{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T06:42:16Z","timestamp":1793256136401,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can Assoc Radiol J"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>The urgency for climate action is recognised by international government and healthcare organisations, including the United Nations (UN) and World Health Organisation (WHO). Climate change, biodiversity loss, and pollution negatively impact all life on earth. All populations are impacted but not equally; the most vulnerable are at highest risk, an inequity further exacerbated by differences in access to healthcare globally.<\/jats:p>\n                  <jats:p>The delivery of healthcare exacerbates the planetary health crisis through greenhouse gas emissions, largely due to combustion of fossil fuels for medical equipment production and operation, creation of medical and non-medical waste, and contamination of water supplies.<\/jats:p>\n                  <jats:p>As representatives of radiology societies from across the globe who work closely with industry, and both governmental and non-governmental leaders in multiple capacities, we advocate together for urgent, impactful, and measurable changes to the way we deliver care by further engaging our members, policymakers, industry partners, and our patients. Simultaneous challenges including global health disparities, resource allocation, and access to care must inform these efforts.<\/jats:p>\n                  <jats:p>Climate literacy should be increasingly added to radiology training programmes. More research is required to understand and measure the environmental impact of radiological services and inform mitigation, adaptation and monitoring efforts. Deeper collaboration with industry partners is necessary to support innovations in the supply chain, energy utilization, and circular economy. Many solutions have been proposed and are already available, but we must understand and address barriers to implementation of current and future sustainable innovations. Finally, there is a compelling need to partner with patients, to ensure that trust in the excellence of clinical care is maintained during the transition to sustainable radiology.<\/jats:p>\n                  <jats:p>By fostering a culture of global cooperation and rapid sharing of solutions amongst the broader imaging community, we can transform radiological practice to mitigate its environmental impact, adapt and develop resilience to current and future climate and environmental threats, and simultaneously improve access to care.<\/jats:p>","DOI":"10.1177\/08465371251321390","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T01:11:11Z","timestamp":1740532271000},"page":"444-453","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Sustainability in radiology: Position paper and call to action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA"],"prefix":"10.1177","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8270-5597","authenticated-orcid":false,"given":"Andrea G.","family":"Rockall","sequence":"first","affiliation":[{"name":"Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK"},{"name":"Department of Radiology, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibb","family":"Allen","sequence":"additional","affiliation":[{"name":"President International Society of Radiology - Reston, Virginia, USA"},{"name":"Department of Radiology, Grandview Medical Center, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5232-4494","authenticated-orcid":false,"given":"Maura J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, Canada"},{"name":"Diagnostic Imaging, BC Cancer, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2783-0851","authenticated-orcid":false,"given":"Tarek","family":"El-Diasty","sequence":"additional","affiliation":[{"name":"Radiology department, Urology and Nephrology Center, University of Mansoura, Mansoura, Egypt"},{"name":"Egyptian Society of Radiology and Nuclear Medicine (ESRNM), Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Monash Health, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0986-5536","authenticated-orcid":false,"given":"Rachel F.","family":"Gerson","sequence":"additional","affiliation":[{"name":"Northwest Radiologists, Bellingham, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9668-6809","authenticated-orcid":false,"given":"Stacy","family":"Goergen","sequence":"additional","affiliation":[{"name":"Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda P.","family":"Marrero Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, University of Puerto Rico School of Medicine, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas M.","family":"Grist","sequence":"additional","affiliation":[{"name":"University of Wisconsin, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3077-2218","authenticated-orcid":false,"given":"Kate","family":"Hanneman","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada"},{"name":"Joint Department of Medical Imaging, University Medical Imaging Toronto, University Health Network (UHN) and Sinai Health System (SHS), Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5132-5302","authenticated-orcid":false,"given":"Christopher P.","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging, University of California, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4900-610X","authenticated-orcid":false,"given":"Evelyn Lai Ming","family":"Ho","sequence":"additional","affiliation":[{"name":"ParkCity Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4736-6723","authenticated-orcid":false,"given":"Dina H.","family":"Salama","sequence":"additional","affiliation":[{"name":"Radiology and Medical Imaging Technology Department, Misr University for Science and Technology, October City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0679-3446","authenticated-orcid":false,"given":"Julia","family":"Schoen","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2923-3866","authenticated-orcid":false,"given":"Sarah","family":"Sheard","sequence":"additional","affiliation":[{"name":"Department of Radiology, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/0971-5916.388235"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.240219"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe2113200"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resconrec.2021.105556"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.4090\/juee.2018.v12n2.172187"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.230229"},{"key":"e_1_3_3_8_2","unstructured":"International Energy Agency . 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