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Cardiovascular Imaging, Climate Change, and Environmental Sustainability.
Gunasekaran, Suvai; Szava-Kovats, Andrew; Battey, Thomas; Gross, Jonathan; Picano, Eugenio; Raman, Subha V; Lee, Emil; Bissell, Malenka M; Alasnag, Mirvat; Campbell-Washburn, Adrienne E; Hanneman, Kate.
Afiliación
  • Gunasekaran S; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Szava-Kovats A; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Battey T; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Gross J; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Picano E; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Raman SV; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Lee E; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Bissell MM; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Alasnag M; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Campbell-Washburn AE; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
  • Hanneman K; From the Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, Calif (S.G.); Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill (S.G.); Department of Nuclear Medicine, Peter Lougheed Hospital, Alberta Health Services, Calgary, Canad
Radiol Cardiothorac Imaging ; 6(3): e240135, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38900024
ABSTRACT
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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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cambio Climático / Enfermedades Cardiovasculares Límite: Humans Idioma: En Revista: Radiol Cardiothorac Imaging Año: 2024 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cambio Climático / Enfermedades Cardiovasculares Límite: Humans Idioma: En Revista: Radiol Cardiothorac Imaging Año: 2024 Tipo del documento: Article