A Comprehensive CT Radiation Dose Reduction and Protocol Standardization Program in a Complex, Tertiary Hospital System

Einstein, 2007, Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography, J Am Med Assoc, 298, 317, 10.1001/jama.298.3.317 Einstein, 2010, Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging, J Am Med Assoc, 304, 2137, 10.1001/jama.2010.1664 Berrington de González, 2009, Projected cancer risks from computed tomographic scans performed in the United States in 2007, Arch Intern Med, 169, 2071, 10.1001/archinternmed.2009.440 United Nations Scientific Committee on the Effects of Atomic Radiation. 2013Report to the General Assembly Scientific Volume 1 Annexes A and B (New York). Rajiah, 2016, Radiation exposure from medical imaging must not be taken out of context, Trends Cardiovasc Med, 26, 66, 10.1016/j.tcm.2015.04.011 AAPM policy. AAPM position statement on radiation risks from medical imaging procedures; 13.12.2011 [PP 25-A]. Moser, 2017, Radiation dose-reduction strategies in thoracic CT, Clin Radiol, 72, 407, 10.1016/j.crad.2016.11.021 McCollough, 2006, CT dose reduction and dose management tools: overview of available options, Radiographics, 26, 503, 10.1148/rg.262055138 Tack, 2003, Dose reduction in multidetector CT using attenuation-based online tube current modulation, AJR Am J Roentgenol, 181, 331, 10.2214/ajr.181.2.1810331 Padole, 2015, CT radiation dose and iterative reconstruction techniques, AJR Am J Roentgenol, 204, W384, 10.2214/AJR.14.13241 Stocker, 2018, Reduction in radiation exposure in cardiovascular computed tomography imaging results from the PROspective multicenter registry on radiation dose Estimates of cardiac CT angiography iN daily practice in 2017 (PROTECTION VI), Eur Heart J, 39, 3715, 10.1093/eurheartj/ehy546 Costello, 2013, CT Radiation dose: current controversies and dose reduction strategies, AJR Am J Roentgenol, 201, 1283, 10.2214/AJR.12.9720 Hara, 2013, Reducing body CT radiation dose: beyond just changing the numbers, AJR Am J Roentgenol, 201, 33, 10.2214/AJR.13.10556 Little, 2015, A comprehensive CT dose reduction program using the ACR Doze Index Registry, J Am Coll Radiol, 12, 1257, 10.1016/j.jacr.2015.07.020 Venkataraman, 2019, Implementing shared, standardized imaging protocols to improve cross-enterprise workflow and quality, J Digit Imaging, 32, 880, 10.1007/s10278-019-00185-4 Sueri, 2013, How tracking radiologic procedures and dose helps: experience from Finland, AJR Am J Roentgenol, 200, 771, 10.2214/AJR.12.10112 Alsuwadi, 2011, Utilization of PACS to monitor patient CT doses, Radiat Protect Dosimetry, 147, 321, 10.1093/rpd/ncr331 Johnson, 2012, CT imaging radiation risk reduction-real life experience in a metropolitan outpatient imaging network, J Am Coll Radiol, 8, 808, 10.1016/j.jacr.2012.06.026 Lee, 2018, Reducing variability of radiation dose in CT: the new frontier in patient safety, J Am Coll Radiol, 15, 1633, 10.1016/j.jacr.2017.10.009 https://asq.org/quality-resources/lean/five-s-tutorial Delisle, 2014, Everything is 5S: a simple yet powerful lean improvement approach applied in a preadmission testing center, Qual Manag J, 21, 10, 10.1080/10686967.2014.11918406