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Médecine du travail du personnel hospitalier

Radiation exposure in gastroenterology: improving patient and staff protection

Auteur     Immanuel K. H. Ho
Auteur     Brooks D. Cash
Auteur     Henry Cohen
Auteur     Stephen B. Hanauer
Auteur     Michelle Inkster
Auteur     David A. Johnson
Auteur     Michael M. Maher
Auteur     Douglas K. Rex
Auteur     Abdo Saad
Auteur     Ajaypal Singh
Auteur     Madan M. Rehani
Auteur     Eamonn M. Quigley
Volume     109
Numéro     8
Pages     1180-1194
Publication     The American Journal of Gastroenterology
ISSN     1572-0241
Date     Aug 2014
Résumé     Medical imaging involving the use of ionizing radiation has brought enormous benefits to society and patients. In the past several decades, exposure to medical radiation has increased markedly, driven primarily by the use of computed tomography. Ionizing radiation has been linked to carcinogenesis. Whether low-dose medical radiation exposure will result in the development of malignancy is uncertain. This paper reviews the current evidence for such risk, and aims to inform the gastroenterologist of dosages of radiation associated with commonly ordered procedures and diagnostic tests in clinical practice. The use of medical radiation must always be justified and must enable patients to be exposed at the lowest reasonable dose. Recommendations provided herein for minimizing radiation exposure are based on currently available evidence and Working Party expert consensus.

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doi:10.1038/ajg.2014.122

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