Exposición a la radiación | 19 MAY 04

Sustentabilidad del diagnóstico por imágenes

En este artículo, el autor subraya el efecto de las pruebas ionizantes en nuestra sociedad y discute las formas simples de lograr abordajes más cautelosos.
Autor: Dr. Picano E. Fuente: Consiglio Nazionale delle Ricerche, Institute of Clinical Physiology, Pisa, Italy BMJ. 2004 Mar 6;328(7439):578-80.

1. United Nations Scientific Committee on the Sources and Effects of Ionising Radiation. Report on the effects of atomic radiation to the general assembly, 2000. Medical radiation exposures. New York: UN, 2001.
2. National Council on Radiation Protection and Measurements. Ionising radiation exposure of the population of the United States. Bethesda, MA: NCRP, 1987. (Report No 93.)
3. United Nations Scientific Committee on the Effects of Atomic Radiation. Sources and effects of ionising radiation. New York: UN, 1996.
4. Regulla D, Griebel J, Nosske D, Bauer B, Brix G. Acquisition and assessment of patient exposure in diagnostic radiology and nuclear medicine. Z Med Phys 2003;13:127-35.
5. Hall EJ. Lessons we have learned from our children: cancer risks from diagnostic radiology. Pediatr Radiol 2002;32:700-6.
6. Illich I. Medical nemesis. The expropriation of health. New York: Random House, 1976.
7. Berrington De Gonzalez A, Darby S. Risk of cancer from diagnostic x-ray: estimates for the UK and 14 other countries. Lancet 2004;363:345-51.
8. International Commission on Radiological Protection. Radiological protection in biomedical research. Oxford: Pergamon Press, 1991.
9. International Commission on Radiological Protection. Radiation and your patient: a guide for medical practitioners. A web module produced by Committee 3 of the ICRP. 2001 www.icrp.org/docs/ Rad_for_GP_for_web.pdf. (accessed 12 February 2004).
10. Kaiser J. Hormesis. A healthful dab of radiation? Science 2003;302:378.
11. Davis GT, Bruwer AJ. Health effects of exposure to low levels of ionizing radiation. N Engl J Med 1991;324:7.
12. Cormack J, Towson JEC, Flower MA. Radiation protection and dosimetry in clinical practice. In: Murray IPC, Ell PG eds. Nuclear medicine in clinical diagnosis and treatment. Oxford: Churchill Livingstone, 1998:1655.
13. European Commission. Radiation protection 118: referral guidelines for imaging. http://europa.eu.int/comm/environment/radprot/118/rp- 118-en.pdf (accessed 11 Feb 2004).
14. Center for Devices and Radiological Health.Whole body scanning: using computed tomography. www.fda.gov/cdrh/ct (accessed 14 Nov, 2003).
15. Center for Devices and Radiological Health. Public health notification: reducing radiation risk from computed tomography for pediatric and small adult patients (2 Nov 2001). www.fda.gov/cdrh/safety.html (accessed 14 Nov, 2003).
16. Ron E. Ionising radiation and cancer risk: evidence from epidemiology. Pediatr Radiol 2002;32:232-7.
17. Shiralkar S, Rennie A, Snow M, Galland RB, Lewis MH, Gower-Thomas K. Doctors' knowledge of radiation exposure: questionnaire study. BMJ 2003;327:371-2.
18. Morin RL, Gerber TC, McCollough CH. Radiation dose in computed tomography of the heart. Circulation 2003;107:917-22.
19. Council Directive 97/43/Euratom of 30 June 1997 on health protection of individuals against the dangers of ionising radiation in relation to medical exposure, and repealing Directive 84/466/Euratom. Official Journal of the European Communities L 180 1997 Jul 9:0022-7.
Picano E. Stress echocardiography: a historical perspective. Am J Med 2003;114:126-30.


Usted debe estar registrado para expresar su opinión. Si ya es usuario de IntraMed o desea registrase como nuevo usuario, ingrese aquí
Términos y condiciones de uso | Todos los derechos reservados | Copyright 1997-2017