Frush Donald P, Ansari Armin, Brink James A, Kosti Ourania, Larson David B, Linet Martha S, Mahesh Mahadevappa, Sechopoulos Ioannis, Vassileva Jenia
Pediatric Radiology, Children's Health Center, Duke University Medical Center, Durham, North Carolina, USA.
Radiation Studies Section, Division of Environmental Health Science and Practice/NCEH, Centers for Disease Control and Prevention, Environmental Protection Agency, Atlanta, Georgia, USA.
J Appl Clin Med Phys. 2025 Apr;26(4):e70022. doi: 10.1002/acm2.70022. Epub 2025 Feb 26.
Recurrent imaging is an essential tool for patient care but with an attendant dose from radiation exposure. Recurrent imaging has been the subject of increasing scrutiny and debate based largely on the risk from increasing cumulative doses. However, the accountability for and actions with recurrent imaging as a special component in the general construct of radiation protection in medicine is unclear. This is demonstrated by the perspectives provided by the various imaging community experts. Some perspectives may be different, but many share a common ground. Understanding these various perspectives illustrates the wide-ranging optics in considering benefits and costs in the recurrent imaging paradigm and, moreover, the value in pursuing multi-stakeholder-derived harmonization for recurrent imaging and radiation dose. This move towards consensus would be to the benefit of the imaging community, referrers, and other related healthcare professionals, as well as patients, their caregivers, and the public.
反复成像检查是患者护理的一项重要工具，但会带来辐射暴露剂量。反复成像检查日益受到严格审查和争论，主要是基于累积剂量增加带来的风险。然而，在医学辐射防护的总体框架中，反复成像检查作为一个特殊组成部分，其责任归属及应对措施尚不清楚。这从各影像领域专家提供的观点中可见一斑。有些观点可能不同，但许多观点有共同之处。理解这些不同观点有助于阐明在反复成像模式中考虑利弊时的广泛视角，此外，还能说明寻求多方利益相关者达成的反复成像检查与辐射剂量协调统一的价值。朝着达成共识迈进将有利于影像领域、转诊医生及其他相关医疗专业人员，以及患者、其护理人员和公众。
