Department of Medical Imaging Technology, K.S. Hegde Medical Academy, Nitte (Deemed to be University), Deralakatte, Mangalore, India.
Central Research Laboratory, K.S. Hegde Medical Academy, Nitte (Deemed to be University), Deralakatte, Mangalore, India.
Cell Biochem Biophys. 2024 Sep;82(3):2347-2353. doi: 10.1007/s12013-024-01345-2. Epub 2024 Jun 10.
Computed tomography (CT) is known for its non-invasiveness, fast procedure, and also for providing detailed diagnostic information to physicians. It also utilises low-dose-rate ionising radiation (X-rays) as a source for imaging. Multidetector computed tomography (MDCT) is an advanced system that uses iodinated contrast media for more accurate diagnostic results. Studies suggest using these contrasts will lead to greater radiation adsorption with significant DNA damage. No studies have been taken comparing the physical dose with the biological effect. The present study sheds light on the same by assessing the biological effect of CT with and without contrast intervention. The present study is timebound; thus, 21 participants attending for CT thorax and abdomen with no history of any cancer were included. The same participants underwent both pre-contrast and post-contrast studies. The blood sample was taken before the procedure and used as a control. Physical parameters like DLP and CTDI obtained from the instrument were compared with the MN frequency obtained (CBMN Assay). The study showed a significant increase (p-value < 0.05) in the Physical and MN frequency in the Post-Contrast group compared to the pre-contrast group. Although a positive correlation was observed between pre and post-contrast groups, the results were not found to be statistically significant (p-value < 0.05). The study confirms increased physical dose and MN frequency upon contrast intervention. This study recommends the judicial use of MDCT in disease diagnostics.
计算机断层扫描(CT)以其非侵入性、快速的程序以及为医生提供详细诊断信息而闻名。它还利用低剂量率电离辐射(X 射线)作为成像源。多排 CT(MDCT)是一种先进的系统,它使用碘造影剂来获得更准确的诊断结果。研究表明,使用这些对比剂会导致更大的辐射吸收和显著的 DNA 损伤。目前还没有研究比较物理剂量与生物效应。本研究通过评估有和无对比剂干预的 CT 的生物效应,阐明了这一点。本研究是限时的;因此,纳入了 21 名无癌症病史的接受 CT 胸部和腹部检查的参与者。相同的参与者接受了对比前和对比后的研究。在进行程序前采集血样作为对照。从仪器中获得的物理参数,如 DLP 和 CTDI,与获得的 MN 频率(CBMN 测定)进行比较。研究表明,与对比前组相比,对比后组的物理和 MN 频率显著增加(p 值<0.05)。尽管观察到对比前和对比后组之间存在正相关,但结果没有统计学意义(p 值<0.05)。该研究证实了对比剂干预后物理剂量和 MN 频率的增加。本研究建议在疾病诊断中合理使用 MDCT。