Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 46-52 , February 2010

Radiation Protection in the Era of Helical CT: Practical Patient Based Programs for Decreasing Patient Exposure

  • Steven Birnbaum, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Steven Birnbaum, MD, 8 E Pearl St, Nashua, NH 03060

References 

  1. Birnbaum S. Helical CT: Too much of a good thing. BMJ. 2007;334:1006
  2. McCollough CH, Bruesewitz MR, Kofler JM. CT dose reduction and dose management tools: Overview of available options. Radiographics. 2006;26:503–512
  3. Li J, Udayasankar U, Toth TL, et al. Automatic patient centering for MDCT: Effect on radiation dose. AJR Am J of Radiol. 2007;188:547–552
  4. Keyzer C, Gevenois PA, Tack D. Dose optimization and reduction in MDCT of the abdomen. In:  Tack D,  Gevenois PA editor. Radiation Dose From Adult and Pediatric Multidetector Computed Tomography. New York, NY: Berlin Heidelberg Springer-Verlag; 2007;
  5. Hopper KD, King SH, Lobell ME, et al. The breast: In-plane X-ray protection during diagnostic thoracic CT-shielding with bismuth radioprotective garments. Radiology. 1997;205:853–858
  6. Hurwitz LM, Yoshizumi TT, Goodman PC, et al. Radiation dose savings for adult pulmonary embolus 64-MDCT using bismuth breast shields, lower peak kilovoltage and automatic tube current modulation. AJR Am J Roentgenol. 2009;192:244–253
  7. Yousefzadeh DK, Ward MB, Reft C. Internal barium shielding to minimize fetal irradiation in spiral chest CT: A phantom simulation experiment. Radiology. 2006;239:751–758
  8. Birnbaum S. Radiation safety in the era of helical computed tomography: A patient-based protection program currently in place in two community hospitals in New Hampshire. J Am Coll Radiol. 2008;5:714–718
  9. European Commission. European Guidelines on Quality Criteria for Computed Tomography (Office for Official Publications of the European Communities). 2000;pp 70. EUR1626EN
  10. Lee CI, Haims AH, Monico EP, et al. Diagnostic CT scans: Assessment of patients, physicians and radiologist awareness of radiation dose and possible risks. Radiology. 2004;231:393–398
  11. Winslow JE, Hinshaw JW, Hughes MJ, et al. Quantitative assessment of diagnostic radiation doses in adult blunt trauma patients. Ann Emerg Med. 2008;52:93–97
  12. Feigal DW. FDA public health notification: Reducing radiation risk from computed tomography for pediatric and small adult patients. Int J Trauma Nurs. 2002;8:1–2
  13. United States Food and Drug Administration, Center for Devices and Radiological Health. “Whole Body Scanning Using Computed Tomography”. http://www.fda.gov/cdrh/ctAccessed October 21, 2008
  14. Daines R. Commissioner of Public Health for the state of New York, Letter to all Practicing Physicians in New York State. 2000;September
  15. Anthem.com http://www.anthem.com/wps/portal/ahpprovider?content_path=provider/noapplication/f5/s2/t0/pw_ad85140.htm&state=nh&rootLevel=0&label=Radiation%20Safety%20ToolkitAccessed August 30, 2009
  16. Amis ES, Butler PF, Applegate KE, et al. American college of radiology white paper on radiation dose in medicine. J Am Coll Radiol. 2007;4:272–284

PII: S0887-2171(09)00086-9

doi: 10.1053/j.sult.2009.09.006

Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 46-52 , February 2010

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