Awareness in the medical community is growing regarding the needless and potentially dangerous overuse of CT scans in hospitals and doctors' offices.
Doctors who choose to scan twice do a scan with contrast material and one without, to aid their diagnoses. However, radiologists claim this practice is unnecessary. It is also dangerous because of radiation: one CT scan equals approximately 350 chest X-rays.
Major university hospitals keep the incidence of two successive CT scans per patient down to 1% or do not do them at all. The state of Massachusetts utilized them 1% of the time.
Unfortunately, too many medical professionals subject their patients to multiple CT scans. 75,000 patients were scanned twice in 2008. 200 hospitals that year used double scans 30% of the time. The national average for this practice is 5.4%. Smaller hospitals are more likely to use double scans. For example, Memorial Medical Center in Michigan used them 89% of the time in 2008. However, they lowered their rate to 42.4% by 2010 and 3% so far this year. Similarly, St. John Health System in Tulsa held an 80% rate in 2008 but lowered that figure to 5% this year after mandating second opinions from radiologists.
According to a professor of radiology at the University of California, San Francisco, the high rates are due to a lack of awareness several years ago, though recent changes are encouraging.
The data has been compiled from 2008 figures -- the most recent to have been released -- but those who have looked at 2009 numbers claim much had not changed.
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