Evidence map›Paper›PMID 16862418›Full record

SynthesisPediatric radiology2006

Cancer risks following diagnostic and therapeutic radiation exposure in children.

Ruth A Kleinerman

3 registry-linked trialsAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Pediatric radiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 203 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02737579 nacompletednot on this mapstarted 2013, after this paper: background citation

XFM: (X-ray Fused With MRI) Guided Cardiac Catheterization

TypeinterventionalSponsorJoshua KanterRan2013 to 2022Enrolled27ConditionsCongenital Heart DefectArmsXFM guidance
NCT02739087 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Radiation-Free Heart Catheterization Using MRI

TypeinterventionalSponsorJoshua KanterRan2015 to 2024Enrolled50ConditionsAortic Coarctation, Cardiomyopathy, Atrial Septal Defect, Aortic StenosisArmsMRI guided cardiac catheterization, Magnetic resonance imaging
NCT02761343 nacompletednot on this mapstarted 2014, after this paper: background citation

MRI Assessment of Arrythmia Ablation Lesions

TypeinterventionalSponsorChildren's National Research InstituteRan2014 to 2020Enrolled16ConditionsVentricular Tachycardia, Cardiac ArrhythmiaArmsMRI scan
3 · Its place in the literature

Who cites it

203 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Cancer Effects of Low to Moderate Doses of Ionizing Radiation in Young People with Cancer-Predisposing Conditions: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Pooled it
  2. Outcomes of different radioprotective precautions in children undergoing dental radiography: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2020
    Pooled it
  3. The role of spinal angiography in the evaluation and treatment of pediatric spinal vascular pathology: a case series and systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Observational
  13. Article
  14. Outcomes in children receiving single-fraction Gamma Knife radiosurgery for arteriovenous malformation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  15. Article
  16. Analysis of Pediatric Cervical Spine Injury Evaluation Workflow in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026
    Article
  17. The necessity of CT scans on pediatric carotid injury after blunt trauma - An analysis of the traumaregister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  18. Review
  19. Review
  20. Multi-task learning for classification and prediction of adolescent idiopathic scoliosis based on fringe-projection three-dimensional imaging.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article

143 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Ruth A KleinermanRadiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, DHHS, EPS 7044, 6120 Executive Blvd., Rockville, MD 20852, USA. kleinerr@mail.nih.gov

Funding

STUDIES OF MEDICAL RADIATION AND OTHER THERAPEUTIC AGENTSZ01CP010131 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI RON, ELAINE · 1996 to 2008
$6.8M
Intramural NIH HHS
6 · The paper itself

Abstract

The growing use of interventional and fluoroscopic imaging in children represents a tremendous benefit for the diagnosis and treatment of benign conditions. Along with the increasing use and complexity of these procedures comes concern about the cancer risk associated with ionizing radiation exposure to children. Children are considerably more sensitive to the carcinogenic effects of ionizing radiation than adults, and children have a longer life expectancy in which to express risk. Numerous epidemiologic cohort studies of childhood exposure to radiation for treatment of benign diseases have demonstrated radiation-related risks of cancer of the thyroid, breast, brain and skin, as well as leukemia. Many fewer studies have evaluated cancer risk following diagnostic radiation exposure in children. Although radiation dose for a single procedure might be low, pediatric patients often receive repeated examinations over time to evaluate their conditions, which could result in relatively high cumulative doses. Several cohort studies of girls and young women subjected to multiple diagnostic radiation exposures have been informative about increased mortality from breast cancer with increasing radiation dose, and case-control studies of childhood leukemia and postnatal diagnostic radiation exposure have suggested increased risks with an increasing number of examinations. Only two long-term follow-up studies of cancer following cardiac catheterization in childhood have been conducted, and neither reported an overall increased risk of cancer. Most cancers can be induced by radiation, and a linear dose-response has been noted for most solid cancers. Risks of radiation-related cancer are greatest for those exposed early in life, and these risks appear to persist throughout life.

Indexed as

Body BurdenChildEnvironmental ExposureHumansIncidenceNeoplasms, Radiation-InducedRadiationRadiographyRadiotherapyRisk AssessmentUnited States

Identifiers

PMID16862418
PMCPMC2663653

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.