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- W2131379095 abstract "HomeRadiologyVol. 263, No. 3 PreviousNext Reviews and CommentaryOpinionFalling Prey to the Sunk Cost Bias: A Potential Harm of Patient Radiation Dose HistoriesJonathan D. Eisenberg, H. Benjamin Harvey, Donald A. Moore, G. Scott Gazelle, Pari V. Pandharipande Jonathan D. Eisenberg, H. Benjamin Harvey, Donald A. Moore, G. Scott Gazelle, Pari V. Pandharipande Author AffiliationsFrom the Institute for Technology Assessment (J.D.E., G.S.G., P.V.P.) and Department of Radiology (J.D.E., H.B.H., G.S.G., P.V.P.), Massachusetts General Hospital, 101 Merrimac St, 10th Floor, Boston, MA 02114; Harvard Medical School, Boston, Mass (H.B.H., G.S.G., P.V.P.); and Haas School of Business, University of California–Berkeley, Berkeley, Calif (D.A.M.).Address correspondence to P.V.P. (e-mail: [email protected]).Jonathan D. EisenbergH. Benjamin HarveyDonald A. MooreG. Scott GazellePari V. Pandharipande Published Online:Jun 1 2012https://doi.org/10.1148/radiol.12112459MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractAlthough patient dose histories will make valuable contributions to quality improvement and research initiatives, care must be taken to avoid misuse by physicians when making imaging decisions for individual patients.References1 Berrington de González A, Mahesh M, Kim KPet al.. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009;169(22):2071–2077. Crossref, Medline, Google Scholar2 Bogdanich W. After stroke scans, patients face serious health risks. New York Times Web site. http://www.nytimes.com/2010/08/01/health/01radiation.html. Published July 30, 2010. Accessed August 13, 2011. Google Scholar3 Hricak H, Brenner DJ, Adelstein SJet al.. 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National Radiology Data Registry. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/NRDR.asp. Accessed November 14, 2011. Google Scholar9 Wang S, Pavlicek W, Roberts CCet al.. An automated DICOM database capable of arbitrary data mining (including radiation dose indicators) for quality monitoring. J Digit Imaging 2011;24(2):223–233. Crossref, Medline, Google Scholar10 Cook TS, Zimmerman SL, Steingall SR, Maidment AD, Kim W, Boonn WW. RADIANCE: an automated, enterprise-wide solution for archiving and reporting CT radiation dose estimates. RadioGraphics 2011;31(7):1833–1846. Link, Google Scholar11 Durand DJ. A rational approach to the clinical use of cumulative effective dose estimates. AJR Am J Roentgenol 2011;197(1):160–162. Crossref, Medline, Google Scholar12 The Joint Commission. Radiation risks of diagnostic imaging. The Joint Commission Sentinel Alert Event I, August 24, 2011. http://www.jointcommission.org/assets/1/18/SEA_471.PDF. Accessed September 9, 2011. Google Scholar13 Advisory Committee on the Biological Effects of Ionizing Radiation, National Research Council. Health risks from exposure to low levels of ionizing radiation, BEIR VII phase 2. Washington, DC: National Academy of Sciences, 2006. Google Scholar14 Arkes HR, Blumer C. The psychology of sunk cost. Organ Behav Hum Decis Process 1985;35(1):124–140. Crossref, Google Scholar15 Zeelenberg M, van Dijk E. A reverse sunk cost effect in risky decision making: sometimes we have too much invested to gamble. J Econ Psychol 1997;18(6):677–691. Crossref, Google Scholar16 Staw BM. Knee-deep in the big muddy: a study of escalating commitment to a chosen course of action. Organ Behav Hum Decis Process 1976;16(1):27–44. Crossref, Google Scholar17 Sample dose limit threshold notification. Highmark Blue Cross Blue Shield West Virgnia Web site. https://www.highmarkbcbswv.com/PDFFiles/nia/dose-limit-sample.pdf. Accessed September 23, 2011. 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Google ScholarArticle HistoryReceived November 16, 2011; revision requested December 22; revision received January 26, 2012; final version accepted February 2.Published online: June 2012Published in print: June 2012 FiguresReferencesRelatedDetailsCited BySunk‐Cost Bias and Knowing When to Terminate a Research ProjectElainePerignat, Fraser F.Fleming2022 | Angewandte Chemie, Vol. 134, No. 36Sunk‐Cost Bias and Knowing When to Terminate a Research ProjectElainePerignat, Fraser F.Fleming2022 | Angewandte Chemie International Edition, Vol. 61, No. 36Accounting for radiation exposure from previous CT exams while deciding on the next exam: What do referring clinicians think?Madan M.Rehani, KimberlyApplegate, TamásBodzay, ChiHeon Kim, Donald L.Miller, MoulayAli Nassiri, JinChul Paeng, SuphotSrimahachota, SumanSrinivasa, MamoruTakenaka, SeraTerez, JeniaVassileva, WeihaiZhuo2022 | European Journal of Radiology, Vol. 155Are Continued Efforts to Reduce Radiation Exposures from X-Rays Warranted?Paul A.Oakley, Deed E.Harrison2021 | Dose-Response, Vol. 19, No. 1Radiation risk issues in recurrent imagingCharlesBrower, Madan MRehani2021 | The British Journal of Radiology, Vol. 94, No. 1126The cumulative radiation dose paradigm in pediatric imagingDonaldFrush2021 | The British Journal of Radiology, Vol. 94, No. 1126Translating evidence into practice: a longitudinal qualitative exploration of allied health decision-makingJenniferWhite, KellieGrant, MitchellSarkies, TerrenceHaines, Meg E.Morris, LeeanneCarey, Nicholas F.Taylor, Anne E.Holland, AnneBardoel, CylieWilliams, LisaO’Brien, Elizabeth H.Skinner, JennyMartin2021 | Health Research Policy and Systems, Vol. 19, No. 1Patient cumulative radiation exposure—the potential for unintended consequencesColinWalsh, GeraldineO’Reilly, DaraMurphy2020 | European Radiology, Vol. 30, No. 8Death of the ALARA Radiation Protection Principle as Used in the Medical SectorPaul A.Oakley, Deed E.Harrison2020 | Dose-Response, Vol. 18, No. 2Arbitrary Radiation Dose “Limits” Must Not Set Standard of CareRebecca M.Marsh2018 | Journal of the American College of Radiology, Vol. 15, No. 3Financial Forecasting and Stochastic Modeling: Predicting the Impact of Business DecisionsGeoffrey D. 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PaulGuillerman2014 | Pediatric Radiology, Vol. 44, No. S3The communication of the radiation risk from CT in relation to its clinical benefit in the era of personalized medicineSjirk J.Westra2014 | Pediatric Radiology, Vol. 44, No. S3Current knowledge on tumour induction by computed tomography should be carefully usedCristianCandela-Juan, AlegríaMontoro, EnriqueRuiz-Martínez, Juan IgnacioVillaescusa, LuisMartí-Bonmatí2014 | European Radiology, Vol. 24, No. 3Patient-Centered ImagingAndrew J.Einstein, Daniel S.Berman, James K.Min, Robert C.Hendel, Thomas C.Gerber, J. JeffreyCarr, Manuel D.Cerqueira, S. 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