ArticleThe journal of trauma and acute care surgery2012
Theoretical increase of thyroid cancer induction from cervical spine multidetector computed tomography in pediatric trauma patients.
Article in The journal of trauma and acute care surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Risk of malignancy associated with head and neck CT in children: a systematic review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2014Pooled it
- Comparison of Cervical Spine Injury Clinical Prediction Rules for Children After Blunt Trauma.JAMA network open · 2025Observational
- CT scans to exclude spine fractures in children after negative radiographs may lead to increase in future cancer risk.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Cervical Spine Injury Risk Factors in Children With Blunt Trauma.Pediatrics · 2019Observational
- Epidemiology of vertebral fractures in pediatric and adolescent patients.Pediatric reports · 2018Article
- Cervical spine imaging in hospitalized children with traumatic brain injury.Pediatric emergency care · 2015Article
- Radiation risks associated with serial imaging in colorectal cancer patients: should we worry?World journal of gastroenterology · 2014Review
- Diagnosis of cervical spine injuries in children: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2013Article
- Imaging investigations in Spine Trauma: The value of commonly used imaging modalities and emerging imaging modalities.Journal of clinical orthopaedics and traumaReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe trend of increasing cervical spine multidirectional computed tomography (MDCT) imaging of pediatric trauma patients is characteristic of the overall dramatic increase in computed tomography utilization in the United States. The purpose of this study is to compare the amount of radiation a pediatric trauma patient absorbs to the thyroid from plain radiographs and MDCT of the cervical spine and to express risk by calculation of theoretical thyroid cancer induction.
methodsA retrospective evaluation of pediatric trauma patients admitted from October 1, 2004, to October 31, 2009, was performed at an academic, Level I trauma center. Inclusion criteria were Level I/II trauma patients, cervical spine imaging performed at our institution, and age <18 years. Absorbed thyroid radiation was calculated for patients receiving plain radiographs or MDCT. Thyroid cancer risk was calculated using the 2006 Biological Effects on Ionizing Radiation VII report.
resultsSix hundred seventeen patients met inclusion criteria: 224 received cervical spine radiographs and 393 received cervical spine MDCT. The mean thyroid radiation absorbed from radiographs was 0.90 mGy for males and 0.96 mGy for females compared with 63.6 mGy (males) and 64.2 mGy (females) receiving MDCT (p < 0.001). The median excess relative risk of thyroid cancer induction from one cervical spine MDCT in males was 13.0% and females was 25.0%, compared with 0.24% (males) and 0.51% (females) for radiographs (p < 0.001).
conclusionsThe significant difference in radiation that MDCT delivers to the pediatric trauma patient when compared with plain radiographs should temper routine use of computed tomography in pediatric cervical spine clearance algorithms.
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