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IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
Keeping Up With Communication: A Call to Involve Trainees 保持沟通：让学员参与进来。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.025
Alankrit Shatadal BS, BA , Allison Grayev MD
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引用次数: 0
Radiologists as Equity Advocates: The Colombian Perspective 在社区、农村和安全网设置中推进医疗保健服务：放射科医生作为公平倡导者：哥伦比亚视角。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.049
Valeria Del Castillo MD, Laura Manuela Olarte Bermúdez MD, Valeria Noguera MD, Gustavo Triana MD, Hernan Dario Paez Rueda MD
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引用次数: 0
Green Imaging: Scoping Review of Radiology’s Environmental Impact 绿色成像：放射学对环境影响的范围综述。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.013
Sean A. Woolen MD, MSc , Marisa Martin MD , Colby A. Foster MD , Mark P. MacEachern MLIS , Katherine E. Maturen MD, MSc

Objective

To summarize evidence for the environmental impact of radiology services and identify research gaps.

Methods

A scoping review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Searches were performed in Ovid Medline, Web of Science, Embase, and Scopus from inception to June 6, 2025. Studies were included if they reported environmental outcomes from diagnostic imaging or image-guided procedures in humans. Two reviewers independently screened studies and extracted data. Conference abstracts, narrative reviews, editorials, non-English articles, and studies without primary data were excluded. Data were charted by environmental impact type and summarized using descriptive statistics and narrative synthesis.

Results

Initial searches yielded 2,730 citations, with 115 studies included. Publications spanned 1971 to 2025, primarily from Europe (44%) and the United States (25%). Most were observational; only 8% (9 of 115) employed life cycle analysis (LCA). Key domains included energy use (27%), nuclear medicine waste (25%), and contrast media waste (14%). Reported annual CO2 emissions for equipment varied by modality: MRI (53.1 ± 13.2 metric tons [MT] of carbon dioxide equivalents), CT (12.6 ± 2.9 MT), interventional radiology (9.6 ± 1.0 MT), fluoroscopy (4.8 MT), radiography (0.7 ± 0.4 MT), workstations (0.7 ± 0.2 MT), and ultrasound (0.3 MT). Per-scan LCA estimates ranged widely: MRI (6.2-76.2 kg), CT (1.1-13.4 kg), ultrasound (0.1-1.2 kg), and radiography (0.7-7.0 kg). Radionuclides and contrast agents were frequently detected in wastewater and ecosystems. Key research gaps include inconsistent methods, limited LCA use, underexplored modalities and informatics, insufficient waste mitigation studies, and lack of cross-specialty carbon assessments.

Conclusion

Among thousands of publications on imaging sustainability, few provide primary data. This review consolidates evidence on radiology’s environmental impact and outlines priorities for future research.
目的：总结放射服务对环境影响的证据，并找出研究空白。方法：根据PRISMA-ScR指南进行范围审查。在Ovid Medline， Web of Science， Embase和Scopus中进行了从成立到2025年6月6日的搜索。如果研究报告了诊断成像或图像引导程序对人类的环境影响，则将其纳入研究。两位审稿人独立筛选研究并提取数据。会议摘要、叙述性综述、社论、非英语文章和没有原始数据的研究被排除在外。数据按环境影响类型绘制图表，并使用描述性统计和叙事综合进行汇总。结果：最初的搜索产生了2730条引用，其中包括115项研究。论文发表时间从1971年到2025年，主要来自欧洲（44%）和美国（25%）。大多数是观察性的；只有8%（9/115）采用了生命周期分析（LCA）。关键领域包括能源使用（27%）、核医学废物（25%）和造影剂废物（14%）。报告的设备年二氧化碳排放量因方式而异：MRI（53.1±13.2 MT）、CT（12.6±2.9 MT）、IR（9.6±1.0 MT）、透视（4.8 MT）、x线摄影（0.7±0.4 MT）、工作站（0.7±0.2 MT）和超声（0.3 MT）。每次扫描的LCA估计范围很广：MRI (6.2-76.2 kg), CT (1.1-13.4 kg)，超声（0.1-1.2 kg）和x线摄影（0.7-7.0 kg）。在废水和生态系统中经常检测到放射性核素和造影剂。主要的研究差距包括方法不一致、LCA使用有限、模式和信息学探索不足、废物缓解研究不足以及缺乏跨专业碳评估。结论：在数以千计的关于成像可持续性的出版物中，很少提供原始数据。这篇综述巩固了放射学对环境影响的证据，并概述了未来研究的重点。
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of the American College of Radiology
Pub Date : 2026-01-01
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引用次数: 0
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