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Dose-Lowering Strategies in Computed Tomography Imaging of the Lung and Heart

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Diseases of the Chest and Heart 2015–2018

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Abstract

Since its first introduction by Hounsfield and Cormack in 1972, computed tomography (CT) has become one of the most important imaging modalities in diagnostic imaging, because of its strong impact on patient outcome. As a result, CT utilization has risen 10% per year during the last 15 years in the USA [1] and 142% between 1998 and 2008 in Switzerland [2]. In 2008, CT was responsible for 68% of the yearly Swiss medical radiation exposure while accounting for only 6% of the ionizing radiation examinations [2]. Current knowledge on the attributable risk of cancer induction by low level medical imaging radiation exposure (<100 submillisiev-ert, mSv) is largely based on longitudinal studies of atomic bomb survivors [3]. These data were recently augmented by two large, retrospective, epidemiologic cohort studies that showed a correlation between CT radiation exposure and a slightly increased cancer risk in children and young adults [4, 5]. However, the disease status of these patients represents a confounding factor in the interpretation of these data.

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Author information

Authors and Affiliations

  1. Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland

    André Euler & Sebastian T. Schindera

  2. Institute of Radiology, Hospital Centre of Biel, Biel, Switzerland

    Zsolt Szucs-Farkas

  3. Department of Radiology, Vancouver General Hospital, Vancouver, BC, Canada

    John R. Mayo

Authors
  1. André Euler
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  2. Zsolt Szucs-Farkas
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  3. John R. Mayo
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  4. Sebastian T. Schindera
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Editor information

Editors and Affiliations

  1. University Hospital, Zurich, Switzerland

    J. Hodler (Radiology) & G. K. von Schulthess (Nuclear Medicine) (Radiology) &  (Nuclear Medicine)

  2. Kantonsspital, Baden, Switzerland

    R. A. Kubik-Huch (Radiology) (Radiology)

  3. Kilchberg/Zurich, Switzerland

    Ch. L. Zollikofer

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© 2015 Springer-Verlag Italia

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Euler, A., Szucs-Farkas, Z., Mayo, J.R., Schindera, S.T. (2015). Dose-Lowering Strategies in Computed Tomography Imaging of the Lung and Heart. In: Hodler, J., von Schulthess, G.K., Kubik-Huch, R.A., Zollikofer, C.L. (eds) Diseases of the Chest and Heart 2015–2018. Springer, Milano. https://doi.org/10.1007/978-88-470-5752-4_22

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  • DOI: https://doi.org/10.1007/978-88-470-5752-4_22

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5751-7

  • Online ISBN: 978-88-470-5752-4

  • eBook Packages: MedicineMedicine (R0)

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