Patients with complicated medical histories run the risk of increased exposure to radiation from repeated radiological examinations. As stated in the text CT scans associated with perfusion of coronary arteries account for a large proportion for the radiation exposures.
Many patients with suspected coronary artery disease have multiple tests which lead to very high cumulative doses of radiation.
Review the article Multiple testing cumulative radiation dose and clinical indications in patients undergoing myocardial perfusion imaging
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