Low Radiation X-rays: Benefiting People Globally by Reducing Cancer Risks

Luan, Fu-Jun; Zhang, Jun; Mak, Kin Cheung; Liu, Zhiheng; Wang, Hai-Qiang

doi:10.7150/ijms.48050

Cited by 14 publications

(14 citation statements)

References 54 publications

(58 reference statements)

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“…[ 25 ], who concluded that the cumulative dose of 25 mGy is far below the dose threshold for radiogenic cancer, a recent review on low radiation [ 26 ] has shown that neither the medical community nor the public at large is aware enough of the cumulative exposure risks; the current AIS gold diagnostic standard slightly but irrevocably increases the risk of cancer. Since low/zero radiation imaging techniques are nowadays available (the microdose EOS, raster stereography, 3D ultrasound scolioscan), a question arises whether this is the path to follow to reduce potential harm [ 26 ]?…”

Section: Discussionmentioning

confidence: 99%

The role of school medicine in the early detection and management of adolescent idiopathic scoliosis

Glavaš¹,

Rumboldt

Karin³

et al. 2022

Wien Klin Wochenschr

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Objective To analyze the trends in scoliosis screenings over 10 years (2010 vs. 2020). To assess the management of schoolchildren with a preliminary diagnosis of adolescent idiopathic scoliosis by school medicine specialists. Methods Historical data were used for the year 2009/2010, and a cross-sectional study was conducted during the school year 2019/2020 on 18,216 pupils of 5th, 6th, and 8th elementary school grades. A forward bend test was used to detect clinical features of scoliosis and some positive findings were referred to orthopedists or physiatrists for further evaluation. Results In the analyzed 10-year period abnormal forward bend test findings increased from 4.9 to 5.8% (by 18.4%; P < 0.001). While its prevalence escalated markedly in girls (from 5.8 to 8.3%; P < 0.001), a modest but significant decrease, from 3.8 to 3.2% ( P = 0.018), was noted in boys. Most pupils had low to moderate curves, and its prevalence was some 6.5 times higher in girls ( P < 0.001). The forward bend test positive predictive value was 84.7%. Discrete forward bend test aberrations were managed by school medicine specialists only. Conclusion While actively promoting scoliosis screening in children, we have shown that forward bend test is an acceptable tool for early adolescent idiopathic scoliosis detection in school medicine. In collaboration with other specialists and using additional diagnostic methods, school medicine specialists can ensure early detection and appropriate interventions, avoiding the potential harms of radiation exposure.

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Section: Discussionmentioning

confidence: 99%

The role of school medicine in the early detection and management of adolescent idiopathic scoliosis

Glavaš¹,

Rumboldt

Karin³

et al. 2022

Wien Klin Wochenschr

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show abstract

“…X-rays and CT are commonly used for the diagnosis of chest diseases. CT can present three-dimensional images as a way to analyze the relationship between tumor tissues and their surroundings; X-ray imaging can diagnose the origin of the tumor, such as chest wall tumor bone or from soft tissue [ 10 ] in X-ray and benign soft tissue tumors image as round or oval shadows of masses with uniform distribution and clearer and more definite margins in local areas. In contrast, malignant tumors exhibit lamellar shadows with curved, lobulated edges [ 8 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…When the focal tissue of the lesion absorbs the same coefficient of X-rays as the adjacent normal tissue in the early stage of development, it is very easy to misdiagnose and miss the diagnosis by using X-ray techniques. However, X-ray and CT diagnosis after tissue 3 Disease Markers lesions have reached a certain degree, or lesions have formed may delay the optimal treatment opportunity [10].…”

Section: Discussionmentioning

confidence: 99%

Study on the Effect of MRI in the Diagnosis of Benign and Malignant Thoracic Tumors

Sui²,

Chi³

et al. 2021

Disease Markers

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In order to investigate the effectiveness and accuracy of magnetic resonance imaging (MRI) in the diagnosis of benign and malignant thoracic tumors, the research retrospectively selected 80 patients with thoracic tumors admitted from May 2019 to May 2020 as the study subject and all patients were underwent MRI detection. Using pathological diagnostic results as the gold standard, the research analyzed the detection of benign and malignant thoracic tumors by MRI, as well as the diagnostic sensitivity and specificity. After pathological diagnosis, there were 35 malignant tumors and 45 benign tumors. 41 cases of malignant tumors and 39 cases of benign tumors were diagnosed by MRI, with a diagnostic sensitivity of 80.00%, a diagnostic specificity of 71.11%, and a diagnostic compliance rate of 75.00%. In the MRI diagnosis of tumors in different parts of the chest, the diagnostic sensitivity for lung tumors, mediastinal tumors, chest wall tumors, and esophageal tumors was 83.33%, 71.43%, 83.33%, 75.00%, and 87.50%, respectively, and the specificity was 66.67%, 77.78%, 57.14%, 50.00%, and 91.67% according to and breast tumors, respectively. And the accuracy was 73.33%, 75.00%, 69.23, 62.50%, and 90.00%, respectively, with the highest diagnostic sensitivity, specificity, and accuracy for breast tumors. MRI has a good effect on the diagnosis of benign and malignant thoracic tumors and has a high diagnostic value, which is helpful to identify the location, nature, source, and lesion scope of the tumor. It is safe and worthy of promotion.

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“…Radiation hazards are an unavoidable risk in X-ray imaging, and although the cumulative amount is not large, it cannot be excluded from cancer risk [17]. Under specific conditions, such as the first trimester period of pregnancy, X-ray imaging is considered an absolute contraindication as it may directly harm the fetus [18].…”

Section: Plain Radiographymentioning

confidence: 99%

Diagnostic Technology for Spine Pathology

et al. 2022

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Diagnostic techniques for spinal pathologies have been developed in accordance with advances in technology. Accurate diagnosis of spinal pathology is essential for appropriate management of spinal diseases. Since the development of X-rays in 1895 and computed tomography (CT) in 1967, several diagnostic imaging modalities have been utilized for detecting spinal pathologies, including radiography, CT, magnetic resonance imaging, and radionuclide imaging. In addition to diagnostic imaging technologies, electrodiagnostic tests, including electromyography and nerve conduction studies, play a significant role as diagnostic tools, as spinal diseases are mostly profoundly associated with pathologies of the neural structures, such as the spinal cord and nerve root, and extent of injury at the structure cannot be adequately detected by conventional imaging techniques. In patient-specific treatment strategies, usage of diagnostic modalities is of great importance; thus, we should be aware of the basic details and approaches of the different diagnostic modalities. In this review, the authors discuss the details of the technologies that aid in the diagnosis of spinal pathologies.

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Low Radiation X-rays: Benefiting People Globally by Reducing Cancer Risks

Cited by 14 publications

References 54 publications

The role of school medicine in the early detection and management of adolescent idiopathic scoliosis

The role of school medicine in the early detection and management of adolescent idiopathic scoliosis

Study on the Effect of MRI in the Diagnosis of Benign and Malignant Thoracic Tumors

Diagnostic Technology for Spine Pathology

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