Derleme
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Yeşil Radyoloji: Sürdürülebilir Tıbbi Görüntüleme

Yıl 2025, Cilt: 8 Sayı: 3, 1 - 14, 28.12.2025
https://doi.org/10.51536/tusbad.1642877

Öz

Radyoloji birimleri, yüksek enerji tüketimi ve atık üretimi nedeniyle sağlık sektörünün karbon ayak izine önemli katkıda bulunmaktadır. Bu derleme makalesi, sürdürülebilir radyoloji kavramını ele alarak, çevresel etkileri azaltmaya yönelik stratejileri incelemeyi amaçlamaktadır. Literatürde sürdürülebilir radyolojiye dair yapılan güncel çalışmalar analiz edilerek enerji tüketimi, su kullanımı, atık yönetimi ve farmasötik atıkların bertaraf edilmesine yönelik uygulamalar değerlendirilmiştir. Araştırmalar, radyoloji departmanlarında enerji tasarruflu cihaz kullanımı, atık yönetimi, geri dönüşüm ve su tasarrufu sağlayan sistemlerin benimsenmesiyle çevresel etkinin azaltılabileceğini göstermektedir. Ayrıca, kontrast maddelerinin kontrollü kullanımı ve bertaraf edilmesiyle ekolojik zararlar minimize edilebilir. Radyoloji profesyonellerinin sürdürülebilir uygulamaları benimsemesi, çevre kirliliğinin önlenmesine ve sağlık sisteminin ekolojik dengesinin korunmasına katkı sağlayabilir. Bu kapsamda, sağlık politikalarının sürdürülebilir radyoloji uygulamalarını teşvik etmesi büyük önem taşımaktadır.

Kaynakça

  • 1.International Energy Agency. Global energy crisis: how the energy crisis started, how global energy markets are impacting our daily life, and what governments are doing about it. Published December 1, 2022. Accessed [01.01.2025]. https://www.iea.org/topics/global-energy-crisis
  • 2.Hoeven E. Blackouts loom as record heat wave blankets California. Calmatters. Published September 7, 2022. Accessed [01.01.2025]. https://calmatters.org/newsletters/whatmatters/2022/09/california-heat-wave-blackouts/
  • 3.Karliner JS, Boyd R, Ashby B, et al. Healthcare’s climate footprint: how the health sector contributes to the global climate crisis and opportunities for action. Healthcare Without Harm and ARUP. Published September 23, 2019. Accessed [02.01.2025]. https://noharm-global.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf
  • 4.Rocque RJ, Beaudoin C, Ndjaboue R, et al. Health effects of climate change: an overview of systematic reviews. BMJ Open. 2021;11(6). doi:10.1136/bmjopen-2020-046333
  • 5.Connor A, Lillywhite R, Cooke MW. The carbon footprint of a renal service in the United Kingdom. QJM. 2010;103(12):965-975. doi:10.1093/qjmed/hcq150
  • 6.Büttner L, Posch H, Auer TA, et al. Switching off for future: cost estimate and a simple approach to improving the ecological footprint of radiological departments. Eur J Radiol Open. 2020;8:100320. doi:10.1016/j.ejro.2020.100320
  • 7.Chua ALB, Amin R, Zhang J, et al. The environmental impact of interventional radiology: an evaluation of greenhouse gas emissions from an academic interventional radiology practice. J Vasc Interv Radiol. 2021;32(6):907-915. doi:10.1016/j.jvir.2021.03.009
  • 8.Brown MJ, Forster BB. Climate change: how radiologists can help. Can Assoc Radiol J. 2022;73(3):456-457. doi: 10.1177/08465371211064217
  • 9.Rawashdeh, M, Ali MA, McEntee M, et al. (2024). Green radiography: Exploring perceptions, practices, and barriers to sustainability. Radiography. 30(2024), S62–S73. doi: 10.1016/j.radi.2024.06.019
  • 10.Heye T, Knoerl R, Wehrle T, et al. The energy consumption of radiology: energy- and cost-saving opportunities for CT and MRI operation. Radiology. 2020;295(3):593-605. doi: 10.1148/radiol.2020192084
  • 11.Rogowska J, Olkowska E, Ratajczyk W, Wolska L. Gadolinium as a new emerging contaminant of aquatic environments. Environ Toxicol Chem. 2018;37(6):1523-1534. doi:10.1002/etc.4116
  • 12.Reeves K. It’s not hard being green: how radiology is investing in a sustainable future. Appl Radiol. 2023;52:30-32.
  • 13.Mariampillai J, Rockall A, Manuellian C, et al. The green and sustainable radiology department. Die grüne und nachhaltige Radiologieabteilung. Radiologie (Heidelb). 2023;63(2):21-26. doi:10.1007/s00117-023-01189-6
  • 14.Brown M, Schoen JH, Gross J, Omary RA, Hanneman K. Climate change and radiology: impetus for change and a toolkit for action. Radiology. 2023;307(4). doi:10.1148/radiol.230229
  • 15.Malik A, Padget M, Carter S, et al. Environmental impacts of Australia’s largest health system. Resour Conserv Recycl. 2021;169:105556. doi: 10.1016/j.resconrec.2021.105556
  • 16.Picano E, Mangia C, D’Andrea CA. Climate change, carbon dioxide emissions, and medical imaging contribution. J Clin Med. 2023;12(1):215. doi:10.3390/jcm12010215
  • 17.Clements W. Implementation of lasting changes to sustainability in Interventional Radiology is a top-down governance challenge. CVIR Endovasc. 2023;6(1):22. doi:10.1186/s42155-023-00371-0
  • 18.Voudrias EA. Healthcare waste management from the point of view of circular economy. Waste Manag. 2018;75:1-2. doi: 10.1016/j.wasman.2018.04.020
  • 19.Shum PL, Kok HK, Maingard J, et al. Environmental sustainability in neurointerventional procedures: a waste audit. J Neurointerv Surg. 2020;12(11):1053-1057. Doi: 10.1136/neurintsurg-2020-016380
  • 20.Woolen SA, Kim CJ, Hernandez AM, et al. Radiology environmental impact: what is known and how can we improve? Acad Radiol. 2023;15:S1076-S6332. doi: 10.1016/j.acra.2022.10.021
  • 21.McAlister S, McGain F, Petersen M, et al. The carbon footprint of hospital diagnostic imaging in Australia. Lancet Reg Health West Pac. 2022;24:100459. doi: 10.1016/j.lanwpc.2022.100459
  • 22.Marwick TH, Buonocore J. Environmental impact of cardiac imaging tests for the diagnosis of coronary artery disease. Heart. 2011;97(14):1128-1131. doi: 10.1136/hrt.2011.227884
  • 23.Esmaeili A, McGuire C, Overcash M, et al. Environmental impact reduction as a new dimension for quality measurement of healthcare services. Int J Health Care Qual Assur. 2018;31(8):910-922. doi: 10.1108/IJHCQA-10-2016-0153
  • 24.Brünjes R, Hofmann T. Anthropogenic gadolinium in freshwater and drinking water systems. Water Res. 2020;182:115966.
  • 25.Jouni H, Askew JW, Crusan DJ, Miller TD, Gibbons RJ. Temporal trends of single-photon emission computed tomography myocardial perfusion imaging in patients without prior coronary artery disease: a 22-year experience at a tertiary academic medical center. Am Heart J. 2016;176:127-133.
  • 26.Burch H, Anstey MH, McGain F. Renewable energy use in Australian public hospitals, Med J Aust. 215(4), 160. doi:10.5694/mja2.51197
  • 27.MacNeill AJ, Hopf H, Khanuja A, et al. Transforming the medical device industry: roadmap to a circular economy. Health Aff (Millwood). 2020;39(12):2088-2097.
  • 28.Chawla A, Chinchure D, Marchinkow LO, Munk PL, Peh WCG. Greening the radiology department: not a big mountain to climb. Can Assoc Radiol J. 2017;68(3):234-236. doi:10.1016/j.carj.2016.10.009
  • 29.Lojo-Lendoiro S, Rovira À, Morales Santos Á. Green radiology: how to develop sustainable radiology. Radiologia (Engl Ed). 2024;66(3):248-259. doi:10.1016/j.rxeng.2023.06.008
  • 30.Selvakumar P, Muralidharan V, Satheesh Kumar G, et. al (2025). Reducing the carbon footprint in healthcare. J. Environ. Nanotechnol. 14(1), 453–463. doi:10.13074/jent.2025.03.2511154
  • 31.Sumner C, Ikuta I, Garg T, et al. Approaches to greening radiology. Acad Radiol. 2023;30(4):528-535. doi:10.1016/j.acra.2022.08.013
  • 32.Nowak A, Pacek G, Mrozik A. Transformation and ecotoxicological effects of iodinated X-ray contrast media. Rev Environ Sci Biotechnol. 2020;19(3):337-354. doi:10.1007/s11157-020-09534-0
  • 33.Perez JL, Gunderman RB. The need for an ecological understanding of radiology practice. AJR Am J Roentgenol. 2021;216(4):844-846. doi:10.2214/AJR.20.22919
  • 34.Kormos JL, Schulz M, Ternes TA. Occurrence of iodinated X-ray contrast media and their biotransformation products in the urban water cycle. Environ Sci Technol. 2011;45(20):8723-8732. doi:10.1021/es2018187

Green Radiology: Sustainable Medical Imaging

Yıl 2025, Cilt: 8 Sayı: 3, 1 - 14, 28.12.2025
https://doi.org/10.51536/tusbad.1642877

Öz

Radiology units contribute significantly to the carbon footprint of the healthcare sector due to high energy consumption and waste production. This review article aims to examine strategies to reduce environmental impacts by addressing the concept of sustainable radiology. Current studies on sustainable radiology in the literature were analyzed and applications for energy consumption, water use, waste management and disposal of pharmaceutical waste were evaluated. Research shows that environmental impact can be reduced by adopting energy-saving devices, waste management, recycling and water-saving systems in radiology departments. In addition, ecological damage can be minimized by controlled use and disposal of contrast agents. Adoption of sustainable practices by radiology professionals can contribute to the prevention of environmental pollution and preservation of the ecological balance of the healthcare system. In this context, it is of great importance for health policies to encourage sustainable radiology practices.

Kaynakça

  • 1.International Energy Agency. Global energy crisis: how the energy crisis started, how global energy markets are impacting our daily life, and what governments are doing about it. Published December 1, 2022. Accessed [01.01.2025]. https://www.iea.org/topics/global-energy-crisis
  • 2.Hoeven E. Blackouts loom as record heat wave blankets California. Calmatters. Published September 7, 2022. Accessed [01.01.2025]. https://calmatters.org/newsletters/whatmatters/2022/09/california-heat-wave-blackouts/
  • 3.Karliner JS, Boyd R, Ashby B, et al. Healthcare’s climate footprint: how the health sector contributes to the global climate crisis and opportunities for action. Healthcare Without Harm and ARUP. Published September 23, 2019. Accessed [02.01.2025]. https://noharm-global.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf
  • 4.Rocque RJ, Beaudoin C, Ndjaboue R, et al. Health effects of climate change: an overview of systematic reviews. BMJ Open. 2021;11(6). doi:10.1136/bmjopen-2020-046333
  • 5.Connor A, Lillywhite R, Cooke MW. The carbon footprint of a renal service in the United Kingdom. QJM. 2010;103(12):965-975. doi:10.1093/qjmed/hcq150
  • 6.Büttner L, Posch H, Auer TA, et al. Switching off for future: cost estimate and a simple approach to improving the ecological footprint of radiological departments. Eur J Radiol Open. 2020;8:100320. doi:10.1016/j.ejro.2020.100320
  • 7.Chua ALB, Amin R, Zhang J, et al. The environmental impact of interventional radiology: an evaluation of greenhouse gas emissions from an academic interventional radiology practice. J Vasc Interv Radiol. 2021;32(6):907-915. doi:10.1016/j.jvir.2021.03.009
  • 8.Brown MJ, Forster BB. Climate change: how radiologists can help. Can Assoc Radiol J. 2022;73(3):456-457. doi: 10.1177/08465371211064217
  • 9.Rawashdeh, M, Ali MA, McEntee M, et al. (2024). Green radiography: Exploring perceptions, practices, and barriers to sustainability. Radiography. 30(2024), S62–S73. doi: 10.1016/j.radi.2024.06.019
  • 10.Heye T, Knoerl R, Wehrle T, et al. The energy consumption of radiology: energy- and cost-saving opportunities for CT and MRI operation. Radiology. 2020;295(3):593-605. doi: 10.1148/radiol.2020192084
  • 11.Rogowska J, Olkowska E, Ratajczyk W, Wolska L. Gadolinium as a new emerging contaminant of aquatic environments. Environ Toxicol Chem. 2018;37(6):1523-1534. doi:10.1002/etc.4116
  • 12.Reeves K. It’s not hard being green: how radiology is investing in a sustainable future. Appl Radiol. 2023;52:30-32.
  • 13.Mariampillai J, Rockall A, Manuellian C, et al. The green and sustainable radiology department. Die grüne und nachhaltige Radiologieabteilung. Radiologie (Heidelb). 2023;63(2):21-26. doi:10.1007/s00117-023-01189-6
  • 14.Brown M, Schoen JH, Gross J, Omary RA, Hanneman K. Climate change and radiology: impetus for change and a toolkit for action. Radiology. 2023;307(4). doi:10.1148/radiol.230229
  • 15.Malik A, Padget M, Carter S, et al. Environmental impacts of Australia’s largest health system. Resour Conserv Recycl. 2021;169:105556. doi: 10.1016/j.resconrec.2021.105556
  • 16.Picano E, Mangia C, D’Andrea CA. Climate change, carbon dioxide emissions, and medical imaging contribution. J Clin Med. 2023;12(1):215. doi:10.3390/jcm12010215
  • 17.Clements W. Implementation of lasting changes to sustainability in Interventional Radiology is a top-down governance challenge. CVIR Endovasc. 2023;6(1):22. doi:10.1186/s42155-023-00371-0
  • 18.Voudrias EA. Healthcare waste management from the point of view of circular economy. Waste Manag. 2018;75:1-2. doi: 10.1016/j.wasman.2018.04.020
  • 19.Shum PL, Kok HK, Maingard J, et al. Environmental sustainability in neurointerventional procedures: a waste audit. J Neurointerv Surg. 2020;12(11):1053-1057. Doi: 10.1136/neurintsurg-2020-016380
  • 20.Woolen SA, Kim CJ, Hernandez AM, et al. Radiology environmental impact: what is known and how can we improve? Acad Radiol. 2023;15:S1076-S6332. doi: 10.1016/j.acra.2022.10.021
  • 21.McAlister S, McGain F, Petersen M, et al. The carbon footprint of hospital diagnostic imaging in Australia. Lancet Reg Health West Pac. 2022;24:100459. doi: 10.1016/j.lanwpc.2022.100459
  • 22.Marwick TH, Buonocore J. Environmental impact of cardiac imaging tests for the diagnosis of coronary artery disease. Heart. 2011;97(14):1128-1131. doi: 10.1136/hrt.2011.227884
  • 23.Esmaeili A, McGuire C, Overcash M, et al. Environmental impact reduction as a new dimension for quality measurement of healthcare services. Int J Health Care Qual Assur. 2018;31(8):910-922. doi: 10.1108/IJHCQA-10-2016-0153
  • 24.Brünjes R, Hofmann T. Anthropogenic gadolinium in freshwater and drinking water systems. Water Res. 2020;182:115966.
  • 25.Jouni H, Askew JW, Crusan DJ, Miller TD, Gibbons RJ. Temporal trends of single-photon emission computed tomography myocardial perfusion imaging in patients without prior coronary artery disease: a 22-year experience at a tertiary academic medical center. Am Heart J. 2016;176:127-133.
  • 26.Burch H, Anstey MH, McGain F. Renewable energy use in Australian public hospitals, Med J Aust. 215(4), 160. doi:10.5694/mja2.51197
  • 27.MacNeill AJ, Hopf H, Khanuja A, et al. Transforming the medical device industry: roadmap to a circular economy. Health Aff (Millwood). 2020;39(12):2088-2097.
  • 28.Chawla A, Chinchure D, Marchinkow LO, Munk PL, Peh WCG. Greening the radiology department: not a big mountain to climb. Can Assoc Radiol J. 2017;68(3):234-236. doi:10.1016/j.carj.2016.10.009
  • 29.Lojo-Lendoiro S, Rovira À, Morales Santos Á. Green radiology: how to develop sustainable radiology. Radiologia (Engl Ed). 2024;66(3):248-259. doi:10.1016/j.rxeng.2023.06.008
  • 30.Selvakumar P, Muralidharan V, Satheesh Kumar G, et. al (2025). Reducing the carbon footprint in healthcare. J. Environ. Nanotechnol. 14(1), 453–463. doi:10.13074/jent.2025.03.2511154
  • 31.Sumner C, Ikuta I, Garg T, et al. Approaches to greening radiology. Acad Radiol. 2023;30(4):528-535. doi:10.1016/j.acra.2022.08.013
  • 32.Nowak A, Pacek G, Mrozik A. Transformation and ecotoxicological effects of iodinated X-ray contrast media. Rev Environ Sci Biotechnol. 2020;19(3):337-354. doi:10.1007/s11157-020-09534-0
  • 33.Perez JL, Gunderman RB. The need for an ecological understanding of radiology practice. AJR Am J Roentgenol. 2021;216(4):844-846. doi:10.2214/AJR.20.22919
  • 34.Kormos JL, Schulz M, Ternes TA. Occurrence of iodinated X-ray contrast media and their biotransformation products in the urban water cycle. Environ Sci Technol. 2011;45(20):8723-8732. doi:10.1021/es2018187
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Derleme
Yazarlar

Demet Ceylan 0000-0002-2643-5630

Gönderilme Tarihi 19 Şubat 2025
Kabul Tarihi 20 Mayıs 2025
Yayımlanma Tarihi 28 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 3

Kaynak Göster

APA Ceylan, D. (2025). Green Radiology: Sustainable Medical Imaging. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 8(3), 1-14. https://doi.org/10.51536/tusbad.1642877
AMA Ceylan D. Green Radiology: Sustainable Medical Imaging. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. Aralık 2025;8(3):1-14. doi:10.51536/tusbad.1642877
Chicago Ceylan, Demet. “Green Radiology: Sustainable Medical Imaging”. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi 8, sy. 3 (Aralık 2025): 1-14. https://doi.org/10.51536/tusbad.1642877.
EndNote Ceylan D (01 Aralık 2025) Green Radiology: Sustainable Medical Imaging. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi 8 3 1–14.
IEEE D. Ceylan, “Green Radiology: Sustainable Medical Imaging”, Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, c. 8, sy. 3, ss. 1–14, 2025, doi: 10.51536/tusbad.1642877.
ISNAD Ceylan, Demet. “Green Radiology: Sustainable Medical Imaging”. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi 8/3 (Aralık2025), 1-14. https://doi.org/10.51536/tusbad.1642877.
JAMA Ceylan D. Green Radiology: Sustainable Medical Imaging. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;8:1–14.
MLA Ceylan, Demet. “Green Radiology: Sustainable Medical Imaging”. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, c. 8, sy. 3, 2025, ss. 1-14, doi:10.51536/tusbad.1642877.
Vancouver Ceylan D. Green Radiology: Sustainable Medical Imaging. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;8(3):1-14.