Shyu Jeffrey Y, Sodickson Aaron D
Department of Radiology, Brigham and Women's Hospital/Harvard Medical School, Boston, MA, USA.
Br J Radiol. 2016;89(1061):20150868. doi: 10.1259/bjr.20150868. Epub 2016 Jan 11.
Heightened awareness about the radiation risks associated with CT imaging has increased patients' wishes to be informed of these risks, and has motivated efforts to reduce radiation dose and eliminate unnecessary imaging. However, many ordering providers, including emergency physicians, are ill prepared to have an informed discussion with patients about the cancer risks related to medical imaging. Radiologists, who generally have greater training in radiation biology and the risks of radiation, often do not have a face-to-face relationship with the patients who are being imaged. A collaborative approach between emergency physicians and radiologists is suggested to help explain these risks to patients who may have concerns about getting medical imaging.
对CT成像相关辐射风险的认识提高,增加了患者了解这些风险的意愿,并推动了降低辐射剂量和消除不必要成像的努力。然而,包括急诊医生在内的许多开单医生,并没有做好充分准备与患者就医学成像相关的癌症风险进行知情讨论。放射科医生通常在辐射生物学和辐射风险方面接受过更多培训,但他们与接受成像检查的患者通常没有面对面的关系。建议急诊医生和放射科医生采用协作方法,向可能对接受医学成像检查有顾虑的患者解释这些风险。