Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)

The use of ionising radiation (IR) for medical diagnosis and treatment procedures has had a major impact on the survival of paediatric patients. Although the benefits of these techniques lead to efficient health care, evaluation of potential associated long-term health effects is required. HARMONIC...

Full description

Bibliographic Details
Main Authors: Thierry-Chef Isabelle, Timmermann Beate, Journy Neige, Bernier Marie-Odile, McNally Richard, Dabin Jérémie, Brualla Lorenzo, Haghdoost Siamak, Sarukhan Adelaida, Haustermans Karin, De Wit Inge, Isebaert Sofie, Lassen-Ramshad Yasmin, Tram Henriksen Louise, Høyer Morten, Toussaint Laura, Boissonnat Guillaume, Thariat Juliette, Demoor-Goldschmidt Charlotte, Haddy Nadia, Bolle Stéphanie, Fresneau Brice, Belhout Amel, Dreger Steffen, Zeeb Hajo, Grazia Andreassi Maria, Campolo Jonica, Picano Eugenio, Jahnen Andreas, Ronckers Cécile, Maduro John H., Kjaerheim Kristina, Døhlen Gaute, Robsahm Trude Eid, Olerud Hilde M., Thevathas Utheya Salini, Afroz Susmita, Helge Østerås Bjørn, Schneider Uwe, Walsh Linda, Dumas Agnès, Jackson Angéla, Rage Estelle, De Saint-Hubert Marijke, Hardy Richard, Bäumer Christian, Steinmeier Theresa, Botzenhardt Suzan, Wette Martina, Ortiz Rodney, Chumak Vadim
Format: Article
Language:English
Published: EDP Sciences 2023-01-01
Series:EPJ Nuclear Sciences & Technologies
Online Access:https://www.epj-n.org/articles/epjn/full_html/2023/01/epjn220074/epjn220074.html
_version_ 1797807641259409408
author Thierry-Chef Isabelle
Timmermann Beate
Journy Neige
Bernier Marie-Odile
McNally Richard
Dabin Jérémie
Brualla Lorenzo
Haghdoost Siamak
Sarukhan Adelaida
Haustermans Karin
De Wit Inge
Isebaert Sofie
Lassen-Ramshad Yasmin
Tram Henriksen Louise
Høyer Morten
Toussaint Laura
Boissonnat Guillaume
Thariat Juliette
Demoor-Goldschmidt Charlotte
Haddy Nadia
Bolle Stéphanie
Fresneau Brice
Belhout Amel
Dreger Steffen
Zeeb Hajo
Grazia Andreassi Maria
Campolo Jonica
Picano Eugenio
Jahnen Andreas
Ronckers Cécile
Maduro John H.
Kjaerheim Kristina
Døhlen Gaute
Robsahm Trude Eid
Olerud Hilde M.
Thevathas Utheya Salini
Afroz Susmita
Helge Østerås Bjørn
Schneider Uwe
Walsh Linda
Dumas Agnès
Jackson Angéla
Rage Estelle
De Saint-Hubert Marijke
Hardy Richard
Bäumer Christian
Steinmeier Theresa
Botzenhardt Suzan
Wette Martina
Ortiz Rodney
Chumak Vadim
author_facet Thierry-Chef Isabelle
Timmermann Beate
Journy Neige
Bernier Marie-Odile
McNally Richard
Dabin Jérémie
Brualla Lorenzo
Haghdoost Siamak
Sarukhan Adelaida
Haustermans Karin
De Wit Inge
Isebaert Sofie
Lassen-Ramshad Yasmin
Tram Henriksen Louise
Høyer Morten
Toussaint Laura
Boissonnat Guillaume
Thariat Juliette
Demoor-Goldschmidt Charlotte
Haddy Nadia
Bolle Stéphanie
Fresneau Brice
Belhout Amel
Dreger Steffen
Zeeb Hajo
Grazia Andreassi Maria
Campolo Jonica
Picano Eugenio
Jahnen Andreas
Ronckers Cécile
Maduro John H.
Kjaerheim Kristina
Døhlen Gaute
Robsahm Trude Eid
Olerud Hilde M.
Thevathas Utheya Salini
Afroz Susmita
Helge Østerås Bjørn
Schneider Uwe
Walsh Linda
Dumas Agnès
Jackson Angéla
Rage Estelle
De Saint-Hubert Marijke
Hardy Richard
Bäumer Christian
Steinmeier Theresa
Botzenhardt Suzan
Wette Martina
Ortiz Rodney
Chumak Vadim
author_sort Thierry-Chef Isabelle
collection DOAJ
description The use of ionising radiation (IR) for medical diagnosis and treatment procedures has had a major impact on the survival of paediatric patients. Although the benefits of these techniques lead to efficient health care, evaluation of potential associated long-term health effects is required. HARMONIC aims to better understand the increased risk of cancer and non-cancer effects after exposure to medical IR in children with cancer treated with modern external beam radiotherapy (EBRT) – radiation energy in MeV range – and in children with cardiac defects diagnosed and treated with cardiac fluoroscopy procedures (CFP) – radiation energy in keV range. The project investigates, among survivors of paediatric cancer, potential endocrine dysfunction, cardiovascular and neurovascular damage, health-related quality of life and second (and subsequent) primary cancer (SPC). The cardiac component builds a pooled cohort of approximately 90 000 paediatric patients who underwent CFP during childhood and adolescence to investigate cancer risk following exposure to IR and explore the potential effects of conditions predisposing to cancer. HARMONIC develops software tools to allow dose reconstruction in both EBRT and CFP to enable epidemiological investigations and future optimisation of treatments. With the creation of a biobank of blood and saliva samples, HARMONIC aims to provide a mechanistic understanding of radiation-induced adverse health effects and identify potential biomarkers that can predict these effects.
first_indexed 2024-03-13T06:25:41Z
format Article
id doaj.art-5848e4ad4ed94b4b81ed0373a4489aa1
institution Directory Open Access Journal
issn 2491-9292
language English
last_indexed 2024-03-13T06:25:41Z
publishDate 2023-01-01
publisher EDP Sciences
record_format Article
series EPJ Nuclear Sciences & Technologies
spelling doaj.art-5848e4ad4ed94b4b81ed0373a4489aa12023-06-09T09:21:02ZengEDP SciencesEPJ Nuclear Sciences & Technologies2491-92922023-01-0192210.1051/epjn/2023009epjn220074Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)Thierry-Chef Isabelle0Timmermann Beate1Journy Neige2Bernier Marie-Odile3McNally Richard4Dabin Jérémie5Brualla Lorenzo6Haghdoost Siamak7Sarukhan Adelaida8Haustermans Karin9De Wit Inge10Isebaert Sofie11Lassen-Ramshad Yasmin12Tram Henriksen Louise13Høyer Morten14Toussaint Laura15Boissonnat Guillaume16Thariat Juliette17Demoor-Goldschmidt Charlotte18Haddy Nadia19Bolle Stéphanie20Fresneau Brice21Belhout Amel22Dreger Steffen23Zeeb Hajo24Grazia Andreassi Maria25Campolo Jonica26Picano Eugenio27Jahnen Andreas28Ronckers Cécile29Maduro John H.30Kjaerheim Kristina31Døhlen Gaute32Robsahm Trude Eid33Olerud Hilde M.34Thevathas Utheya Salini35Afroz Susmita36Helge Østerås Bjørn37Schneider Uwe38Walsh Linda39Dumas Agnès40Jackson Angéla41Rage Estelle42De Saint-Hubert Marijke43Hardy Richard44Bäumer Christian45Steinmeier Theresa46Botzenhardt Suzan47Wette Martina48Ortiz Rodney49Chumak Vadim50Barcelona Institute for Global Health (ISGlobal)University Hospital Essen (UK Essen)French National Institute of Health and Medical Research (Inserm), Gustave RoussyInstitut de Radioprotection et de Sûreté Nucléaire (IRSN)Population Health Science Institute, Newcastle University, Sir James Spence Institute, Royal Victoria InfirmaryBelgian Nuclear Research Centre (SCK CEN)West German Proton Therapy Centre Essen (WPE)Stockholm University (SU), Universitetsvagen 10Barcelona Institute for Global Health (ISGlobal)Katholieke Universiteit Leuven (KU Leuven)Katholieke Universiteit Leuven (KU Leuven)Katholieke Universiteit Leuven (KU Leuven)Department of Pediatric and Adolescent Medicine, Aarhus University Hospital (AUH)Department of Pediatric and Adolescent Medicine, Aarhus University Hospital (AUH)Aarhus University (AU)Aarhus University (AU)Commissariat à l’Énergie Atomique & aux Énergies Alternatives (CEA)Centre Régional François Baclesse (CRFB)French National Institute of Health and Medical Research (Inserm), Gustave RoussyGustave Roussy (GR)Gustave Roussy (GR)Gustave Roussy (GR)Gustave Roussy (GR)Leibniz-Institute for Prevention Research & Epidemiology (BIPS)Leibniz-Institute for Prevention Research & Epidemiology (BIPS)Institute of Clinical Physiology – National Research Council (IFC-CNR)Institute of Clinical Physiology – National Research Council (IFC-CNR)Institute of Clinical Physiology – National Research Council (IFC-CNR)Luxembourg Institute of Science and Technology (LIST)Princess Maxima Center for Paediatric Oncology (PMC)University of Groningen, University Medical Center Groningen (UMCG)Cancer Registry of Norway, Department of ResearchDepartment of Pediatric Cardiology, Oslo University (OUS)Cancer Registry of Norway, Department of ResearchUniversity of South-Eastern Norway (USN)University of South-Eastern Norway (USN)University of South-Eastern Norway (USN)Department of Physics and Computational Radiology, Oslo University (OUS)University of Zurich (UZH)University of Zurich (UZH)French National Institute of Health and Medical Research (Inserm), Gustave RoussyFrench National Institute of Health and Medical Research (Inserm), Gustave RoussyInstitut de Radioprotection et de Sûreté Nucléaire (IRSN)Belgian Nuclear Research Centre (SCK CEN)Population Health Science Institute, Newcastle University, Sir James Spence Institute, Royal Victoria InfirmaryWest German Proton Therapy Centre Essen (WPE)Department of Particle Therapy – University Hospital Essen, West German Cancer Centre (WTZ)Department of Particle Therapy – University Hospital Essen, West German Cancer Centre (WTZ)Department of Particle Therapy – University Hospital Essen, West German Cancer Centre (WTZ)Barcelona Institute for Global Health (ISGlobal)National Research Center for Radiation Medicine (NRCRM)The use of ionising radiation (IR) for medical diagnosis and treatment procedures has had a major impact on the survival of paediatric patients. Although the benefits of these techniques lead to efficient health care, evaluation of potential associated long-term health effects is required. HARMONIC aims to better understand the increased risk of cancer and non-cancer effects after exposure to medical IR in children with cancer treated with modern external beam radiotherapy (EBRT) – radiation energy in MeV range – and in children with cardiac defects diagnosed and treated with cardiac fluoroscopy procedures (CFP) – radiation energy in keV range. The project investigates, among survivors of paediatric cancer, potential endocrine dysfunction, cardiovascular and neurovascular damage, health-related quality of life and second (and subsequent) primary cancer (SPC). The cardiac component builds a pooled cohort of approximately 90 000 paediatric patients who underwent CFP during childhood and adolescence to investigate cancer risk following exposure to IR and explore the potential effects of conditions predisposing to cancer. HARMONIC develops software tools to allow dose reconstruction in both EBRT and CFP to enable epidemiological investigations and future optimisation of treatments. With the creation of a biobank of blood and saliva samples, HARMONIC aims to provide a mechanistic understanding of radiation-induced adverse health effects and identify potential biomarkers that can predict these effects.https://www.epj-n.org/articles/epjn/full_html/2023/01/epjn220074/epjn220074.html
spellingShingle Thierry-Chef Isabelle
Timmermann Beate
Journy Neige
Bernier Marie-Odile
McNally Richard
Dabin Jérémie
Brualla Lorenzo
Haghdoost Siamak
Sarukhan Adelaida
Haustermans Karin
De Wit Inge
Isebaert Sofie
Lassen-Ramshad Yasmin
Tram Henriksen Louise
Høyer Morten
Toussaint Laura
Boissonnat Guillaume
Thariat Juliette
Demoor-Goldschmidt Charlotte
Haddy Nadia
Bolle Stéphanie
Fresneau Brice
Belhout Amel
Dreger Steffen
Zeeb Hajo
Grazia Andreassi Maria
Campolo Jonica
Picano Eugenio
Jahnen Andreas
Ronckers Cécile
Maduro John H.
Kjaerheim Kristina
Døhlen Gaute
Robsahm Trude Eid
Olerud Hilde M.
Thevathas Utheya Salini
Afroz Susmita
Helge Østerås Bjørn
Schneider Uwe
Walsh Linda
Dumas Agnès
Jackson Angéla
Rage Estelle
De Saint-Hubert Marijke
Hardy Richard
Bäumer Christian
Steinmeier Theresa
Botzenhardt Suzan
Wette Martina
Ortiz Rodney
Chumak Vadim
Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
EPJ Nuclear Sciences & Technologies
title Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
title_full Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
title_fullStr Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
title_full_unstemmed Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
title_short Health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy (The HARMONIC project)
title_sort health effects of ionising radiation in paediatrics undergoing either cardiac fluoroscopy or modern radiotherapy the harmonic project
url https://www.epj-n.org/articles/epjn/full_html/2023/01/epjn220074/epjn220074.html
work_keys_str_mv AT thierrychefisabelle healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT timmermannbeate healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT journyneige healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT berniermarieodile healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT mcnallyrichard healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT dabinjeremie healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT bruallalorenzo healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT haghdoostsiamak healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT sarukhanadelaida healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT haustermanskarin healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT dewitinge healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT isebaertsofie healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT lassenramshadyasmin healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT tramhenriksenlouise healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT høyermorten healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT toussaintlaura healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT boissonnatguillaume healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT thariatjuliette healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT demoorgoldschmidtcharlotte healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT haddynadia healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT bollestephanie healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT fresneaubrice healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT belhoutamel healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT dregersteffen healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT zeebhajo healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT graziaandreassimaria healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT campolojonica healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT picanoeugenio healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT jahnenandreas healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT ronckerscecile healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT madurojohnh healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT kjaerheimkristina healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT døhlengaute healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT robsahmtrudeeid healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT olerudhildem healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT thevathasutheyasalini healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT afrozsusmita healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT helgeøsterasbjørn healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT schneideruwe healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT walshlinda healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT dumasagnes healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT jacksonangela healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT rageestelle healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT desainthubertmarijke healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT hardyrichard healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT baumerchristian healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT steinmeiertheresa healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT botzenhardtsuzan healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT wettemartina healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT ortizrodney healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject
AT chumakvadim healtheffectsofionisingradiationinpaediatricsundergoingeithercardiacfluoroscopyormodernradiotherapytheharmonicproject