Radiation Dose in Cardiac Imaging: How Should It Affect Clinical Decisions?

The purpose of this article is to discuss whether and how the risks of exposure to ionizing radiation should affect clinical decision making in patients with known or suspected cardiovascular disease. Although the prevalence of cardiovascular disease and frequency of diagnostic testing has risen dra...

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Bibliographic Details
Published inAmerican journal of roentgenology (1976) Vol. 200; no. 3; pp. 508 - 514
Main Authors Shapiro, Brian P., Mergo, Patricia J., Snipelisky, David F., Kantor, Birgit, Gerber, Thomas C.
Format Journal Article
LanguageEnglish
Published United States 01.03.2013
Subjects
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - mortality
Cardiovascular Diseases - prevention & control
Comorbidity
Decision Making
Humans
Prevalence
Radiation Dosage
Radiation Injuries - epidemiology
Risk Assessment
Tomography, X-Ray Computed - mortality
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Summary:The purpose of this article is to discuss whether and how the risks of exposure to ionizing radiation should affect clinical decision making in patients with known or suspected cardiovascular disease. Although the prevalence of cardiovascular disease and frequency of diagnostic testing has risen dramatically, cardiovascular mortality has declined. Earlier and more accurate detection of cardiovascular disease may play an important role. Concerns regarding excessive radiation exposure from cardiovascular imaging have been raised. Efforts to reduce exposure have included selection of appropriate patients for cardiovascular testing, technologic advances, educational resources, and a directed patient-centered approach to testing.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0361-803X
1546-3141
1546-3141
DOI:10.2214/AJR.12.9773