You may have seen the headline.

93 million CT examinations conducted on 62 million US patients in 2023 projected to lead to 103000 new cancer diagnoses accounting for 5% of new cancers.

The details of the modeling can be found here, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832778.

What does this have to do with administration? 

The solutions rely on administrative involvement:

• Incorporation of readily available and easily used diagnostic algorithms at the point of care (which means well-integrated with the electronic medical record).
• Ready availability of alternative diagnostic approaches such as ultrasound and MRI.
• Implementation of low-dose scanning techniques along with shared awareness that such techniques are being used.
• Support for shared decision making with patients and families.

There’s an editorial here, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832782 and a commentary with interviews that put the findings nicely in context here https://arstechnica.com/health/2025/04/ct-scans-could-cause-5-of-cancers-study-finds-experts-note-uncertainty/ (including pointing out that lifetime risk of cancer in the US is 40% and the increase from CT scanning on the order of 0.1% / scan).

References

Smith-Bindman R, Chu PW, Firdaus HA, et al. Projected lifetime cancer risks from current computed tomography imaging. JAMA Intern Med 2025;  doi:10.1001/jamainternmed.2025.0505.