The Overutilization of X-Rays
- 24 May 1979
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 300 (21) , 1213-1216
- https://doi.org/10.1056/nejm197905243002110
Abstract
When the term "overutilization" is applied to x-rays, its meaning should be defined. The definition that I shall employ is straightforward: "over-utilization" means excessive irradiation per unit of diagnostic information, therapeutic impact or health outcome. In the broadest sense, it comprises excessive radiation per film, excessive films per examination or excessive examinations per patient.Excessive Radiation per FilmThe patient receives more radiation than is justified when the shutters of an x-ray unit are more widely opened and encompass a larger area than the region of interest. It has been estimated that, if exposure were consistently limited to the size . . .Keywords
This publication has 14 references indexed in Scilit:
- The Barium Enema: Evidence for Proper UtilizationRadiology, 1979
- The Selection of Patients for Excretory UrographyRadiology, 1979
- Routine oblique radiography of the pediatric lumbar spine: is it necessary?American Journal of Roentgenology, 1978
- Routine preoperative chest radiography in non-cardiopulmonary surgery.BMJ, 1976
- Efficacy of Routine Screening and Lateral Chest Radiographs in a Hospital-Based PopulationNew England Journal of Medicine, 1974
- Use of laboratory tests and pharmaceuticals. Variation among physicians and effect of cost audit on subsequent usePublished by American Medical Association (AMA) ,1973
- The Utility and Futility of Radiographic Skull Examination for TraumaNew England Journal of Medicine, 1971
- Observations on the Manpower Shortage in RadiologyRadiology, 1970
- Wasted X-RaysRadiology, 1970
- Rationalizing requests for x-ray films in neurology.BMJ, 1968