心血管成像、气候变化和环境可持续性。

IF 3.8 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Radiology. Cardiothoracic imaging Pub Date : 2024-06-01 DOI:10.1148/ryct.240135
Suvai Gunasekaran, Andrew Szava-Kovats, Thomas Battey, Jonathan Gross, Eugenio Picano, Subha V Raman, Emil Lee, Malenka M Bissell, Mirvat Alasnag, Adrienne E Campbell-Washburn, Kate Hanneman
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引用次数: 0

摘要

包括空气质量差和极端温度在内的环境暴露因气候变化而加剧,并与心血管疾病的不良后果相关联。与此同时,医疗保健的提供也产生了大量的温室气体(GHG)排放,加剧了气候危机。因此,心脏成像团队不仅必须了解气候变化对心血管健康的不利影响,还必须了解心血管成像的下游环境影响。本综述旨在强调气候变化对心血管健康的影响,讨论心血管成像对环境的影响,并介绍改善心脏核磁共振成像、心脏 CT、超声心动图、心脏核成像和有创心血管成像的环境可持续性的机会。改善心血管成像环境可持续性的总体战略包括:在需要进行多项检查时,优先考虑温室气体排放量较低的成像检查;减少低价值成像;在不使用设备时将其关闭。针对具体模式的机会包括:有针对性的核磁共振成像方案和低强度应用、心脏 CT 中碘造影剂的回收计划、超声心动图中 US 增强剂的合理使用、核心脏病学中放射性药物采购和废物管理的改进,以及介入治疗室中可重复使用用品的使用。最后,重点介绍了未来的研究方向,包括心脏成像设备寿命周期评估和人工智能工具的影响。关键词心脏 安全性 可持续性 心血管成像 本文有补充材料。© RSNA, 2024.
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Cardiovascular Imaging, Climate Change, and Environmental Sustainability.

Environmental exposures including poor air quality and extreme temperatures are exacerbated by climate change and are associated with adverse cardiovascular outcomes. Concomitantly, the delivery of health care generates substantial atmospheric greenhouse gas (GHG) emissions contributing to the climate crisis. Therefore, cardiac imaging teams must be aware not only of the adverse cardiovascular health effects of climate change, but also the downstream environmental ramifications of cardiovascular imaging. The purpose of this review is to highlight the impact of climate change on cardiovascular health, discuss the environmental impact of cardiovascular imaging, and describe opportunities to improve environmental sustainability of cardiac MRI, cardiac CT, echocardiography, cardiac nuclear imaging, and invasive cardiovascular imaging. Overarching strategies to improve environmental sustainability in cardiovascular imaging include prioritizing imaging tests with lower GHG emissions when more than one test is appropriate, reducing low-value imaging, and turning equipment off when not in use. Modality-specific opportunities include focused MRI protocols and low-field-strength applications, iodine contrast media recycling programs in cardiac CT, judicious use of US-enhancing agents in echocardiography, improved radiopharmaceutical procurement and waste management in nuclear cardiology, and use of reusable supplies in interventional suites. Finally, future directions and research are highlighted, including life cycle assessments over the lifespan of cardiac imaging equipment and the impact of artificial intelligence tools. Keywords: Heart, Safety, Sustainability, Cardiovascular Imaging Supplemental material is available for this article. © RSNA, 2024.

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