The cancer risks of medical radiation exposure associated mainly with CT scans

  • Hoshino Chisho
    やまと在宅診療所登米 みちのく総合診療医学センター (坂総合病院内)

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  • CTを中心とする医療放射線被ばくの発がんリスクについて
  • CT オ チュウシン ト スル イリョウ ホウシャセン ヒバク ノ ハツガン リスク ニ ツイテ

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Japan has experienced serious nuclear disaster being a country hit by atomic bombs and as well as the occurrence of recent nuclear plant accidents. On the other hand, the Japanese population is exposed to higher dose of medical radiation compared to other developed countries, which is due to increasing number of diagnostic computed tomography (CT) examinations. The correlation between low-dose radiation exposure and cancer risks has been discussed nationwide since Fukushima nuclear plant accident has occurred, whereas cancer risks due to low-dose ionizing radiation from CT scans have been evident in recent large cohort studies. Though CT scan is a valuable diagnostic tool in medical practice because of its high resolution image with speed of scanning, it is crucial to evaluate whether the use of CT is appropriate weighing the benefits and possible risks. Hospitalist is required to have core competency to improve quality of medical care of the hospital and to coordinate with other departments or co-medical workers. In this regard, we discuss how hospitalist could play a role to justify the use of CT and minimize unnecessary radiological exposure, cooperating with radiologists or radiological technologists.

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