Advancing Patient-Centered Radiation Safety in Medical Imaging: Addressing Knowledge Gaps and Fostering Informed Consent

Abstract

Objectives: To assess patients’ awareness and misconceptions regarding radiation hazards from diagnostic imaging, evaluate the adequacy of information provided prior to radiological procedures, and propose strategies to improve patient education on radiation safety.

Method: A prospective cross-sectional study took place at the Radiology Department of Lady Reading Hospital, Peshawar, from June to July 2025. The study included 386 adult patients who were undergoing different radiological tests.

Results: Out of 386 patients, 61.6% had good knowledge about radiation, while only 38.4% correctly identified CT as the procedure with the highest radiation. A significant link was found between awareness and factors like education level, occupation, residence, and prior exposure to radiology (p < 0.05). However, 65.7% were not aware of the risks of radiation, and 76.8% had not received any safety information. Findings highlight the urgent need for structured patient education and incorporation of radiation risk communication into informed consent

Conclusion: This study highlights significant gaps in patient awareness of radiation risks, particularly among less educated and rural populations. Most participants reported receiving little to no information prior to imaging, yet the majority expressed willingness to learn. Strengthening patient education and communication regarding radiation safety is essential.

Keywords: Awareness, computed tomography, diagnostic imaging, radiation, risk assessment,