Skip to main content
Top
Published in:

16-05-2024 | Computed Tomography | Commentary

CT radiation exposure and cancer risk: from knowing to acting

Authors: Donald P. Frush, Guy Frija, Bibb Allen, Boris Brkljacic, John Damilakis, Mahadevappa Mahesh

Published in: Pediatric Radiology | Issue 8/2024

Login to get access

Excerpt

In the publication Risk of Hematological Malignancies from CT Radiation Exposure in Children, Adolescents and Young Adults by Bosch de Basea Gomez et al. in November 2023, investigators offer an opportunity to further our understanding of cancer risk for young patients from computed tomography (CT) related exposure to ionizing radiation [1]. The association between CT radiation and cancer risk continues to generate active discussion, requiring further clarification and additional investigations [2]. The study is well designed and the results add to the body of knowledge of the association between radiation from CT examinations and cancer risk in children and young adults. The authors found an association between cumulative dose and risk for all hematologic, lymphoid, and myeloid malignancies. However, there are some significant deficiencies in this study and some other works that provide epidemiological data regarding cancer risk and radiation from diagnostic imaging with respect to the conclusions: specifically, what additional actions should come from this information. …
Literature
1.
go back to reference Bosch de Basea Gomez M, Thierry-Chef I, Harbron R et al (2023) Risk of hematological malignancies from CT radiation exposure in children, adolescents and young adults. Nat Med 29(12):3111–3119 Bosch de Basea Gomez M, Thierry-Chef I, Harbron R et al (2023) Risk of hematological malignancies from CT radiation exposure in children, adolescents and young adults. Nat Med 29(12):3111–3119
2.
go back to reference Berrington de Gonzalez A, Pasqual E, Veiga L (2021) Epidemiological studies of CT scans and cancer risk: the state of the science. Br J Radiol 94:20210471CrossRefPubMedPubMedCentral Berrington de Gonzalez A, Pasqual E, Veiga L (2021) Epidemiological studies of CT scans and cancer risk: the state of the science. Br J Radiol 94:20210471CrossRefPubMedPubMedCentral
4.
go back to reference Pearce MS, Salotti JA, Little MP et al (2012) Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 380:499–505 Pearce MS, Salotti JA, Little MP et al (2012) Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 380:499–505
5.
go back to reference Hauptmann M, Byrnes G, Cardis E et al (2023) Brain cancer after radiation exposure from CT examinations of children and young adults: results from the EPI-CT cohort study. Lancet Oncol 24:45–53 Hauptmann M, Byrnes G, Cardis E et al (2023) Brain cancer after radiation exposure from CT examinations of children and young adults: results from the EPI-CT cohort study. Lancet Oncol 24:45–53
6.
go back to reference Discussion P (2002) Pediatr Radiol 32:242–244 Discussion P (2002) Pediatr Radiol 32:242–244
7.
go back to reference Smith TB, Heil J, Frush DP, Samei E (2021) Clinical concordance with image gently guidelines for pediatric computed tomography: a study across 663,417 CT scans at 53 clinical facilities. Pediatr Radiol 51:800–810CrossRefPubMed Smith TB, Heil J, Frush DP, Samei E (2021) Clinical concordance with image gently guidelines for pediatric computed tomography: a study across 663,417 CT scans at 53 clinical facilities. Pediatr Radiol 51:800–810CrossRefPubMed
8.
go back to reference Guillerman RP (2014) From ‘Image gently’ to image intelligently: a personalized perspective on diagnostic radiation risk. Pediatr Radiol 44(Suppl 3):444–449CrossRefPubMed Guillerman RP (2014) From ‘Image gently’ to image intelligently: a personalized perspective on diagnostic radiation risk. Pediatr Radiol 44(Suppl 3):444–449CrossRefPubMed
Metadata
Title
CT radiation exposure and cancer risk: from knowing to acting
Authors
Donald P. Frush
Guy Frija
Bibb Allen
Boris Brkljacic
John Damilakis
Mahadevappa Mahesh
Publication date
16-05-2024
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 8/2024
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-024-05949-x

Other articles of this Issue 8/2024

Pediatric Radiology 8/2024 Go to the issue

Mini symposium: Imaging of intersex and gender diverse youth

Evaluation and medical care of intersex and gender diverse youth

Mini symposium: Imaging of intersex and gender diverse youth

Advocacy in gender affirming care

Mini symposium: Imaging of intersex and gender diverse youth

Understanding sex and gender: concepts and terminology for gender affirming care

Mini symposium: Imaging of intersex and gender diverse youth

Peri-surgical imaging of intersex and gender diverse youths