PASQUAL, Elisa, Michelle C. TURNER, Esther GRACIA-LAVEDAN, Delphine CASABONNE, Yolanda BENAVENTE, Isabelle Thierry CHEF, Marc MAYNADIE, Pierluigi COCCO, Anthony STAINER, Lenka FORETOVÁ, Alexandra NIETERS, Paolo BOFFETTS, Paul BRENNAN, Elisabeth CARDIS and Silvia DE SANJOSE. Association of ionizing radiation dose from common medical diagnostic procedures and lymphoma risk in the Epilymph case-control study. Plos one. San Francisco: Public Library of Science, 2020, vol. 15, No 7, p. 1-19. ISSN 1932-6203. Available from: https://dx.doi.org/10.1371/journal.pone.0235658.
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Basic information
Original name Association of ionizing radiation dose from common medical diagnostic procedures and lymphoma risk in the Epilymph case-control study
Authors PASQUAL, Elisa (guarantor), Michelle C. TURNER, Esther GRACIA-LAVEDAN, Delphine CASABONNE, Yolanda BENAVENTE, Isabelle Thierry CHEF, Marc MAYNADIE, Pierluigi COCCO, Anthony STAINER, Lenka FORETOVÁ (203 Czech Republic, belonging to the institution), Alexandra NIETERS, Paolo BOFFETTS, Paul BRENNAN, Elisabeth CARDIS and Silvia DE SANJOSE.
Edition Plos one, San Francisco, Public Library of Science, 2020, 1932-6203.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.240
RIV identification code RIV/00216224:14110/20:00124646
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1371/journal.pone.0235658
UT WoS 000552603900025
Keywords in English lymphoma; ionizing radiation dose
Tags 14110811, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 20/5/2022 10:46.
Abstract
Medical diagnostic X-rays are an important source of ionizing radiation (IR) exposure in the general population; however, it is unclear if the resulting low patient doses increase lymphoma risk. We examined the association between lifetime medical diagnostic X-ray dose and lymphoma risk, taking into account potential confounding factors, including medical history. The international Epilymph study (conducted in the Czech-Republic, France, Germany, Ireland, Italy, and Spain) collected self-reported information on common diagnostic X-ray procedures from 2,362 lymphoma cases and 2,465 frequency-matched (age, sex, country) controls. Individual lifetime cumulative bone marrow (BM) dose was estimated using time period-based dose estimates for different procedures and body parts. The association between categories of BM dose and lymphoma risk was examined using unconditional logistic regression models adjusting for matching factors, socioeconomic variables, and the presence of underlying medical conditions (atopic, autoimmune, infectious diseases, osteoarthritis, having had a sick childhood, and family history of lymphoma) as potential confounders of the association. Cumulative BM dose was low (median 2.25 mGy) and was not positively associated with lymphoma risk. Odds ratios (ORs) were consistently less than 1.0 in all dose categories compared to the reference category (less than 1 mGy). Results were similar after adjustment for potential confounding factors, when using different exposure scenarios, and in analyses by lymphoma subtype and by type of control (hospital-, population-based). Overall no increased risk of lymphoma was observed. The reduced ORs may be related to unmeasured confounding or other sources of systematic bias.We found little evidence that chronic medical conditions confound lymphoma risk and medical radiation associations.
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