“Green Medical Imaging” – Ultrasound rediscovered as a resource-saving future technology in clinical imaging

Keywords

CO₂ neutrality - ecological sustainability - green Medical Imaging

Publication History

Article published online:
12 December 2025

• References

• 1 Romanello M, Walawender M, Hsu SC. et al. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. Lancet 2024; 404: 1847-1896
• 2 Karliner J, Slotterback S, Boyd R. et al. HEALTH CARE’S CLIMATE FOOTPRINT HOW THE HEALTH SECTOR CONTRIBUTES TO THE GLOBAL CLIMATE CRISIS AND OPPORTUNITIES FOR ACTION Health Care Without Harm Climate-smart health care series Green Paper Number One Produced in collaboration with Arup 2019.
• 3 Classification: Official Diagnostic Imaging Dataset Annual Statistical Release 2023/24.
• 4 Kjelle E, Brandsæter IØ, Andersen ER. et al. Cost of Low-Value Imaging Worldwide: A Systematic Review. Appl Health Econ Health Policy 2024; 22: 485-501
• 5 Strobel D, Meng S. Diagnostic ultrasound performed by a physician as a dialog. Ultraschall in Med 2018; 39: 251-252
• 6 Brady AP, Bello JA, Derchi LE. et al. Radiology in the era of value-based healthcare: A multi-society expert statement from the ACR, CAR, ESR, IS3R, RANZCR and RSNA. J Med Imaging Radiat Oncol 2021; 65: 60-66
• 7 To X-ray or not to X-ray? [cited 2025]. Available at: https://www.who.int/news-room/feature-stories/detail/to-x-ray-or-not-to-x-ray-
• 8 Merkle EM, Bamberg F, Vosshenrich J. The Impact of Modern Imaging Techniques on Carbon Footprints: Relevance and Outlook. Eur Urol Focus 2023; 9: 891-893
• 9 Klose MA, Becker A, Blank V. et al. Role of patient and staff mobility in scope 3 emissions in GI endoscopy. Gut 2024; 73: 1232-1234
• 10 Alemu AK, Zhang K, Klose L. et al. Critical raw materials in river waters: First observation of lutetium microcontamination of the Isère and Rhône rivers, Southern France. Water Res 2025; 286: 124105
• 11 Solomon CG, Salas RN, Bell ML. et al. Climate Change, Extreme Heat, and Health. N Engl J Med 2024; 390: 1793-1801
• 12 Büttner L, Posch H, Auer T. 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
• 13 Idling MRIs overnight costs U.S. facilities millions, study says | HFM Magazine [cited 2025]. Available at: https://www.hfmmagazine.com/articles/4796-idling-mris-overnight-costs-us-facilities-millions-study-says?utm_source=chatgpt.com
• 14 Fölsch RUR, Hallek KM, Hasenfuß KG. et al. Schwerpunkt: Klug entscheiden Klug-entscheiden-Empfehlungen in der Gastroenterologie. Internist 2017; 58: 539-544
• 15 Martin M, Mohnke A, Lewis GM. et al. Environmental Impacts of Abdominal Imaging: A Pilot Investigation. J Am Coll Radiol 2018; 15: 1385-1393
• 16 Herzog M, Arsova M, Matthes K. et al. Technical assessment of resolution of handheld ultrasound devices and clinical implications. Ultraschall Med. 2024; 45(4): 405-411
• 17 Hendee WR, Becker GJ, Borgstede JP. et al. Addressing overutilization in medical imaging. Radiology 2010; 257: 240-245
• 18 Recommendations for medical imaging procedures Recommendation by the German Commission on Radiological Protection.
• 19 Roletto A, Zanardo M, Bonfitto GR. et al. The environmental impact of energy consumption and carbon emissions in radiology departments: a systematic review. Eur Radiol Exp 2024; 8(1): 35
• 20 Esmaeili A, Twomey JM, Overcash MR. et al. Scope for energy improvement for hospital imaging services in the USA. J Health Serv Res Policy 2015; 20: 67-73
• 21 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: 910-922