Evidence map›Paper›PMID 25354556›Full record

ArticleEuropean radiology2015

γ-H2AX foci as in vivo effect biomarker in children emphasize the importance to minimize x-ray doses in paediatric CT imaging.

C Vandevoorde, C Franck, K Bacher, L Breysem, M H Smet, C Ernst, A De Backer, K Van De Moortele, P Smeets, H Thierens

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

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  9. EANM position paper on the role of radiobiology in nuclear medicine.European journal of nuclear medicine and molecular imaging · 2021
    Article
  10. Review
  11. α-Particle-induced DNA damage tracks in peripheral blood mononuclear cells of [European journal of nuclear medicine and molecular imaging · 2021
    Article
  12. Review
  13. Article
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

C VandevoordeDepartment of Basic Medical Sciences, Ghent University, Proeftuinstraat 86, 9000, Gent, Belgium, charlot.vandevoorde@ugent.be.
C Franck
K Bacher
L Breysem
M H Smet
C Ernst
A De Backer
K Van De Moortele
P Smeets
H Thierens

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInvestigation of DNA damage induced by CT x-rays in paediatric patients versus patient dose in a multicentre setting.

methodsFrom 51 paediatric patients (median age, 3.8 years) who underwent an abdomen or chest CT examination in one of the five participating radiology departments, blood samples were taken before and shortly after the examination. DNA damage was estimated by scoring γ-H2AX foci in peripheral blood T lymphocytes. Patient-specific organ and tissue doses were calculated with a validated Monte Carlo program. Individual lifetime attributable risks (LAR) for cancer incidence and mortality were estimated according to the BEIR VII risk models.

resultsDespite the low CT doses, a median increase of 0.13 γ-H2AX foci/cell was observed. Plotting the induced γ-H2AX foci versus blood dose indicated a low-dose hypersensitivity, supported also by an in vitro dose-response study. Differences in dose levels between radiology centres were reflected in differences in DNA damage. LAR of cancer mortality for the paediatric chest CT and abdomen CT cohort was 0.08 and 0.13 ‰ respectively.

conclusionCT x-rays induce DNA damage in paediatric patients even at low doses and the level of DNA damage is reduced by application of more effective CT dose reduction techniques and paediatric protocols. .

Indexed as

BiomarkersChildChild, PreschoolDNA DamageDose-Response Relationship, RadiationFemaleHistonesHumansInfantMaleMonte Carlo MethodNeoplasms, Radiation-InducedProspective StudiesRadiation DosageRadiometryTomography, X-Ray ComputedBiomarkersH2AX protein, humanHistones

Identifiers

PMID25354556
PMCPMC4328121

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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.