EstrelaUniversidade Estadual Paulista - UNESP, School of Dentistry, Department of Endodontics, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0003-1244-4015
Israel ChilvarquerUniversidade de São Paulo, School of Dentistry, Oral Diagnosis, Dental Radiology, and Imaging Department, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-3967-0143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study carried out a critical review of the principles of radioprotection, including the ALARA, ALADA, and ALADAIP principles. The Google Scholar and PubMed databases were the search resources, and the following keywords were searched: Linear No-Threshold (LNT); Biologic Effects of Ionizing Radiation (BEIR VII); As Low As Reasonably Achievable (ALARA); As Low As Diagnostically Acceptable (ALADA); As Low As Diagnostically Acceptable, being Indication-oriented and Patient-specific (ALADAIP). This critical review included studies with historical references, reviews, position papers, and clinical and experimental studies. Regarding data extraction, only original articles were selected after the screening process. Much of the current evolution of X-ray machines and radioprotection protocols has stemmed from legitimate concerns about this topic. This development has grown out of the relevant work of organizations like ICRP, UNSCEAR, and other renowned international organizations. Low doses of radiation, such as those used for diagnosis, also occur naturally and are present in everyday life. Although there is no agreement on the actual risk involving low doses, the recommendations of ALARA, ALADA, and ALADAIP prevail, in line with the trend to uphold principles that balance the importance of X-ray diagnostic imaging with the intention of keeping the doses as low as possible. The benefits of X-ray exams, when justified, tend to outweigh the low risks attributed to them.

Indexed as

Radiation InjuriesRadiation ProtectionDose-Response Relationship, RadiationHumansRadiation DosageRadiation ExposureRadiation, Ionizing

Identifiers

PMID39936713
PMCPMC11808696

What OpenQuestion holds

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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.