ArticleEuropean radiology2015
Radiation exposure from diagnostic imaging in young patients with testicular cancer.
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 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Chest CT in Testicular Mass Evaluation: A Stepwise Approach to Minimize Radiation Exposure.Urologia internationalis · 2026Article
- Image quality in ultra-low-dose chest CT versus chest x-rays guiding paediatric cystic fibrosis care.European radiology · 2026Article
- [Follow-up in patients with testicular germ cell tumors-an update].Urologie (Heidelberg, Germany) · 2025Review
- Body CT examinations in oncologic patients: the impact of subspecialty radiology on radiation exposure in the clinical practice. A quality care study.La Radiologia medica · 2024Article
- Contemporary options and future perspectives: three examples highlighting the challenges in testicular cancer imaging.World journal of urology · 2022Review
- Treatment options in stage I seminoma.Oncology research · 2022Review
- Actual frequency of imaging during follow-up of testicular cancer in Israel-a comparison with the guidelines.European radiology · 2019Article
- Cumulative radiation exposure from diagnostic imaging in intensive care unit patients.World journal of radiology · 2016Article
- Feasibility of low-dose CT with model-based iterative image reconstruction in follow-up of patients with testicular cancer.European journal of radiology open · 2016Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRisks associated with high cumulative effective dose (CED) from radiation are greater when imaging is performed on younger patients. Testicular cancer affects young patients and has a good prognosis. Regular imaging is standard for follow-up. This study quantifies CED from diagnostic imaging in these patients.
methodsRadiological imaging of patients aged 18-39 years, diagnosed with testicular cancer between 2001 and 2011 in two tertiary care centres was examined. Age at diagnosis, cancer type, dose-length product (DLP), imaging type, and frequency were recorded. CED was calculated from DLP using conversion factors. Statistical analysis was performed with SPSS.
resultsIn total, 120 patients with a mean age of 30.7 ± 5.2 years at diagnosis had 1,410 radiological investigations. Median (IQR) surveillance was 4.37 years (2.0-5.5). Median (IQR) CED was 125.1 mSv (81.3-177.5). Computed tomography accounted for 65.3 % of imaging studies and 98.3 % of CED. We found that 77.5 % (93/120) of patients received high CED (>75 mSv). Surveillance time was associated with high CED (OR 2.1, CI 1.5-2.8).
conclusionsSurvivors of testicular cancer frequently receive high CED from diagnostic imaging, mainly CT. Dose management software for accurate real-time monitoring of CED and low-dose CT protocols with maintained image quality should be used by specialist centres for surveillance imaging. KEY POINTS: • CT accounted for 98.3 % of CED in patients with testicular cancer. • Median CED in patients with testicular cancer was 125.1 mSv • High CED (>75 mSv) was observed in 77.5 % (93/120) of patients. • Dose tracking and development of low-dose CT protocols are recommended.
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