[Intl_DxMedPhys] New JAMA IM article on CT radiation dose and future cancers

Tue Apr 15 09:37:24 EDT 2025

AAPM submitted a press release last evening  and hopefully media group will pick it up and will provide us the opportunity to discuss our stand on this study.

I will post the press release on this platform soon.

Mahesh
AAPM President

Be Curious!

Please do not feel obligated to respond after normal working hours!

[cid:image002.png at 01DB5B61.CDA06D80]

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M. Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT, FIOMP.

(he/him/his)

Professor - The Russell H. Morgan Department of Radiology and Radiological Science

Johns Hopkins University School of Medicine

Chair – Radiation Control Committee, Johns Hopkins Health Systems

President, American Association of Physicists in Medicine (AAPM)

601 N Caroline Street,

Baltimore, MD 21287-0856

(410) 955-5115<tel:(410)%C2%A0955-5115> (O)

(410) 404-8742 (M)

BlueSky: @mmahesh.bsky.social

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From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+mmahesh=jhmi.edu at lists.osu.edu> on behalf of Robert Morrison via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Date: Tuesday, April 15, 2025 at 9:25 AM
To: Robert Walker <badgerpet at gmail.com>, Yang, Kai,PhD <KYANG11 at mgh.harvard.edu>
Cc: intl_dxmedphys_wd_osu_list at lists.osu.edu <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] New JAMA IM article on CT radiation dose and future cancers

      External Email - Use Caution

The use of sensationalism and fear tactics is nothing new.  We see it continually used.  The whole Covid debacle is one case in point.  There is a power that we/people get from these types of things. I sent Mark's post on to a bunch of people yesterday so that they would be inoculated from this type of thing.  I guess we will see how this plays out.

Rob Morrison
________________________________
From: Intl_dxmedphys_wd_osu_list on behalf of Yang, Kai, PhD via Intl_dxmedphys_wd_osu_list
Sent: Tuesday, April 15, 2025 08:36
To: Robert Walker
Cc: intl_dxmedphys_wd_osu_list at lists.osu.edu
Subject: Re: [Intl_DxMedPhys] New JAMA IM article on CT radiation dose and future cancers

Unfortunately, I just heard this information as a breaking news from our local radio station in my car this morning. Cannot imagine how much more fear they are creating for every patients.

From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> On Behalf Of Robert Walker via Intl_dxmedphys_wd_osu_list
Sent: Monday, April 14, 2025 8:52 PM
Cc: intl_dxmedphys_wd_osu_list at lists.osu.edu
Subject: Re: [Intl_DxMedPhys] New JAMA IM article on CT radiation dose and future cancers

        External Email - Use Caution

Thanks for going on the record Mark. In case you missed it, the lead author is also a cofounder of Alara Imaging, the steward of the CT radiation dose CMS measure. On Mon, Apr 14, 2025 at 8: 29 AM Mark Supanich via Intl_dxmedphys_wd_osu_list

Thanks for going on the record Mark.

In case you missed it, the lead author is also a cofounder of Alara Imaging, the steward of the CT radiation dose CMS measure.

On Mon, Apr 14, 2025 at 8:29 AM Mark Supanich via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>> wrote:

There's a new article in JAMA internal medicine out predicting a large number of future cancers from CT scans. https: //jamanetwork. com/journals/jamainternalmedicine/fullarticle/2832778 The work is entirely statistical in nature, there is no

There's a new article in JAMA internal medicine out predicting a large number of future cancers from CT scans. https://urldefense.com/v3/__https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832778__;!!KGKeukY!1Z5Q6qdPYqC5CQLwf8zH9G376YXH7bC3uDe6aNI7MAxtD53uLk9zCVgR6wl1BTtaIRLH6GAQmsiF7BfA8VD2pIPQkEm-kUJgxgYYaJsa$ <https://urldefense.com/v3/__https://secure-web.cisco.com/11c3R7RDCXdOZJAeh-qRdh8RQoy4MIyh-bGKSdYXybKeZeTkvWPCE5cxAVfLiLi0Q2PdKvJolVd8bPwhP3i3nBclYsE_nDLEajdXuRzgjQx9D3NDBU9qufW-DqJI_iU7MvY5L-6euVAPjcz5n6L59StkH6la9egu2M3QYHtegAOfn9_cv9Fr8_h7IalxNPkzALjSfai-BOTNJkjp6oMrcTo7QloFQ01N8iFgsvCHCpxxAhUDOriwE1RmRd4IyhFVjlxA4iKdyZPmqF6OlPh3kifG5QJuaT1X5ECZ8RxP2q4HlbJM6TLcotu4jbem_QNdhKncgqi37ETvCZwngIgqaQw/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fjamanetwork.com*2Fjournals*2Fjamainternalmedicine*2Ffullarticle*2F2832778__*3B*21*21KGKeukY*213QiV5I4K5v5DkFeVCQcvqSvpeu1GCW4Xu2kfC-OIisjve02FMcil1jtQ4DKwavLox_91CTk9e1T7WF2R_hfH5GcmWjHVWZJE1htAOpCHDAyPO8c*24__;JSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!1Reaf_Fky05djN-QBH_RvPNHirWnP17iZGrZc8CdlACOX8map7-euQP6fldftfkSgFYl77xI8nXbDT7PoYly8kxaGJV7khHYGBxQmQCgqgfbcQ$>

 The work is entirely statistical in nature, there is no cohort study or causal link found, just multiplying the presumed very small individual risk of each CT scan times the tens of millions scans done each year. Please read the article and be prepared to discuss it with colleagues, patients, and physicians. A few key points to remember are:
1. When ordered for medically indicated reasons the benefits of CT far outweigh any future risk
2. CT catches cancer earlier, changes and informs diagnosis, and can help patients avoid unnecessary surgeries
3. Research into radiation risk from low levels of ionizing radiation is still a field of research and consensus on what the risk is has not been reached
4. Many CT scans are performed in the last years of patient's lives and those CT scans can't contribute to future cancers (as the latency period for most solid cancers is at least 4 years). The authors only excluded scans that would have been performed in the last year of life from this paper. A more realistic exclusion of 4 or 5 years would significantly reduce the number of theoretical cancer inductions they claim.

If you want to point folks to a reasonably balanced write up - I suggest this one from Gizmodo (https://urldefense.com/v3/__https://gizmodo.com/common-ct-scans-are-major-cancer-risk-study-claims-2000588963__;!!KGKeukY!1Z5Q6qdPYqC5CQLwf8zH9G376YXH7bC3uDe6aNI7MAxtD53uLk9zCVgR6wl1BTtaIRLH6GAQmsiF7BfA8VD2pIPQkEm-kUJgxhzNWg1R$ <https://urldefense.com/v3/__https://secure-web.cisco.com/1wrV2WSfGaAaDNVWZIuE4w8B43lrQ3or0vqj-dCCs2cwV5kEL96Yrhp5c5pA9RycHBx7s2_48xiYuL7jSRebxiV_NKbCW4Z557Jvsuf_fNBx916U8vjc3iZtMt1uORMsjtbuYW6ke-jHUVQYLIOcpyy1FaM-cEbUd5xgkQlw8bPY39JUd7LfvIKmw06cchseq7DmlPAhxFuRzT6RudnkO8vUKhZPcyW5Km57eyA6pl8oVLJIN5RnJfvu2HfmJVqLNlO2maVvvndX0YQAPeU3X9mcI0ggaEpRyz8AosJ8ZNH5O7deNXt6iS1FObjj4Vmu0jqX47lxq4U_tESMMJ-lO3Q/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fgizmodo.com*2Fcommon-ct-scans-are-major-cancer-risk-study-claims-2000588963__*3B*21*21KGKeukY*213QiV5I4K5v5DkFeVCQcvqSvpeu1GCW4Xu2kfC-OIisjve02FMcil1jtQ4DKwavLox_91CTk9e1T7WF2R_hfH5GcmWjHVWZJE1htAOpCHBbVsiPc*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!1Reaf_Fky05djN-QBH_RvPNHirWnP17iZGrZc8CdlACOX8map7-euQP6fldftfkSgFYl77xI8nXbDT7PoYly8kxaGJV7khHYGBxQmQCuBbjgyg$>). The author reached out for outside comment in advance of publication, and I am grateful that he did, as I was able to (with help from Cynthia McCollough and Rebecca Milman) provide some additional context and critiques.

--

Mark P. Supanich, Ph.D., DABR, FAAPM (he/him)

Director – Diagnostic Medical Physics

Rush University System for Health

Associate Professor & Vice Chair for Physics and Informatics

Rush Medical College Department of Diagnostic Radiology and Nuclear Medicine

O: 312.563.4552

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