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You may have seen the headline.
93 million CT examinations conducted on 62 million US patients in 2023 projected to lead to 103000 new cancer diagnoses accounting for 5% of new cancers.
The details of the modeling can be found here, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832778.
What does this have to do with administration?
The solutions rely on administrative involvement:
- Incorporation of readily available and easily used diagnostic algorithms at the point of care (which means well-integrated with the electronic medical record).
- Ready availability of alternative diagnostic approaches such as ultrasound and MRI.
- Implementation of low-dose scanning techniques along with shared awareness that such techniques are being used.
- Support for shared decision making with patients and families.
There’s an editorial here, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832782 and a commentary with interviews that put the findings nicely in context here https://arstechnica.com/health/2025/04/ct-scans-could-cause-5-of-cancers-study-finds-experts-note-uncertainty/ (including pointing out that lifetime risk of cancer in the US is 40% and the increase from CT scanning on the order of 0.1% / scan).
References
Smith-Bindman R, Chu PW, Firdaus HA, et al. Projected lifetime cancer risks from current computed tomography imaging. JAMA Intern Med 2025; doi:10.1001/jamainternmed.2025.0505.