Evidence map›Paper›PMID 40278709›Full record

Observational studyTomography (Ann Arbor, Mich.)2025

Variability Between Radiation-Induced Cancer Risk Models in Estimating Oncogenic Risk in Intensive Care Unit Patients.

Emilio Quaia, Chiara Zanon, Riccardo Torchio, Fabrizio Dughiero, Francesca De Monte, Marta Paiusco

Abstract readObservational Study
In one paragraph

Observational study in Tomography (Ann Arbor, Mich.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Patient radiation safety in the intensive care unit.The British journal of radiology · 2025
    Review
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

6 authors.

Emilio QuaiaDepartment of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.ORCID 0000-0003-2020-9365
Chiara ZanonDepartment of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.ORCID 0000-0002-7917-5027
Riccardo TorchioDepartment of Information Engineering, University of Padova, 35128 Padova, Italy.
Fabrizio DughieroDepartment of Information Engineering, University of Padova, 35128 Padova, Italy.
Francesca De MonteMedical Physics Department, Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy.ORCID 0000-0002-6477-5265
Marta PaiuscoMedical Physics Department, Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the variability of oncogenic risk related to radiation exposure in patients frequently exposed to ionizing radiation for diagnostic purposes, specifically ICU patients, according to different risk models, including the BEIR VII, ICRP 103, and US EPA models.

methodsThis was an IRB-approved observational retrospective study. A total of 71 patients (58 male, 13 female; median age, 66 years; interquartile range [IQR], 65-71 years) admitted to the ICU who underwent X-ray examinations between 1 October 2021 and 28 February 2023 were included. For each patient, the cumulative effective dose during a single hospital admission was calculated. Lifetime attributable risk (LAR) was estimated based on the BEIR VII, ICRP 103, and US EPA risk models to calculate additional oncogenic risk related to radiation exposure. The Friedman test for repeated-measures analysis of variance was used to compare risk values between different models. The intraclass correlation coefficient (ICC) was used to assess the consistency of risk values between different models.

resultsDifferent organ, leukemia, and all-cancer risk values estimated according to different oncogenic risk models were significantly different, but the intraclass correlation coefficient revealed a good (>0.75) or even excellent (>0.9) agreement between different risk models. The ICRP 103 model estimated a lower all-cancer (median 69.05 [IQR 30.35-195.37]) and leukemia risk (8.22 [3.02-27.93]) compared to the US EPA (all-cancer: 139.68 [50.51-416.16]; leukemia: 23.34 [3.47-64.37]) and BEIR VII (all-cancer: 162.08 [70.6-371.40]; leukemia: 24.66 [12.9-58.8]) models.

conclusionsCancer risk values were significantly different between risk models, though inter-model agreement in the consistency of risk values was found to be good, or even excellent.

Indexed as

Intensive Care UnitsNeoplasms, Radiation-InducedRadiation ExposureAgedFemaleHumansMaleRadiation DosageRetrospective StudiesRisk AssessmentBEIR VIIcomputed tomographyeffective doseintensive care unitoncogenic riskradiation exposure

Identifiers

PMID40278709
PMCPMC12030842

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Registered trials

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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.