Theoretical increase of thyroid cancer induction from cervical spine multidetector computed tomography in pediatric trauma patients.

The Journal of Trauma and Acute Care Surgery
Ryan D MuchowPaul A Anderson

Abstract

The trend of increasing cervical spine multidirectional computed tomography (MDCT) imaging of pediatric trauma patients is characteristic of the overall dramatic increase in computed tomography utilization in the United States. The purpose of this study is to compare the amount of radiation a pediatric trauma patient absorbs to the thyroid from plain radiographs and MDCT of the cervical spine and to express risk by calculation of theoretical thyroid cancer induction. A retrospective evaluation of pediatric trauma patients admitted from October 1, 2004, to October 31, 2009, was performed at an academic, Level I trauma center. Inclusion criteria were Level I/II trauma patients, cervical spine imaging performed at our institution, and age <18 years. Absorbed thyroid radiation was calculated for patients receiving plain radiographs or MDCT. Thyroid cancer risk was calculated using the 2006 Biological Effects on Ionizing Radiation VII report. Six hundred seventeen patients met inclusion criteria: 224 received cervical spine radiographs and 393 received cervical spine MDCT. The mean thyroid radiation absorbed from radiographs was 0.90 mGy for males and 0.96 mGy for females compared with 63.6 mGy (males) and 64.2 mGy (females) receivi...Continue Reading

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Citations

Jan 15, 2014·World Journal of Gastroenterology : WJG·Jeong Suk Oh, Jonathan B Koea
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Keiko Hikino, Loren G Yamamoto
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Jun 22, 2019·Pediatrics·Julie C LeonardNathan Kuppermann

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