Steven Birnbaum, MD said: December 19, 2007 1:16 pm PST
I congratulate you on your new web site. It is informative and reasonable. As I am sure you are aware, the Brenner and Hall article in the New England Journal has come under some significant criticism from the physicist community. Their focus is on the population risks of CT scanning in large numbers of people, particularly children, even if they have not had a large number of studies. Dose is cumulative and I have focussed more on the patient with more "frequent" exposure. We have at the two hospitals in which I work in southern New Hampshire, set up a system of monitoring and tracking patients who have had 5 or more CT studies of the neck, chest, abdomen, pelvis or abdomen and pelvis for benign diagnoses with the idea of preventing further exposure to these patients. I have also embarked on a widespread educational campaign to alert clinicians and radiologists to the potential dangers of too much CT. At the conclusion of radiology training, I did a fellowship in CT imaging for an additional year. I am still amazed by the technology and what it can do. I truly love CT and done things with it, I could only dream of before. Yet as with almost everything, it comes with a price. I salute your efforts at educating and informing patients and parents.
Steven Birnbaum, M.D.