A radiology professor is calling on radiologists across the country to mount a campaign against the overuse of medical imaging.
Overuse of medical imaging services exposes patients to unnecessary radiation and adds to healthcare costs, according to "Addressing Overutilization in Medical Imaging," which is published online and in the October issue of the journal Radiology.
"In most cases, an imaging procedure enhances the accuracy of a diagnosis or guides a medical treatment and is fully justified, because it benefits the patient," said the article's lead author, William R. Hendee, distinguished professor of radiology, radiation oncology, biophysics and bioethics at the Medical College of Wisconsin in Milwaukee. "But some imaging procedures are not justified, because they are unnecessary for the patient's care. These are the uses of imaging that we, as medical physicists, radiologists, radiation oncologists and educators, are trying to identify and eliminate."
The growth in medical imaging over the past two decades has yielded important and life-saving benefits to patients, Hendee acknowledges. Medical imaging has allowed millions of patients to avoid more invasive diagnostic and treatment procedures.
However, overuse of medical imaging services can be detrimental to patients by exposing them to unnecessary radiation. Between 1980 and 2006, the annual U.S. population radiation dose from medical procedures increased seven-fold, according to the National Council on Radiation Protection and Measurements.
"There are many causes of overutilization of imaging in medicine," Hendee said. "Some of these causes, such as self-referral to physician-owned imaging facilities and defensive medicine to shield against potential lawsuits, are beyond radiology's influence to correct and must be dealt with more globally within medicine. However, some of the causes do occur within radiology, and the profession is hard at work to address them."
In June 2009, the Radiological Society of North America (RSNA) and the American College of Radiology established the Joint Task Force on Adult Radiation Protection to address concerns about patient radiation exposure from medical imaging procedures. The task force subsequently broadened the participating primary member institutions to include the American Association of Physicists in Medicine and the American Society of Radiologic Technologists, and is in the process of developing the "Image Wisely" campaign for adult radiation protection.
Gary J. Becker, MD, James P. Borgstede, MD; Jennifer Bosma, William J. Casarella, MD; Beth Erickson, MD; C. Douglas Maynard, MD; James Thrall, MD; and Paul E. Wallner, DO, collaborated with Hendee on the report.
