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CT Radiation Dosing Calculations

KMATTOX at aol.com KMATTOX at aol.com
Thu Oct 15 18:06:45 BST 2009


I am very aware that Ionizing radiation dosing from radiotherapy, CT  
scanning, arteriography, C-Arm imaging in the OR, cardiac catheterization, and  
trauma injury screening and diagnosis has historically been administered most 
of  the time in a professional and standard manner.   I am also aware that  
each of these modalities has had its miscalculations and subsequent injury 
to  patients as well as to health care workers at all  levels.       The 
recent experience reported by  many sources of a hospital in Los Angeles was 
one such mis  calculation.      However, I am aware that such  "accidents" 
often lead to regulatory agencies using such an incident to now  inspect 
hospitals who have never had a known similar miscalculation.    While making a 
visit, they very often raise questions of relivance, indication,  and use of 
imaging, or whatever has brought them to the  facility.    Following the 
announcement earlier this week of the  miscalculation, I did a quick check among 
patients in this hospital and sought  information from many of my colleagues 
at other hospitals. That led to my  earlier post regarding guidelines for 
ordering imaging, how images are often mis  used and lead to inappropriate 
decisions, and other issues.    It  was to raise the awareness of all of us 
regarding the use of a modality that we  all have over used.      
 
k


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