Evidence map›Paper›PMID 28081128›Full record

Trial reportPloS one2017

Radiation Exposure from Diagnostic Imaging in a Cohort of Pediatric Transplant Recipients.

Alexandra Seal, Michael Hawkes, Ravi Bhargava, Michelle Noga, Jutta Preiksaitis, Curtis Mabilangan, Joan Robinson

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

7 authors.

Alexandra SealUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Michael HawkesUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Ravi BhargavaUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Michelle NogaUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Jutta PreiksaitisUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Curtis MabilanganUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Joan RobinsonUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.ORCID 0000-0001-9831-5681

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recipients of solid organ transplants (SOT) have extensive diagnostic imaging (DI). The purpose of this study was to quantify this exposure. Children from northern Alberta with SOTs at Stollery Children's Hospital, Edmonton, Alberta January 1, 2006, to July 31, 2012, were included. Effective doses of radiation were estimated using published norms for DI performed post-transplant up to October 16, 2014. The 54 eligible children had 6215 DI studies (5628 plain films, 293 computerized tomography (CT) scans, 149 positron emission topography (PET) -CT scans, 47 nuclear medicine scans and 98 cardiac catheterizations). Children less than 5 years of age underwent more DI studies than did older children (median (IQR) 140 (66-210) vs 49 (19-105), p = 0.010). Children with post-transplant lymphoproliferative disorder (N = 8) had more CT scans (median (IQR) 13 (5.5-36) vs 1 (0-5), p<0.001) and PET-CT scans (median (IQR) 3.5 (1.5-8) vs 0 (0-0), p<0.001) than did other children. The estimated cumulative effective dose attributed to DI studies post-transplant was median (range) 78 (4.1-400) millisievert (mSv), and 19 of 54 children (35%; 95% confidence interval 24-49%) had a dose >100 mSv. In conclusion, a significant proportion of pediatric transplant recipients have sufficient radiation exposure post-transplant for DI to be at potential risk for radiation-induced malignancies.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoproliferative DisordersAdolescentAge FactorsAllograftsChildChild, PreschoolCohort StudiesFemaleHumansInfantMaleNeoplasms, Radiation-InducedPositron-Emission TomographyRisk FactorsTime Factors

Identifiers

PMID28081128
PMCPMC5231364

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.