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CT was performed regarding to local standards. Patients and companies were aware of the imaging method to which the patients have been assigned. Outcomes The analysis had three primary outcomes: high-risk diagnoses with complications that may be linked to missed or delayed diagnoses, cumulative radiation exposure from imaging, and total costs . There were many secondary outcomes, which are described below. Patients had been contacted at 3, 7, 30, 90, and 180 days after randomization to assess study outcomes and had been surveyed by using an in depth structured interview regarding their health and all encounters they had with health care providers after randomization.