Korean J Radiol.  2012 Apr;13(2):202-209. 10.3348/kjr.2012.13.2.202.

Radiology Residents' Awareness about Ionizing Radiation Doses in Imaging Studies and Their Cancer Risk during Radiological Examinations

Affiliations
  • 1Ilkadim Community Health Center, Health Directorate, Samsun 55070, Turkey.
  • 2Radiology Department, Samsun Maternity and Women's Disease and Pediatrics Hospital, Samsun 55070, Turkey. erkangokce@mynet.com
  • 3Department of Public Health, Faculty of Medicine, Ondokuz Mayis University, Samsun 55270, Turkey.

Abstract


OBJECTIVE
Imaging methods that use ionizing radiation have been more frequent in various medical fields with advances in imaging technology. The aim of our study was to make residents be aware of the radiation dose they are subjected to when they conduct radiological imaging methods, and of cancer risk.
MATERIALS AND METHODS
A total of 364 residents participated in this descriptive study which was conducted during the period between October, 2008 and January, 2009. The questionnaires were completed under strict control on a one-to-one basis from each department. A chi2-test was used for the evaluation of data obtained.
RESULTS
Only 7% of residents correctly answered to the question about the ionizing radiation dose of a posteroanterior (PA) chest X-ray. The question asking about the equivalent number of PA chest X-rays to the ionizing dose of a brain CT was answered correctly by 24% of residents; the same question regarding abdominal CT was answered correctly by 16% of residents, thorax CT by 16%, thyroid scintigraphy by 15%, intravenous pyelography by 9%, and lumbar spine radiography by 2%. The risk of developing a cancer throughout lifetime by a brain and abdominal CT were 33% and 28%, respectively.
CONCLUSION
Radiologic residents should have updated knowledge about radiation dose content and attendant cancer risks of various radiological imaging methods during both basic medical training period and following practice period.

Keyword

Residents; Radiological imaging methods; Ionizing radiation, Risk of cancer

MeSH Terms

Adult
*Awareness
Chi-Square Distribution
Female
Humans
*Internship and Residency
Male
Neoplasms, Radiation-Induced/*etiology
Questionnaires
*Radiation Dosage
Radiation, Ionizing
Radiology/*education
Radionuclide Imaging
Tomography, X-Ray Computed

Cited by  1 articles

Radiation Safety in Emergency Medicine: Balancing the Benefits and Risks
Raja Rizal Azman, Mohammad Nazri Md Shah, Kwan Hoong Ng
Korean J Radiol. 2019;20(3):399-404.    doi: 10.3348/kjr.2018.0416.


Reference

1. Tuncel E. Klinik Radyoloji. Genişletilmiş 2. Baskı. 2008. Nobel&Güneş Tıp Kitabevleri;3–105.
2. Nickoloff LE, Alderson PO. Radiation Exposures to Patients from CT: Reality, Public Perception, and Policy. AJR Am J Roentgenol. 2001. 177:285–287.
3. UNSCEAR 2000. UNSCEAR 2000 Report to the General Assembly. Sources and Effects of Ionizing Radiation, United Nations Scientific Committee on the Effects of Atomic Radiation. 2000. New York: United Nations.
4. Brody AS, Frush DP, Huda Walter, Brent RL. Section on Radiology. Radiation risk to children from computed tomography. Pediatrics. 2007. 120:677–682.
5. Flohr TG, Schaller S, Stierstorfer K, Bruder H, Ohnesorge BM, Schoepf UJ. Multi-Detector Row CT Systems and Image-Reconstruction Techniques. Radiology. 2005. 235:756–773.
6. Donnelly LF. Reducing Radiation Dose Associated with Pediatric CT by Decreasing Unnecessary Examinations. AJR Am J Roentgenol. 2005. 184:655–657.
7. Frush PD. Review of Radiation Issues for Computed Tomography. Semin Ultrasound CT MR. 2004. 25:17–24.
8. Brenner DJ, Elliston CD, Hall EJ, Berdon WE. Estimated risks of radiation-XMLLink_XYZnduced fatal cancer from pediatric CT. AJR Am J Roentgenol. 2001. 176:289–296.
9. Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol. 2008. 81:362–378.
10. Jacob K, Vivian G, Steel JR. X-ray dose training: are we exposed to enought? Clin Radiol. 2004. 59:928–934.
11. Heyer CM, Peters S, Lemburg S, Nicholas V. Awareness of radiation exposure of thoracic CT scans and conventional radiographs: what do non-radiologists know? Rofo. 2007. 179:261–267.
12. Shiralkar S, Rennie A, Snow M, Galland RB, Lewis MH, Gower-Thomas K. Doctors' knowledge of radiation exposure: questionnaire study. BMJ. 2003. 327:371–372.
13. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP. Diagnostic CT scans: assessment of patient, physician, and radiologist awereness of radiation dose and possible risks. Radiology. 2004. 231:393–398.
14. Arslanoğlu A, Bilgin S, Kubalı Z, Ceyhan MN, Ilhan MN, Maral I. Doctors' and intern doctors' knowledge about patients' ionizing radiation exposure doses during common radiological examinations. Diagn Interv Radiol. 2007. 13:53–55.
15. Gümüş C, Cankorkmaz L, Erkoç MF, Öztoprak B, Atalar M, Köylüoğlu G. Turkish pediatric surgeons knowledge on the radiation exposure of patients during diagnostic imaging. Türkiye Klinikleri J Med Sci. 2008. 28:623–627.
16. Rice HE, Frush DP, Harker MJ, Farmer D, Waldhausen JH. Peer assessment of pediatric surgeons for potential risks of radiation exposure from computed tomography scans. J Pediatr Surg. 2007. 42:1157–1164.
17. Soye JA, Paterson A. A survey of radiation dose among healt profesionals in Northern Ireland. Br J Radiol. 2008. 81:725–729.
18. Quinn AD, Taylor CG, Sabharwal T, Sikdar T. Radiation protection awareness in non-radiologists. Br J Radiol. 1997. 70:102–106.
19. European Commission. Final Report to the European Commission for Grant Agreement SUBV99/134996; Luxembourg 2007. Radiation Protection 118 Update Mars 2008 Referral Guidelines For Images.
20. National Radiological Protection Board (NRPB). Radiological Protection Bulletin. 2001. No: 231. Sept 2001 Chilton, Didcot, Oxon OX11 0RQ.
21. Diederich S, Lenzen H. Radiation exposure associated with imaging of the chest: comparison of different radiographic and computed tomography techniques. Cancer. 2000. 89:2457–2460.
22. Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH, et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009. 361:849–857.
23. Slovis TL. The ALARA Concept in Pediatric CT: Myth or Reality? Radiology. 2002. 223:5–6.
24. Cascade PN, Webster EW, Kazerooni EA. Ineffective Use of Radiology: The Hidden Cost. AJR Am J Roentgenol. 1998. 170:561–564.
25. Goske MJ, Applegate KE, Boylan J, Butler PF, Callahan MJ, Coley BD, et al. The 'Image Genty' campaign: increasing CT radiation dose awarenes throught a national education and awareness program. Pediatr Radiol. 2008. 38:265–269.
26. Huda W, Vance A. Patient radiation doses from adult and pediatric CT. AJR Am J Roentgenol. 2007. 188:540–546.
27. Lee CI, Flaster HV, Haims AH, Monico EP, Forman HP. Diagnostic CT Scans: Institutional Informed Consent Guidelines and Practices at Academic Medical Centers. AJR Am J Roentgenol. 2006. 187:282–287.
28. De Jong PA, Mayo JR, Golmohammadi K, Nakano Y, Lequin MH, Tiddens HA, et al. Estimation of Cancer Mortality Associated with Repetitive Computed Tomography Scanning. Am J Respir Crit Care Med. 2006. 173:199–203.
29. Rogers LF. Radiation Exposure in CT: Why So High? AJR Am J Roentgenol. 2001. 177:277.
30. Brenner DJ. Radiation Risks Potentially Associated with Low-Dose CT Screening of Adult Smokers for Lung Cancer. Radiology. 2004. 231:440–445.
31. Rice HE, Frush DP, Farmer D, Wadhausen JH. Review of radiation risks from computed tomography: essentials for the pediatric surgeon. J Pediatr Surg. 2007. 42:603–607.
32. Frush DP, Donnely LF, Rosen NS. Computed tomography and radiation risks: What pediatric health care providers should know. Pediatrics. 2003. 112:951–957.
33. Sadetzki S. Excess lifetime cancer mortality risk attributed to radiation exposure from pediatric computed tomography scan. IMAJ. 2007. 9:607–609.
34. Linton OW, Mettler FA. National conference on dose reduction in CT, with an emphasis on pediatric patients. AJR Am J Roentgenol. 2003. 181:321–329.
35. Pettersson HB, Falth-Magnusson K, Persliden J, Scott M. Radiation risk and cost-benefit analysis of a paediatric radiology procedure: results from a national study. Br J Radiol. 2005. 78:34–38.
36. Kalra MK, Maher MM, Toth TL, Hamberg LM, Blake MA, Shepard JA, et al. Strategies for CT radiation dose optimization. Radiology. 2004. 230:619–628.
37. Prasad SR, Wittram C, Shepard JA, McLoud T, Rhea J. Standard- dose and 50%-reduced-dose chest CT: Comparing the effect on image quality. AJR Am J Roentgenol. 2002. 179:461–465.
38. Livingstone RS, Eapen A, Dip NB, Hubert N. Achieving reduced radiation doses for CT examination of the brain using optimal exposure parameters. Ind J Radiol Ima. 2006. 16:247–251.
39. Park EA, Lee W, Kang JH, Yin YH, Chung JW, Park JH. The image quality and radiation dose of 100-kVp versus 120-kVp ECG-gated 16 slice CT coronary angiography. Korean J Radiol. 2009. 10:235–243.
40. Qi W, Li J, Du X. Method for automatic tube current selection for obtaining a consistent image quality and dose optimization in a cardiac multidetector CT. Korean J Radiol. 2009. 10:568–574.
41. FDA Public Health Notification: Reducing radiation risk from computed tomography for pediatric and small adult patients. Pediatr Radiol. 2002. 32:314–316.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr