基于DNA损伤的低剂量范围CT对受辐射儿童的风险评估
RISK EVALUATION IN THE LOW-DOSE RANGE CT FOR RADIATION-EXPOSED CHILDREN, BASED ON DNA DAMAGE.
作者信息
Jánošíková Lenka, Juričeková Martina, Horváthová Martina, Nikodemová Denisa, Klepanec Andrej, Šalát Dušan
机构信息
Institute of Physiotherapy, Balneology and Medical Rehabilitation, University of Ss. Cyril and Methodius in Trnava, Trnava, Slovakia.
Faculty of Health Care and Social Work, University of Trnava in Trnava, Trnava, Slovakia.
出版信息
Radiat Prot Dosimetry. 2019 Dec 31;186(2-3):163-167. doi: 10.1093/rpd/ncz195.
One of the most common usages of radiation in current medical diagnosis is computed tomography (CT) using X-rays. The potential health risk of CT scans has been discussed in various studies to determine whether low-dose radiation from CT could enhance the chromosome aberration yields in pediatric patients and increase their risk of carcinogenesis. For this reason, it is of great interest to study the effects of low-dose radiation. The induction of DNA damage by a CT scan examination has been demonstrated in several reports by the γ-H2AX assay, the micronuclei assay and dicentrics measurements. However, the results of most studies showed limitations. On the other hand, epidemiological studies give contradictory results for post-natal radiation exposure in the low-dose range, so it is still difficult to draw conclusions about the effects of CT examinations and risk of carcinogenesis. This article provides an overview of previously published data and summarizes the current state of knowledge.
当前医学诊断中辐射最常见的用途之一是使用X射线的计算机断层扫描(CT)。各种研究都讨论了CT扫描潜在的健康风险,以确定CT的低剂量辐射是否会提高儿科患者的染色体畸变率并增加其致癌风险。因此,研究低剂量辐射的影响非常重要。通过γ-H2AX检测、微核检测和双着丝粒测量等方法,多项报告已证实CT扫描检查会诱导DNA损伤。然而,大多数研究结果存在局限性。另一方面,流行病学研究对于低剂量范围内的出生后辐射暴露给出了相互矛盾的结果,因此仍难以就CT检查的影响和致癌风险得出结论。本文概述了先前发表的数据,并总结了当前的知识状况。
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