Patient Exposure from Radiologic and Nuclear Medicine Procedures in the United States: Procedure Volume and Effective Dose for the Period 2006-2016.

Abstract:

:Background Comprehensive assessments of the frequency and associated doses from radiologic and nuclear medicine procedures are rarely conducted. The use of these procedures and the population-based radiation dose increased remarkably from 1980 to 2006. Purpose To determine the change in per capita radiation exposure in the United States from 2006 to 2016. Materials and Methods The U.S. National Council on Radiation Protection and Measurements conducted a retrospective assessment for 2016 and compared the results to previously published data for the year 2006. Effective dose values for procedures were obtained from the literature, and frequency data were obtained from commercial, governmental, and professional society data. Results In the United States in 2006, an estimated 377 million diagnostic and interventional radiologic examinations were performed. This value remained essentially the same for 2016 even though the U.S. population had increased by about 24 million people. The number of CT scans performed increased from 67 million to 84 million, but the number of other procedures (eg, diagnostic fluoroscopy) and nuclear medicine procedures decreased from 17 million to 13.5 million. The number of dental radiographic and dental CT examinations performed was estimated to be about 320 million in 2016. Using the tissue-weighting factors from Publication 60 of the International Commission on Radiological Protection, the U.S. annual individual (per capita) effective dose from diagnostic and interventional medical procedures was estimated to have been 2.9 mSv in 2006 and 2.3 mSv in 2016, with the collective doses being 885 000 and 755 000 person-sievert, respectively. Conclusion The trend from 1980 to 2006 of increasing dose from medical radiation has reversed. Estimated 2016 total collective effective dose and radiation dose per capita dose are lower than in 2006. © RSNA, 2020 See also the editorial by Einstein in this issue.

journal_name

Radiology

journal_title

Radiology

authors

Mettler FA Jr,Mahesh M,Bhargavan-Chatfield M,Chambers CE,Elee JG,Frush DP,Miller DL,Royal HD,Milano MT,Spelic DC,Ansari AJ,Bolch WE,Guebert GM,Sherrier RH,Smith JM,Vetter RJ

doi

10.1148/radiol.2020192256

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

418-427

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

295

pub_type

杂志文章
  • Anomalies of the intrahepatic portal venous system in congenital hepatic fibrosis.

    abstract::Duplication of intrahepatic venous channels was observed in 9 of 13 children with congenital hepatic fibrosis and portal hypertension. Portal hypertension due to other causes was not associated with venous duplication. This anomaly may be a distinctive feature of congenital hepatic fibrosis with portal hypertension. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.2.427

    authors: Odievre M,Chaumont P,Montagne JP,Alagille D

    更新日期:1977-02-01 00:00:00

  • Pulmonary septic emboli: diagnosis with CT.

    abstract::The CT scans of 18 patients with documented pulmonary septic emboli were reviewed. CT features of septic emboli included multiple peripheral nodules ranging in size from 0.5 to 3.5 cm (15 of 18 patients [83%]), a feeding vessel sign (n = 12; [67%]), cavitation (n = 9; [50%]), wedge-shaped peripheral lesions abutting t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.174.1.2294550

    authors: Kuhlman JE,Fishman EK,Teigen C

    更新日期:1990-01-01 00:00:00

  • Noninvasive imaging of coronary arteries: current and future role of multi-detector row CT.

    abstract::While invasive imaging techniques, especially selective conventional coronary angiography, will remain vital to planning and guiding catheter-based and surgical treatment of significantly stenotic coronary lesions, the comprehensive and serial assessment of asymptomatic or minimally symptomatic stages of coronary arte...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2321021803

    authors: Schoenhagen P,Halliburton SS,Stillman AE,Kuzmiak SA,Nissen SE,Tuzcu EM,White RD

    更新日期:2004-07-01 00:00:00

  • Contrast-enhanced MR imaging of the breast: comparison of two different doses of gadopentetate dimeglumine.

    abstract:PURPOSE:To optimize detection and diagnosis of breast lesions with contrast-enhanced magnetic resonance (MR) imaging. MATERIALS AND METHODS:A three-dimensional fast low-angle shot pulse sequence was used for a group comparison consisting of 76 high-dose (0.16 mmol gadopentetate dimeglumine per kilogram of body weight)...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.191.3.8184040

    authors: Heywang-Köbrunner SH,Haustein J,Pohl C,Beck R,Lommatzsch B,Untch M,Nathrath WB

    更新日期:1994-06-01 00:00:00

  • Percutaneous nephrostomy in the management of ureteral and renal calculi.

    abstract::A percutaneous nephrostomy tract can serve both to decompress the renal pelvis and as a route for dissolving renal stones and assisting in basket retrieval of ureteral stones. These techniques are especially valuable in patients who are poor operative risks. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/133.1.49

    authors: Smith AD,Reinke DB,Miller RP,Lange PH

    更新日期:1979-10-01 00:00:00

  • Nasofrontal duct: CT in frontal sinus trauma.

    abstract::Radiologic evaluation of frontal sinus fractures is instrumental in determining the need for surgery. Computed tomography (CT) is an excellent modality for evaluation of frontal sinus trauma, particularly for anterior and posterior wall fractures. However, fractures of the nasofrontal duct are more difficult to deline...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.165.1.3628770

    authors: Harris L,Marano GD,McCorkle D

    更新日期:1987-10-01 00:00:00

  • In situ saphenous vein bypass grafts: angiographic evaluation and interventional repair of complications.

    abstract::In situ saphenous vein grafts are being used with increasing frequency for bypass procedures involving the femoral and popliteal arteries. Complications of these procedures include anastomotic stenoses and persistent arteriovenous fistulae that may result in failure of the graft. Balloon angioplasty and embolotherapy ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.160.3.3737910

    authors: Kinnison ML,Perler BA,Kaufman SL,Mitchell SE,Kadir S,Williams GM,White RI Jr

    更新日期:1986-09-01 00:00:00

  • Brain parenchyma motion: measurement with cine echo-planar MR imaging.

    abstract::With echo-planar magnetic resonance (MR) imaging, the authors measured the intrinsic pulsatile motion of brain parenchyma. Phase-sensitive, electrocardiography-gated, two-dimensional cine images were acquired throughout the cardiac cycle by using a spin-echo, blipped echo-planar MR pulse sequence. Transverse and coron...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.185.3.1438740

    authors: Poncelet BP,Wedeen VJ,Weisskoff RM,Cohen MS

    更新日期:1992-12-01 00:00:00

  • Quantitative and qualitative evaluations of fetal lung with MR imaging.

    abstract:PURPOSE:To measure both volume and signal intensity of the fetal lung at magnetic resonance (MR) imaging and to evaluate the clinical use of this method to predict fetal pulmonary hypoplasia. MATERIALS AND METHODS:A total of 87 fetuses evaluated with MR imaging at 24-39 weeks of gestation were classified into a contro...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2313021689

    authors: Osada H,Kaku K,Masuda K,Iitsuka Y,Seki K,Sekiya S

    更新日期:2004-06-01 00:00:00

  • Percutaneous liver biopsy and track embolization with steel coils.

    abstract::Eight patients with liver disease and seriously abnormal blood coagulation underwent biopsy of the liver performed through a percutaneously introduced sheath, followed by embolization of the biopsy track with steel coils. In all cases the biopsy procedure produced profuse bleeding through the sheath. However, the blee...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.169.1.3420270

    authors: Allison DJ,Adam A

    更新日期:1988-10-01 00:00:00

  • Cerebral microhemorrhage and iron deposition in mild cognitive impairment: susceptibility-weighted MR imaging assessment.

    abstract:PURPOSE:To test whether susceptibility-weighted magnetic resonance imaging at baseline may help predict cognitive decline. MATERIALS AND METHODS:This prospective study was approved by the institutional review board, and written informed consent was obtained from all participants. Thirty-five healthy control subjects a...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10100612

    authors: Haller S,Bartsch A,Nguyen D,Rodriguez C,Emch J,Gold G,Lovblad KO,Giannakopoulos P

    更新日期:2010-12-01 00:00:00

  • The "Tunnel" view in assessment of cartilage loss in osteoarthritis of the knee.

    abstract::A new radiographic view of the osteoarthritic knee is presented, which appears to be useful in assessing the degree of cartilage loss in the medial and/or lateral femorotibial compartments. Its usefulness in comparison with other radiographic modalities is described. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.137.2.7433690

    authors: Resnick D,Vint V

    更新日期:1980-11-01 00:00:00

  • Intracranial tuberculoma.

    abstract::Intracranial tuberculoma was studied by computed tomography (CT) in eight patients. Upon contrast enhancement, two patterns were seen: (a) a small enhancing ring with a central punctate lucent area, and (b) nodular enhancement. The various CT findings are correlated with the clinical features and with the appearance o...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.138.1.7455100

    authors: Whelan MA,Stern J

    更新日期:1981-01-01 00:00:00

  • Noninvasive Staging of Liver Fibrosis Using 5-Minute Delayed Dual-Energy CT: Comparison with US Elastography and Correlation with Histologic Findings.

    abstract::Background Normalized iodine concentration (NIC) (ratio of iodine concentration of liver to that of aorta) of liver at delayed dual-energy CT (DECT) may reflect the amount of fibrosis based on the extent of iodine uptake. Purpose To stage liver fibrosis by using 5-minute delayed DECT and compare findings with those of...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2021202232

    authors: Marri UK,Das P,Shalimar,Kalaivani M,Srivastava DN,Madhusudhan KS

    更新日期:2021-01-05 00:00:00

  • Evaluation of Low-Contrast Detectability of Iterative Reconstruction across Multiple Institutions, CT Scanner Manufacturers, and Radiation Exposure Levels.

    abstract:PURPOSE:To compare image resolution from iterative reconstruction with resolution from filtered back projection for low-contrast objects on phantom computed tomographic (CT) images across vendors and exposure levels. MATERIALS AND METHODS:Randomized repeat scans of an American College of Radiology CT accreditation pha...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015141260

    authors: Saiprasad G,Filliben J,Peskin A,Siegel E,Chen J,Trimble C,Yang Z,Christianson O,Samei E,Krupinski E,Dima A

    更新日期:2015-10-01 00:00:00

  • Timing and course of neonatal intracranial hemorrhage using real-time ultrasound.

    abstract::Knowledge of the timing and course of neonatal intracranial hemorrhage is essential in determining the etiology of hemorrhage, since the key to preventing neurologic damage in newborns is to define preventable causes and to treat the complications of hemorrhage. In an intensive study of 49 neonates delivered less than...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.1.3880600

    authors: Rumack CM,Manco-Johnson ML,Manco-Johnson MJ,Koops BL,Hathaway WE,Appareti K

    更新日期:1985-01-01 00:00:00

  • F-18 fluorodeoxyglucose PET in vivo evaluation of pancreatic glucose metabolism for detection of pancreatic cancer.

    abstract:PURPOSE:To evaluate positron emission tomography (PET) with fluorine-18-labeled fluorodeoxyglucose (FDG) for detection of pancreatic cancer compared with computed tomography (CT) and ultrasonography (US). MATERIALS AND METHODS:Forty patients with suspected pancreatic cancer underwent static PET after intravenous injec...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.192.1.8208970

    authors: Bares R,Klever P,Hauptmann S,Hellwig D,Fass J,Cremerius U,Schumpelick V,Mittermayer C,Büll U

    更新日期:1994-07-01 00:00:00

  • MR imaging of cardiac tumors and masses: a review of methods and clinical applications.

    abstract::Cardiac masses are usually first detected at echocardiography. In their further evaluation, cardiac magnetic resonance (MR) imaging has become a highly valuable technique. MR imaging offers incremental value owing to its larger field of view, superior tissue contrast, versatility in image planes, and unique ability to...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.13121239

    authors: Motwani M,Kidambi A,Herzog BA,Uddin A,Greenwood JP,Plein S

    更新日期:2013-07-01 00:00:00

  • The brain in children: is contrast enhancement really needed after obtaining normal unenhanced CT results?

    abstract:PURPOSE:To retrospectively determine and compare the sensitivity and specificity of unenhanced and contrast material-enhanced computed tomography (CT) (reference standard) in the diagnosis of brain abnormalities and to evaluate any change in diagnosis that resulted from the contrast-enhanced study. MATERIALS AND METHO...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2443051785

    authors: Branson HM,Doria AS,Moineddin R,Shroff MM

    更新日期:2007-09-01 00:00:00

  • Gray-scale ultrasonography and endoscopic pancreatography in pancreatic diagnosis.

    abstract::Ultrasonography and endoscopic retrograde cholangiopancreatography (ERCP) were performed in 216 patients with known or suspected pancreatic disease. Both techniques provided accurate information in all groups of patients (normals and those with recurrent acute pancreatitis, chronic pancreatitis, and cancer), and there...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.134.2.7352230

    authors: Cotton PB,Lees WR,Vallon AG,Cottone M,Croker JR,Chapman M

    更新日期:1980-02-01 00:00:00

  • Ultrasound localization of occult breast lesions.

    abstract::High-resolution real-time ultrasound with either a 7.5- or 10-MHz transducer was used to localize 7/9 nonpalpable breast masses previously detected by mammography and to determine where the biopsy needle should be inserted. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.151.3.6718740

    authors: Laing FC,Jeffrey RB,Minagi H

    更新日期:1984-06-01 00:00:00

  • Desmoplastic small round cell tumor of the abdomen: radiologic-histopathologic correlation.

    abstract:PURPOSE:To characterize the imaging features of desmoplastic small round cell tumor of the abdomen and correlate them with the histopathologic findings. MATERIALS AND METHODS:Eleven of 14 patients with desmoplastic small round cell tumor had primary abdominal involvement. In nine of these patients (mean age, 20 years)...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.210.3.r99mr42633

    authors: Pickhardt PJ,Fisher AJ,Balfe DM,Dehner LP,Huettner PC

    更新日期:1999-03-01 00:00:00

  • Brain MR imaging at ultra-low radiofrequency power.

    abstract:PURPOSE:To explore the lower limits for radiofrequency (RF) power-induced specific absorption rate (SAR) achievable at 1.5 T for brain magnetic resonance (MR) imaging without loss of tissue signal or contrast present in high-SAR clinical imaging in order to create a potentially viable MR method at ultra-low RF power to...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11092445

    authors: Sarkar SN,Alsop DC,Madhuranthakam AJ,Busse RF,Robson PM,Rofsky NM,Hackney DB

    更新日期:2011-05-01 00:00:00

  • Academic uroradiology: the future.

    abstract::Radiologic education, research, and the practice of radiology will be of the highest quality in the future if academic departments stress organ-system subspecialization while continuing to integrate and interface with technique-based specialists. Planning should begin now to effect an orderly progression to an organ-s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.2.3510450

    authors: Hartman GW,McClennan BL,Pfister RC

    更新日期:1986-02-01 00:00:00

  • Computed tomography of isoattenuating subdural hematomas.

    abstract::CT scans of 87 patients with subdural hematoma were compared to those of 393 patients with midline shift caused by other intracranial lesions with regard to attenuation changes in the lesion and the character of the ventricular deformity. Isoattenuating was exhibited by 25% of the subdural hematomas and 5% of the othe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/130.1.149

    authors: Möller A,Ericson K

    更新日期:1979-01-01 00:00:00

  • Presurgical evaluation of the motor hand area with functional MR imaging in patients with tumors and dysplastic lesions.

    abstract:PURPOSE:To test an optimized functional magnetic resonance (MR) imaging procedure to depict the motor hand representation area (HRA) in patients with epilepsy lesions near the central sulcus. MATERIALS AND METHODS:Fast low-angle shot MR imaging was performed with an oblique single-section imaging technique in eight co...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.210.2.r99ja31529

    authors: Achten E,Jackson GD,Cameron JA,Abbott DF,Stella DL,Fabinyi GC

    更新日期:1999-02-01 00:00:00

  • An assessment of RBE of Californium-252 for C57-Black/6 mouse fibrosarcoma by a precise afterloading technique.

    abstract::Afterloading techniques were developed for the in vivo assessment of the RBE of californium-252 with respect of radium-226 using a fibrosarcoma in mice. The afterloading holder positions sources so that the tumor is uniformly irradiated. Using the end points of tumor volumetric studies up to 150 days after irradiation...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/117.1.205

    authors: Moser FL,Lanzi LH,Mewissen DJ,Furedi EM,Rozenfeld M

    更新日期:1975-10-01 00:00:00

  • Lateral C1-2 puncture for cervical myelography. Part III: Historical, anatomic, and technical considerations.

    abstract::Three significantly different lateral approaches to the cervical subarachnoid space (anterior, midplane, and posterior needle positions) have been previously described for cordotomy and myelography. Experimental lateral C1-2 punctures were performed by each of these three methods in anatomic specimens, cadaver models ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.146.2.6687370

    authors: Orrison WW,Eldevik OP,Sackett JF

    更新日期:1983-02-01 00:00:00

  • Osteosarcoma: MR imaging after preoperative chemotherapy.

    abstract::The authors reviewed 76 magnetic resonance (MR) images of 38 patients with osteosarcoma treated with preoperative chemotherapy (intraarterial cisplatin with or without systemic chemotherapy). Histologic maps of the surgical tumor specimens in 33 cases were correlated with either late-chemotherapy or postchemotherapy M...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.174.2.2296660

    authors: Pan G,Raymond AK,Carrasco CH,Wallace S,Kim EE,Shirkhoda A,Jaffe N,Murray JA,Benjamin RS

    更新日期:1990-02-01 00:00:00

  • Case 224: Cardiac Involvement in Erdheim-Chester Disease.

    abstract::History A 61-year-old man with no relevant medical history was admitted to the emergency department with symptoms of congestive heart failure and a 1-week history of chest pain, progressive dyspnea, abdominal swelling, bipedal edema, and anorexia. Laboratory test results, including complete blood count and electrolyte...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015131751

    authors: de Miguel Criado J,Aguilera Del Hoyo LF,García Del Salto L,Cueva Pérez E,Casado Cerrada J,Nieto Llanos S,Porro Fernández JC,Fraga Rivas P

    更新日期:2015-12-01 00:00:00