| Repeated radiological radiation exposure in patients undergoing surgery for urinary tract stone disease in Victoria, Australia. | |
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MedLine Citation:
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PMID: 22085124 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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SUMMARY: At least 44% of a group of patients undergoing stone operations have been exposed to high levels of radiation, mostly from repeated CT scans, over a short period with possible increased risk of developing cancer. We suggest ways in which that risk can be reduced. OBJECTIVE: • To assess radiation exposure in patients attending for surgery for urinary tract stones. PATIENTS AND METHODS: • Fifty-eight consecutive patients attending for stone surgery were asked to provide their radiological imaging over the preceding year. • Radiation dosage was recorded where available. Individual radiology providers were contacted to provide additional data. RESULTS: • The median number of radiological investigations was six (range 2-15). • Patients had attended 12 different providers on 22 sites. Only three providers routinely recorded computed tomography (CT) radiation dose. • Up to 26 patients (44%) were subjected to at least 50 mGy radiation in the course of their treatment with at least eight (13.8%) receiving over 100 mGy from CT scans alone. • CT and image intensifier radiation dose varied considerably between providers even for the same patients. CONCLUSIONS: • Many patients with urinary tract stones are subjected to relatively high doses of radiation in the course of their investigation and treatment. This may have later malignant consequences. • Many providers in Australia are not recording radiation dose and patients seem to have many unnecessary scans. • Suggestions on improved management are made which could significantly reduce radiation exposure. |
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Authors:
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Paul Manohar; Philip McCahy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 108 Suppl 2 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 34-7 Citation Subset: IM |
Copyright Information:
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© 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL. |
Affiliation:
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Department of Urology, Casey Hospital, Berwick, Victoria 3806, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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