Clinical Gastroenterology and Hepatology
Volume 8, Issue 3 , Pages 303-308 , March 2010

Acute Pancreatitis: Computed Tomography Utilization and Radiation Exposure Are Related to Severity but Not Patient Age

  • Desiree E. Morgan

      Affiliations

    • Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
    • Corresponding Author InformationReprint requests Address requests for reprints to: Desiree E. Morgan, MD, Department of Radiology, University of Alabama, JTN322, 619 South 19th Street, Birmingham, Alabama 35233
    • ,
  • Caroline M. Ragheb

      Affiliations

    • University of Alabama School of Medicine, Birmingham, Alabama
    • ,
  • Mark E. Lockhart

      Affiliations

    • Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
    • ,
  • Barrett Cary

      Affiliations

    • Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
    • ,
  • Naomi S. Fineberg

      Affiliations

    • Department of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama
    • ,
  • Lincoln L. Berland

      Affiliations

    • Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama

References 

  1. Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol. 2008;81:362–378
  2. Mettler FA, Huda W, Yoshizumi TT, et al. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology. 2008;248:254–263
  3. Mettler FA, Thomadsen BR, Bhargavan M, et al. Medical radiation exposure in the U.S. in 2006: preliminary results. Health Phys. 2008;95:502–507
  4. Brenner DJ. Effective dose: a flawed concept that could and should be replaced. Br J Radiol. 2008;81:521–523
  5. Frush DP, Applegate K. Computed tomography and radiation: understanding the issues. J Am Coll Radiol. 2004;1:113–119
  6. Dixon AK, Dendy P. Spiral CT: how much does radiation dose matter?. Lancet. 1998;352:1082–1083
  7. Brenner DJ, Elliston CD. Estimated radiation risks potentially associated with full-body CT screening. Radiology. 2004;232:735–738
  8. Ullrich RL, Jernigan MC, Satterfield LC, et al. Radiation carcinogenesis: time-dose relationships. Radiat Res. 1987;111:179–184
  9. Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284
  10. Katz SI, Saluja S, Brink JA, et al. Radiation dose associated with unenhanced CT for suspected renal colic: impact of repetitive studies. AJR Am J Roentgenol. 2006;186:1120–1124
  11. Jaffe TA, Gaca AM, Delaney S, et al. Radiation doses from small-bowel follow-through and abdominopelvic MDCT in Crohn's disease. AJR Am J Roentgenol. 2007;189:1015–1022
  12. Lockwood D, Einstein D, Davros W. Diagnostic imaging: radiation dose and patients' concerns. Cleveland Clin J Med. 2006;73:583–586
  13. Balthazar EJ, Ranson JHC, Naidich DP, et al. Acute pancreatitis: prognostic value of CT. Radiology. 1985;156:767–772
  14. Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis. Radiology. 1990;174:331–336
  15. Balthazar EJ, Freeny PC, vanSonnenberg E. Imaging and intervention in acute pancreatitis. Radiology. 1994;193:297–306
  16. Banks PA. Practice guidelines in acute pancreatitis. Am J Gastroenterol. 1997;92:377–386
  17. Morgan DE, Baron TH. Practical imaging in acute pancreatitis. Semin Gastrointest Dis. 1998;9:41–50
  18. McCollough CH, Guimaraes L, Fletcher JG. In defense of body CT. AJR Am J Roentgenol. 2009;193:28–39
  19. Stamm G, Nagel HD. CT-EXPO—a novel program for dose evaluation in CT. Rofo. 2002;174:1570–1576
  20. Jessen KA, Shrimpton PC, Geleijins J, et al. Dosimetry for optimisation of patient protection in computed tomography. Appl Radiat Isot. 1999;50:165–172
  21. Groves AM, Owen KE, Courtney HM, et al. 16-detector multislice CT: dosimetry estimation by TLD measurement compared to Monte Carlo simulation. Br J Radiol. 2004;77:662–665
  22. Amis ES, Butler PF, Applegate KE, et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol. 2007;4:272–284
  23. Martin CJ. Effective dose: how should it be applied to medical exposure?. Br J Radiol. 2007;80:639–647

 This article has an accompanying continuing medical education activity on page e33. Learning Objectives—At the end of this activity, the learner should appreciate the frequent and potential overuse of computed tomography scanning in acute pancreatitis and understand the potential link between radiation exposure and the subsequent risk for cancer.

 Conflicts of interest The authors disclose no conflicts.

PII: S1542-3565(09)01080-5

doi: 10.1016/j.cgh.2009.10.021

Clinical Gastroenterology and Hepatology
Volume 8, Issue 3 , Pages 303-308 , March 2010