In this episode of Rethink Imaging, host Chris St. John sits down with Dr. Francesco Ria to explore a critical but often misunderstood concept in CT imaging: total risk. While radiation dose often dominates conversations around CT safety, Dr. Ria explains why clinical risk including missed diagnoses, delayed treatment, and underutilized imaging — frequently outweighs radiation risk when exams are not properly justified or optimized. The conversation reframes how imaging professionals, clinicians, and leaders should think about safety, appropriateness, and value in modern CT practice. Rather than focusing narrowly on dose reduction, Dr. Ria advocates for a more balanced approach that prioritizes diagnostic quality, patient outcomes, and evidence-based decision-making across the imaging pathway.