%0 Journal Article %T The biological effects of diagnostic cardiac imaging on chronically exposed physicians: the importance of being non-ionizing %A Maria Andreassi %J Cardiovascular Ultrasound %D 2004 %I BioMed Central %R 10.1186/1476-7120-2-25 %X Over the last 30 years, medical cardiology imaging has rapidly grown, becoming an essential part of the cardiology clinical practice. Imaging procedures include conventional imaging tests such as echocardiography, radionuclide imaging, and angiography as well as a newer imaging techniques such as emission computed tomography and magnetic resonance imaging which promise to expand diagnostic capabilities [1]. These techniques widely differ not only for what concerns costs, availability and technical information, but they also differ in environmental and health hazards.Many cardiac procedures can deliver high radiation doses to the clinical staff [2]. This exposure may represent a significant health risk, resulting in deleterious clinical implications which can affect not only the personnel involved, but also their progeny [3-5]. Unfortunately, many physicians are unfamiliar with radiation biology or the quantitative nature of the risks and, frequently, ultrasound and ionizing radiation risks are misunderstood [6-9]. The purpose of this paper is to discuss the published evidence on health effects of cardiac imaging procedures employing ultrasound and ionizing radiation.Ultrasound imaging, also called sonography, is a method of obtaining human body images through the use of high frequency sound waves. Ultrasounds are mechanical vibrations with frequencies above the human limit of audibility. The use of ultrasounds in order to obtain images for medical diagnostic purposes, typically employs frequencies ranging from 2 MHz to about 12 MHz [10]. Ultrasound does not use ionizing radiation, and it is the preferred image modality for monitoring both pregnant women and their embryos or fetus [10]. In contrast to ionizing radiation, which can damage biological materials by dislodging electrons from atoms and molecules, ultrasounds do not cause ionisation. They usually interact with human tissue primarily by generating heat, but also non-thermal effects which are ascribed to cavi %U http://www.cardiovascularultrasound.com/content/2/1/25