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FYI, We were asked by a journalist to respond and we prepared some comments last week and shared with the journalist. Our chairman was involved in preparing the comments. Hope AAPM does come out with a response Mahesh. Kalpana Kalpana M. Kanal,</div>
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FYI,</div>
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We were asked by a journalist to respond and we prepared some comments last week and shared with the journalist. Our chairman was involved in preparing the comments. </div>
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Hope AAPM does come out with a response Mahesh. </div>
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Kalpana</div>
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<span style="font-size:8pt;color:rgb(127, 127, 127)">Kalpana M. Kanal, PhD, DABR, FACR, FAAPM, FSABI</span><span></span></p>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+kkanal=uw.edu@lists.osu.edu> on behalf of Dr M. Mahesh via Intl_dxmedphys_wd_osu_list
<intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Sent:</b> Thursday, September 11, 2025 10:10:30 AM<br>
<b>To:</b> Bob Kobistek <bob@rjkmedphys.com><br>
<b>Cc:</b> intl_dxmedphys_wd_osu_list@lists.osu.edu <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Article in today's ACR Daily Email newsletter</font>
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Bob: Good observation - we are reviewing both the article and the editorial that went w the article which call out on the AAPM position statement. Will keep you posted if we decide to respond. Mahesh Be Curious! “Please do not feel obligated</div>
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Good observation - we are reviewing both the article and the editorial that went w the article which call out on the AAPM position statement.
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<div>Will keep you posted if we decide to respond.</div>
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<div>Mahesh</div>
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<p class="x_MsoNormal" style="margin:0in 0in 0.0001pt"><b><i style="background-color:rgba(255,255,255,0)">Be Curious!</i></b></p>
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<p class="x_MsoNormal" style="margin:0in 0in 0.0001pt"><span style="background-color:rgba(255,255,255,0)"><b>M. Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT, FIOMP.</b></span></p>
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<blockquote type="cite">On Sep 11, 2025, at 11:59 AM, Bob Kobistek via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu> wrote:<br>
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</strong><strong><span style="background:red; color:white; font-family:"Times New Roman",serif; font-size:12pt"> External Email - Use Caution </span></strong></p>
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Check this out: Exposure to Computed Tomography Before Pregnancy and Risk for Pregnancy Loss and Congenital Anomalies: A Population-Based Cohort Study: Annals of Internal Medicine: Vol 0, No 0 Be prepared for the mainstream press to get hold</div>
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<p class="x_MsoNormal"><span style="font-size:11.0pt">Check this out: <a href="https://urldefense.com/v3/__https://www.acpjournals.org/doi/10.7326/ANNALS-24-03479__;!!KGKeukY!2RFiwk-DhCEzP1hEYpNHsMYSNb-6qlx646jkJZ7UBqULioIM9Ol_odI2MlR7Mc0MTMfHfEHYejqKxkMqHbZzoLKNlDRBQo5Mj54Qeg$" originalsrc="https://urldefense.com/v3/__https://www.acpjournals.org/doi/10.7326/ANNALS-24-03479__;!!KGKeukY!2RFiwk-DhCEzP1hEYpNHsMYSNb-6qlx646jkJZ7UBqULioIM9Ol_odI2MlR7Mc0MTMfHfEHYejqKxkMqHbZzoLKNlDRBQo5Mj54Qeg$">
Exposure to Computed Tomography Before Pregnancy and Risk for Pregnancy Loss and Congenital Anomalies: A Population-Based Cohort Study: Annals of Internal Medicine: Vol 0, No 0</a></span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Be prepared for the mainstream press to get hold of this and sensationalize it.
</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">My observations:</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Is the increase in spontaneous abortion due to the CT scans or the reasons the patients got the CT scans to begin with? The authors acknowledge that the majority of the cohort had diabetes, hypertension,
obesity or were smokers. (Smokers and pregnant???)</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">The results also make the statement, “The risk observed with head CT was not consistently lower than with CT of the abdomen, pelvis, or lower spine.” How is that possible unless the increased rate of spontaneous
abortion was due to some factor other than X-ray exposure?</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
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<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif; color:#A50021">Robert J. Kobistek, MS, FACR, DABR, MRSE(MRSC™)</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif; color:#A50021">Medical Physicist</span><span style="font-size:11.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:22.0pt; font-family:"Castellar",serif; color:#A50021">RJK</span><span style="font-size:22.0pt; font-family:"Colonna MT"; color:#A50021">
</span><span style="font-size:14.0pt; color:#A50021">Medical Physics, Inc.</span></p>
<p class="x_MsoNormal"><span style="font-size:14.0pt; color:#A50021">440-463-7879</span></p>
<p class="x_MsoNormal"> </p>
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