Radiation dose and cancer risk estimates in 16-slice computed tomography coronary angiography (original) (raw)

Abstract

Background-Recent advances have led to a rapid increase in the number of computed tomography coronary angiography (CTCA) studies performed. While several studies have reported effective dose (E), there is no data available on cancer risk for current CTCA protocols.

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References (31)

  1. Raff GL, Gallagher MJ, O'Neill WW, et al. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 2005;46:552-557. [PubMed: 16053973]
  2. Mollet NR, Cademartiri F, van Mieghem CA, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005;112:2318-2323. [PubMed: 16203914]
  3. International Commission on Radiological Protection. Managing patient dose in computed tomography. ICRP Publication 87. Ann ICRP 2000;30(4):7-45.
  4. Wiest PW, Locken JA, Heintz PH, et al. CT scanning: A major source of radiation exposure. Semin Ultrasound CT MR 2002;23:402-410. [PubMed: 12509110]
  5. Einstein AJ, Moser KW, Thompson RC, Cerqueira MD, Henzlova MJ. Radiation dose to patients from cardiac diagnostic imaging. Circulation 2007;116in press
  6. Coles DR, Smail MA, Negus IS, et al. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol 2006;47:1840-1845. [PubMed: 16682310]
  7. Hausleiter J, Meyer T, Hadamitzky M, et al. Radiation dose estimates from cardiac multislice computed tomography in daily practice: Impact of different scanning protocols on effective dose estimates. Circulation 2006;113:1305-1310. [PubMed: 16520411]
  8. Hunold P, Vogt FM, Schmermund A, et al. Radiation exposure during cardiac CT: Effective doses at multi-detector row CT and electron-beam CT. Radiology 2003;226:145-152. [PubMed: 12511683]
  9. Trabold T, Buchgeister M, Kuttner A, et al. Estimation of radiation exposure in 16-detector row computed tomography of the heart with retrospective ECG-gating. Rofo 2003;175:1051-1055. [PubMed: 12886472]
  10. Sanz J, Rius T, Kuschnir P, et al. The importance of end-systole for optimal reconstruction protocol of coronary angiography with 16-slice multidetector computed tomography. Invest Radiol 2005;40:155-163. [PubMed: 15714090]
  11. Morin RL, Gerber TC, McCollough CH. Radiation dose in computed tomography of the heart. Circulation 2003;107:917-922. [PubMed: 12591765]
  12. Zanzonico P, Rothenberg LN, Strauss W. Radiation exposure of computed tomography and direct intracoronary angiography: Risk has its reward. J Am Coll Cardiol 2006;47:1846-1849. [PubMed: 16682311]
  13. Bongartz, G.; Golding, SJ.; Jurik, AG., et al. European guidelines for multislice computed tomography. 2004 [Accessed online August 24, 2007]. at: http://www.msct.info/CT\_Quality\_Criteria.htm
  14. Bongartz, G.; Golding, SJ.; Jurik, AG., et al. European guidelines on quality criteria for computed tomography: EUR 16262. 2000 [Accessed online August 24, 2007]. at: http://www.drs.dk/guidelines/ct/quality/
  15. Kalender WA, Schmidt B, Zankl M, et al. A PC program for estimating organ dose and effective dose values in computed tomography. Eur Radiol 1999;9:555-562. [PubMed: 10087133]
  16. 1990 recommendations of the International Commission on Radiological Protection. ICRP Publication 60. Ann ICRP 1991;21(1-3):1-201.
  17. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, National Research Council of the National Academies. Health risks from exposure to low levels of ionizing radiation: BEIR VII Phase 2. Washington: The National Academies Press; 2006.
  18. Upton AC. National Council on Radiation Protection and Measurements Scientific Committee 1-6 The state of the art in the 1990's: NCRP report no. 136 on the scientific bases for linearity in the dose- response relationship for ionizing radiation. Health Phys 2003;85:15-22. [PubMed: 12852466]
  19. Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: Assessing what we really know. Proc Natl Acad Sci U S A 2003;100:13761-13766. [PubMed: 14610281]
  20. Jakobs TF, Becker CR, Ohnesorge B, et al. Multislice helical CT of the heart with retrospective ECG gating: Reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 2002;12:1081-1086. [PubMed: 11976849]
  21. Abada HT, Larchez C, Daoud B, et al. MDCT of the coronary arteries: feasibility of low-dose CT with ECG-pulsed tube current modulation to reduce radiation dose. AJR 2006;186:S387-S390. [PubMed: 16714613]
  22. Hur G, Hong SW, Kim SY, et al. Uniform image quality achieved by tube current modulation using SD of attenuation in coronary CT angiography. AJR 2007;189:188-196. [PubMed: 17579170]
  23. Valentin J. Low-dose extrapolation of radiation-related cancer risk. Ann ICRP 2005;35(4):1-140.
  24. Upton, AC.; Adelstein, SJ.; Brenner, DJ., et al. Report no. 136-evaluation of the linear-nonthreshold dose-response model for ionizing radiation. Bethesda, MD: National Council on Radiation Protection and Measurements (NCRP); 2001.
  25. United Nations Scientific Committee on the Effects of Atomic Radiation UNSCEAR 2000 report to the General Assembly, with scientific annexes. New York: United Nations; 2000. Sources and Effects of Ionizing Radiation.
  26. Cox R, Muirhead CR, Stather JW, Edwards AA, Little MP. Risk of radiation-induced cancer at low doses and low dose rates for radiation protection purposes. Documents of the NRPB 1995;6:1-77.
  27. Tubiana M, Aurengo A, Masse R, et al. Risk of cancer from diagnostic X-rays. Lancet 2004;363:1908. [PubMed: 15183637]author reply 1910
  28. Health Physics Society. Radiation risk in perspective: Position statement of the health physics society. Adopted January 1996, Revised August 2004. [Accessed online August 24, 2007]. Available at: http://hps.org/documents/radiationrisk.pdf
  29. Berrington de Gonzalez A, Darby S. Risk of cancer from diagnostic X-rays: Estimates for the UK and 14 other countries. Lancet 2004;363:345-351. [PubMed: 15070562]
  30. Althen JN. Automatic tube-current modulation in CT-a comparison between different solutions. Radiat Prot Dosimetry 2005;114:308-312. [PubMed: 15933127]
  31. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007;298:317-323. [PubMed: 17635892]