"Radiation from medical imaging has gotten a tremendous amount of attention in recent years," said Aabed Meer, an M.D. candidate at Stanford University in Palo Alto, Calif. "This is one of the first studies to track CT utilization in such a large population."
The researchers conducted a retrospective study using Medicare claims from 1998 through 2005 to analyze the distribution of CT scans, determine the ionizing radiation exposure associated with the exams and estimate the associated cancer risk in a population of older adults.
"The study focused on the elderly Medicare population, which receives the highest amount of per capita radiation," Meer said. "We analyzed more than 10 million records from the Medicare claims database."
The data were studied in two groups, including 5,267,230 records from 1998 through 2001 and 5,555,345 records from 2002 through 2005. For each group, the researchers analyzed the number and types of CT scans that each patient received to determine the percentage of patients exposed to "low" radiation doses of 50 millisieverts (mSv) to 100mSv and "high" radiation doses, in excess of 100mSv. They then used standard cancer risk models to estimate the number of cancers induced.
CT scans of the head were the most common examinations, representing 25 percent of the first group and 30 percent of the second group. However, abdominal CT delivered the greatest proportion of radiation, accounting for approximately 40 percent of the total radiation exposure in each group. Imaging of the pelvis and chest represented the second and third largest sources of radiation.
From 1998 to 2001, 42 percent of patients underwent CT scans. From 2002 to 2005, 49 percent of patients underwent CT scans. The percentage of patients exposed to radiation doses in both the low and high ranges approximately doubled from the first group to the second group. The researchers found this to be consistent with the increasing use of high-speed CT in patient diagnosis and management.
Cancer incidences related to ionizing radiation from CT were estimated to be 0.02 percent and 0.04 percent of the two groups, respectively.
"Our findings indicate a significantly lower risk of developing cancer from CT than previous estimates of 1.5 percent to 2.0 percent of the population," said coauthor Scott Atlas, M.D., chief of neuroradiology at the Stanford University Medical Center. "Regardless, the increasing reliance on CT scans underscores the importance of monitoring CT utilization and its consequences."
Other coauthors are Laurence Baker, Ph.D., and Pat A. Basu, M.D.
Note: Copies of RSNA 2010 news releases and electronic images will be available online at RSNA.org/press10 beginning Monday, Nov. 29.
RSNA is an association of more than 46,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. The Society is based in Oak Brook, Ill. (RSNA.org)
Editor's note: The data in these releases may differ from those in the published abstract and those actually presented at the meeting, as researchers continue to update their data right up until the meeting. To ensure you are using the most up-to-date information, please call the RSNA Newsroom at 1-312-949-3233.
For patient-friendly information on radiation safety, visit RadiologyInfo.org
Linda Brooks | EurekAlert!
Rabies viruses reveal wiring in transparent brains
19.01.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
On track to heal leukaemia
18.01.2017 | Universitätsspital Bern
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales
Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...
Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.
As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
19.01.2017 | Earth Sciences
19.01.2017 | Life Sciences
19.01.2017 | Physics and Astronomy