Evidence map›Paper›PMID 42111090›Full record

ReviewJournal of the Society for Cardiovascular Angiography & Interventions2026

ALARA+: Summit on Radiation and Orthopedic Risks in Fluoroscopic Laboratories.

Arash Salavitabar, Amit N Vora, Dorothea Altschul, J Fritz Angle, Chelsea Ballinger, Andrew Bojanowski, Anna E Bortnick, Kyle Bugg, Emily Carpenter, Robert E Foster and 20 more

Abstract readReview
In one paragraph

Review in Journal of the Society for Cardiovascular Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. The Catheterization Laboratory: An Occupational Anachronism.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
  3. Article
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

30 authors.

Arash SalavitabarThe Heart Center, Nationwide Children's Hospital, Columbus, Ohio.
Amit N VoraDivision of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Dorothea AltschulThe Valley Hospital, Paramus, New Jersey.
J Fritz AngleDivision of Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia.
Chelsea BallingerOverlake Medical Center, Bellevue, Washington.
Andrew BojanowskiInterventional Radiology, Novant Health, Charlotte, North Carolina.
Anna E BortnickMontefiore Medical Center, Bronx, New York.
Kyle BuggRampart IC, Inc, Birmingham, Alabama.
Emily CarpenterDepartment of Interventional Cardiology, Medstar Southern Maryland Hospital Center, Clinton, Maryland.
Robert E FosterThe Vein Company, Kingsport, Tennessee.
Joanna GhobrialDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Matthew GlogozaCardiology Division, Ascension St. Vincent Heart Center of Indiana, Indianapolis, Indiana.
Atul GuptaPhilips, Cambridge, Massachusetts.
James B HermillerCardiology Division, Ascension St. Vincent Heart Center of Indiana, Indianapolis, Indiana.
A Kyle JonesUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Summer L KaplanDepartment of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Steven J KrausDepartment of Radiology, Kentucky Children's Hospital, Lexington, Kentucky.
Omar KhaliqueDivision of Cardiovascular Imaging, St. Francis Hospital & Heart Center, Roslyn, New York.
Andrea KleinThe University of Texas Southwestern Medical Center, Dallas, Texas.
Nick MorseAmerican College of Cardiology, Washington, DC.
Preethi RamchandDivision of Endovascular Neurosurgery, Thomas Jefferson University - Main Line Health, Bryn Mawr, Pennsylvania.
David G RizikCardiovascular Service Line, Banner University Medical Center, Scottsdale, Arizona.
Lucy M SafiDepartment of Cardiology, Mount Sinai Fuster Heart Hospital, New York, New York.
Cheryl C SchultzBeaumont Health, Royal Oak, Michigan.
Kamala P TamirisaDivision of Cardiology, UT Southwestern Medical Center, Dallas, Texas.
R Jay WidmerThe Heart Group McKinney, McKinney, Texas.
Kristi WilsonInova Health System, Fairfax, Virginia.
Jonathan X FangNational Heart Centre Singapore, Singapore.
Arnold SetoLong Beach VA Health Care System, Long Beach, California.
Robert F RileyOverlake Medical Center, Bellevue, Washington.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Occupational radiation exposure has a clear association with long-term health effects and has a particular impact on women, trainees, and supporting staff. There is a reliance on limited, traditional radiation protection and nonergonomic equipment, which carries associated orthopedic injury rates with adverse impacts on both individual career trajectories and health systems, and with significant challenges to widespread implementation of enhanced radiation protection devices. During the 2025 Society for Cardiovascular Angiography & Interventions Scientific Sessions in Washington, DC, a multidisciplinary Think Tank summit was convened and included representatives from multiple stakeholders, including other professional societies, advocacy groups, and industry partners. The focus of discussion was on the dual dangers of both ionizing radiation and the musculoskeletal injuries associated with current-generation protection equipment. This document summarizes the main points of discussion and outlines actionable next steps to advocate for more widespread implementation of enhanced radiation protection technologies and imaging systems in order to achieve ALARA+ (as low and as light as reasonably achievable).

Indexed as

fluoroscopyoccupational healthradiation exposurethink tank

Identifiers

PMID42111090
PMCPMC13154646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.