The risk of cancer attributable to diagnostic medical radiation: Estimation for France in 2015

Marant-Micallef, Claire; Shield, Kevin D.; Vignat, Jérôme; Cléro, Énora; Kesminiene, Ausrele; Hill, Catherine; Rogel, A.; Vacquier, Blandine; Bray, Freddie; Laurier, Dominique; Soerjomataram, Isabelle

doi:10.1002/ijc.32048

Cited by 32 publications

(23 citation statements)

References 27 publications

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“…The risk of breast cancer has been linked to radiation exposure in the form of X-rays and mammography screening, but the risk depends on initiation age and exposure frequency. Females with large breasts may have a higher risk of radiation-induced breast cancer [22] [23].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with the Prevalence of Breast Cancer Risk: Perception of Northern Saudi Civic

Elasbali¹,

Mohammed²,

Alonzi³

et al. 2019

JCT

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Background: The incidence of breast cancer is increasing in Saudi Arabia, chiefly in distant provinces with cases assigning advanced stages of the disease. This study aimed to evaluate the level of knowledge towards external exposure related to breast cancer risk factors in Qurayyat, Northern Saudi Arabia. Methodology: This descriptive study included 724 Saudi volunteers living in the city of Qurayyat, Northern Saudi Arabia. For females, only those agreeing to participate in the breast self-examination workshop were included and were further investigated for the presence of breast lumps. Results: In comparison of females vs. males, as for the point "Do you know food increases or decreases the risk of BC", 92 (15%) women stated "Yes (Some prevented BC)" vs. 24 (24%) of the men; 78 (12.5%) women stated "Yes (Some caused BC)" vs. 25 (25%) of the men. Referring to the socket "Overweight or obesity increases the risk of BC", 290 (46.5%) women stated "Yes" vs. 53 (53%) of the men. As for the inquiry "Viruses can increase the risk of BC", 370 (60%) women stated "Yes" vs. 49 (49%) of the men. Conclusion: There is a lack of breast cancer awareness in Northern Saudi Arabia with the existence of many women with undetected breast lumps. BSE is cost-effective, and it can be implemented in such inaccessible areas.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with the Prevalence of Breast Cancer Risk: Perception of Northern Saudi Civic

Elasbali¹,

Mohammed²,

Alonzi³

et al. 2019

JCT

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“…[37]. The colon dose was also used in epidemiological studies on diagnostic X-rays, when organ dose estimates were not available to express excess relative risk for other solid cancers [11]. Thus, instead of using averages of k SEQ,K for the various organs listed in Table 3, the absorbed dose to the colon, D colon , was chosen to better represent the external contribution to the average whole-body dose, D WB,sex (age(t)).…”

Section: Calculation Of Lar For Total Cancer Incidence To a Fictive Pmentioning

confidence: 99%

“…The EPA risk coefficients are based on epidemiological findings from, e.g., Japanese A-bomb survivors, combined with baseline cancer-incidence rates in the North American population. The LAR concept is primarily intended for external exposures but has also been applied for internal exposures (e.g., [9][10][11]). A WHO report [9] used exposure data to estimate the lifetime organ doses to the general population, summed over both internal and external exposure, after the Fukushima Dai-ichi nuclear power plant (FDNPP) accident in Japan in 2011.…”

Section: Introductionmentioning

confidence: 99%

Introduction of a method to calculate cumulative age- and gender-specific lifetime attributable risk (LAR) of cancer in populations after a large-scale nuclear power plant accident

et al. 2020

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The effect of age and gender in risk estimates related to long-term residence in areas contaminated by nuclear power plant fallout was evaluated by applying the lifetime attributable risk (LAR) concept to an existing exposure model that was previously used for cumulative effective dose estimates. In this study, we investigated the influence of age distribution on the number of cancer cases by applying five different age distributions from nuclear powerproducing countries (India, Japan, South Korea, and the United States), and Egypt because of intentions to develop nuclear power. The model was also used to estimate the effective dose and gender-specific LAR as a function of time after fallout for the offspring of the population living in 137 Cs fallout areas. The principal findings of this study are that the LAR of cancer incidence (excluding non-fatal skin cancers) over 70 y is about 4.5 times higher for newborn females (5.4% per MBq m-2 of initial 137 Cs ground deposition) than the corresponding values for 30 y old women (1.2% per MBq m-2 137 Cs deposition). The cumulative LAR for newborn males is more than 3 times higher (3.2% versus 1.0% per MBq m-2 137 Cs deposition). The model predicts a generally higher LAR for women until 50 y of age, after which the gender difference converges. Furthermore, the detriment for newborns in the fallout areas initially decreases rapidly (about threefold during the first decade) and then decreases gradually with an approximate half-time of 10-12 y after the first decade. The age distribution of the exposed cohort has a decisive impact on the average risk estimates, and in our model, these are up to about 65% higher in countries with high birth rates compared to low birth rates. This trend implies larger average lifetime attributable risks in countries with a highly proportional younger population. In conclusion, the large dispersion (up to a factor of 4 between newborns and 30 y olds) in the lifetime detriment per unit ground deposition of 137 Cs over gender and age in connection with accidental nuclear releases justifies the

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“…A recent study in France7 estimated that 0.7% of all new cancer cases in 2015 were attributable to medical ionising radiation. In Spain, a rate of 10.9 scans per 1000 children and young adults (0–20 years) was estimated in 2013, and a total of 168.6 cancer cases (95% CI 30.1 to 421.1) will be attributable to these CTs 8…”

Section: Introductionmentioning

confidence: 99%

“…Some previous studies carried out in routine practice have evaluated the cumulative effective dose by focusing on specific pathologies,14 population groups15 or the effect of recurrent CT 3. The previously mentioned study in France7 assessed the cumulative exposure in adults of 30 years of age and older, using 2007 national frequencies of imaging tests and adjusted for changes in the use of these tests over time. However, none of them have evaluated the cumulative radiation exposure derived from all diagnostic tests carried out in routine practice during a long period of time, for both adults and children.…”

Section: Introductionmentioning

confidence: 99%

Cumulative exposure to ionising radiation from diagnostic imaging tests: a 12-year follow-up population-based analysis in Spain

2019

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ObjectivesTo calculate each patient’s cumulative radiation exposure and the recurrent tests during a 12-year study period, according to sex and age, in routine practice.DesignRetrospective cohort study.SettingA general hospital with a catchment population of 224 751 people, in the Southeast of Spain.ParticipantsPopulation belonged to the catchment area of that hospital in 2007. We collected all consecutive diagnostic imaging tests undergone by this population until 31 December 2018. We excluded: imaging tests that did not involve radiation exposure.Main outcome measuresThe cumulative effective dose and the recurrent imaging tests by sex and age at entry of study.ResultsOf the 224 751 people, 154 520 (68.8%) underwent an imaging test. The population had 1 335 752 imaging tests during the period of study: 1 110 077 (83.0%) plain radiography; 156 848 (11.8%) CT; 63 157 (4.8%) fluoroscopy and 5670 (0.4%) interventional radiography. 25.4% of the patients who had a CT, underwent five or more CTs (5.4% in the 0–20 years age group). The median total cumulative effective dose was 2.10 mSv (maximum 3980.30) and 16.30 mSv (maximum 1419.30 mSv) if we considered only doses associated with CT. Women received more effective dose than men (median 2.38 vs median 1.90, p<0.001). A total of 7142 (4.6%) patients received more than 50 mSv, with differences in men and women (p<0.001) and 2.5% of the patients in the 0–20 years age group, if we considered only doses associated with CT.ConclusionsNearly 5% of patients received doses higher than 50 mSv during the 12-year period of study and 2.5% of the patients in the 0–20 years age group, if we considered only doses associated with CT. The rate of recurrent examinations was high, especially in older patients, but also relevant in the 0–20 years age group.

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The risk of cancer attributable to diagnostic medical radiation: Estimation for France in 2015

Cited by 32 publications

References 27 publications

Factors Associated with the Prevalence of Breast Cancer Risk: Perception of Northern Saudi Civic

Factors Associated with the Prevalence of Breast Cancer Risk: Perception of Northern Saudi Civic

Introduction of a method to calculate cumulative age- and gender-specific lifetime attributable risk (LAR) of cancer in populations after a large-scale nuclear power plant accident

Cumulative exposure to ionising radiation from diagnostic imaging tests: a 12-year follow-up population-based analysis in Spain

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