What Radiation Exposure Can a Patient Expect During a Single Stone Episode?

John, Babbin; Patel, Uday; Anson, Ken

doi:10.1089/end.2007.0268

Cited by 39 publications

(20 citation statements)

References 12 publications

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“…Up to 50% of stone formers will suffer a recurrence within 10 years 2 and may undergo many CT. 65,66 Katz et al 66 reported on the use of CT stone protocols for 4,562 patients during a 6-year period. They found that a single stone protocol CT imparted an effective dose between 6.5 and 8.5 mSv, with 4% of patients obtaining 3 or more CT examinations with a cumulative radiation dose between 10.5 and 153.7 mSv.…”

Section: Resultsmentioning

confidence: 99%

Radiation Dose From Medical Imaging: A Primer for Emergency Physicians

Jones¹,

Mills²,

Mogensen³

et al. 2012

WestJEM

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IntroductionMedical imaging now accounts for most of the US population's exposure to ionizing radiation. A substantial proportion of this medical imaging is ordered in the emergency setting. We aim to provide a general overview of radiation dose from medical imaging with a focus on computed tomography, as well as a literature review of recent efforts to decrease unnecessary radiation exposure to patients in the emergency department setting.MethodsWe conducted a literature review through calendar year 2010 for all published articles pertaining to the emergency department and radiation exposure.ResultsThe benefits of imaging usually outweigh the risks of eventual radiation-induced cancer in most clinical scenarios encountered by emergency physicians. However, our literature review identified 3 specific clinical situations in the general adult population in which the lifetime risks of cancer may outweigh the benefits to the patient: rule out pulmonary embolism, flank pain, and recurrent abdominal pain in inflammatory bowel disease. For these specific clinical scenarios, a physician-patient discussion about such risks and benefits may be warranted.ConclusionEmergency physicians, now at the front line of patients' exposure to ionizing radiation, should have a general understanding of the magnitude of radiation dose from advanced medical imaging procedures and their associated risks. Future areas of research should include the development of protocols and guidelines that limit unnecessary patient radiation exposure.

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Section: Resultsmentioning

confidence: 99%

Radiation Dose From Medical Imaging: A Primer for Emergency Physicians

Jones¹,

Mills²,

Mogensen³

et al. 2012

WestJEM

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show abstract

“…Ayrıca böbrek yerleşimli taşlarda ultrasonografik (US) odaklama da; azımsanmayacak oranlarda başarıyla kullanılmaktadır (7,21). SWL tedavisi sırasında alınan iyonize radyasyon dozu böbrek başına ortalama 6.8mSv olarak hesaplanmıştır (30). Taşı olan çocuklarda tanıda ve takiplerde kullanılacak görüntüleme yöntemlerinin seçimi de önem arz etmektedir.…”

Section: çOcuklukunclassified

“…NKBT tanının açık olmadığı veya tedavi planlamasında anatomik detay gerekliliğinde yaptırılmalıdır; çünkü maruz kalınan radyasyon dozu single detector NKBT'de 6.5 mSv, multidetector NKBT'de 8.6 mSv ve düşük doz NKBT'de 1.5 mSv olarak hesaplanmıştır. İşte bu nedenle çocuklarda NKBT gerektiğinde ALARA (as low as reasonably achievable) prensibine göre mutlaka düşük doz protokol tercih edilmelidir (30). Yukarıda basedilen tüm bu nedenlerle SWL'nin, erişkinlerde uygulanması 1984 yılın-da U.S. Food and Drug Administration (FDA) tarafından onaylanmasına rağmen, çocuklarda uygulanmasına dair halen bu kurumun onayı bulunmamaktadır.…”

Section: çOcuklukunclassified

Çocukluk Taş Hastalığında Extracorporeal Shock Wave Lithotripsy: Hala Yaşıyor ve Çok Etkili

Aksoy¹,

Yapanoğlu²

2017

Endouroloji

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“…John et al [42] evaluated radiation exposure for patients being evaluated and treated during a single complete stone episode from the time of diagnosis to stone-free status. In this retrospective cohort study, KUB and IVU were performed initially, and CT was used in select cases or if there was a contrast allergy.…”

Section: Radiation Exposure In the Evaluation Of Stone Diseasementioning

confidence: 99%

Evaluation and Follow-Up of Patients with Urinary Lithiasis: Minimizing Radiation Exposure

Hyams

Shah

2010

Curr Urol Rep

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As unenhanced computed tomography (CT) has supplanted other modalities (eg, intravenous urography, ultrasonography) as the "test of choice" for evaluation of stone disease, patients have been exposed to higher doses of ionizing radiation in both primary evaluation and follow-up. There has been progressive recognition that low doses of radiation in the range of conventional CT may increase the long-term risk of cancer in exposed patients; these data have been extrapolated from longitudinal and ongoing study of atomic bomb survivors. There have been mounting efforts to develop alternative approaches to conventional CT (eg, low-dose protocols, substitution of ultrasound/plain X-ray) to provide comparable data while reducing total radiation exposure. It is essential that urologists collaborate with radiologists, emergency room physicians, and other providers to appropriately balance the theoretical risks and practical benefits of ionizing radiation in the diagnosis of stone disease.

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What Radiation Exposure Can a Patient Expect During a Single Stone Episode?

Cited by 39 publications

References 12 publications

Radiation Dose From Medical Imaging: A Primer for Emergency Physicians

Radiation Dose From Medical Imaging: A Primer for Emergency Physicians

Çocukluk Taş Hastalığında Extracorporeal Shock Wave Lithotripsy: Hala Yaşıyor ve Çok Etkili

Evaluation and Follow-Up of Patients with Urinary Lithiasis: Minimizing Radiation Exposure

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