Informed Decision Making Trumps Informed Consent for Medical Imaging with Ionizing Radiation

Department of Diagnostic Radiology, Yale University School of Medicine, 789 Howard Ave, New Haven, CT 06520, USA.
Radiology (Impact Factor: 6.21). 01/2012; 262(1):11-4. DOI: 10.1148/radiol.11111421
Source: PubMed
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    ABSTRACT: Chapter Outline 7.1 Introduction 107 7.2 Ethics in Medical Radiology 109 7.2.1 Core Principles in Medical Ethics 109 7.2.2 A Basic Analysis 111 7.3 Medical, Social, and Legal Context for Radiology 114 7.3.1 Overutilization and Health Economics 116 7.4 Risk, Uncertainty,Communication, and Skeptical Doctors 116 7.5 Justification Issues 118 7.5.1 Awareness 119 7.5.2 Appropriateness and Referral Guidelines 120 7.5.3 Audit (Clinical) 121 7.5.4 Some Reasons for Failure of Justification 121 7.6 Some Special Concerns 121 7.6.1 Nonmedical Exposures 121 7.6.2 Regulatory Framework 122 7.6.3 Some Pregnancy Issues 123 7.7 Conclusions 124
    Social and Ethical Aspects of Radiation Risk Management, First edited by D. Oughton & S. Ove Hansson, 09/2013: chapter 7: pages 105-130; Elsevier Science., ISBN: 9780080450155
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    ABSTRACT: AIM: CT scanning is a widely utilised effective diagnostic tool. We aimed to establish whether patients are adequately informed prior to undergoing CT investigations. Methods: All adult patients with mental capacity attending the de-partment for a CT study over a week period were invited to fill out a brief questionnaire prior to their scan. Results: 57 patients returned completed questionnaires. Overall 23% of patients were unsure or incorrect about the type of scan scheduled. Of patients attending with a new condition, 46% of them did not know their provisional diagnosis. Only 32 % of patients had insight into how a CT scan worked. This was taken to mean that the patient had included some refer-ence to either x-rays, radiation or cross sectional imaging. Only 23% of patients were aware of potential complications of CT scans. Conclusion: Although written consent prior to CT scan is probably a step too far in providing patients with relevant risks/benefits of their investigation, we propose all patients undergoing CT have prior access to a written information sheet should they wish to be further informed regarding their procedure.
  • Radiology 03/2012; 262(3):746-9. DOI:10.1148/radiol.11110065 · 6.21 Impact Factor