Cytogenetic Effects in Patients after Computed Tomography Examination

Millions of people around the world are exposed to low doses of ionizing radiation from diagnostic computed tomography (CT) scans. Currently available data on the potential cancer risk after CT scans are contradictory and therefore demand further investigations. The aim of the current study was to o...

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Main Authors: Elizaveta Neronova, Sergei Aleksanin
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/12/1983
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author Elizaveta Neronova
Sergei Aleksanin
author_facet Elizaveta Neronova
Sergei Aleksanin
author_sort Elizaveta Neronova
collection DOAJ
description Millions of people around the world are exposed to low doses of ionizing radiation from diagnostic computed tomography (CT) scans. Currently available data on the potential cancer risk after CT scans are contradictory and therefore demand further investigations. The aim of the current study was to obtain estimations of genome damage after CT scans in 42 non-cancer patients and to conduct a comparison of the results with 22 control subjects. The frequency of dicentric ring chromosomes and chromosome breaks was significantly increased in irradiated patients compared to the controls. The distribution of dicentrics among the cells demonstrated non-Poisson distribution that reflected non-uniform and partial-body radiation exposure. A fraction of patients followed Poisson distribution, which is typical for uniform whole-body exposures. Some patients demonstrated a level of dicentrics similar to the control subjects. The individual variations in the frequency and dicentric distribution suggested complex mechanisms of chromosome aberration induction and elimination that could be associated with individual radiosensitivity, as well as previous diagnostics that used ionizing radiation or the redistribution of small fractions of irradiated lymphocytes within the circulatory pull. In conclusion, CT scans may cause genome damage and possible increases in cancer risk. The introduction of a specific follow-up of such patients, especially in the case of repeated CT scans, is suggested.
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spelling doaj.art-e213aa1d57cf4d4889472bdaba618e8f2023-11-24T16:11:33ZengMDPI AGLife2075-17292022-11-011212198310.3390/life12121983Cytogenetic Effects in Patients after Computed Tomography ExaminationElizaveta Neronova0Sergei Aleksanin1Nikiforov Russian Center for Emergency and Radiation Medicine (NRCERM), 194044 Saint-Petersburg, RussiaNikiforov Russian Center for Emergency and Radiation Medicine (NRCERM), 194044 Saint-Petersburg, RussiaMillions of people around the world are exposed to low doses of ionizing radiation from diagnostic computed tomography (CT) scans. Currently available data on the potential cancer risk after CT scans are contradictory and therefore demand further investigations. The aim of the current study was to obtain estimations of genome damage after CT scans in 42 non-cancer patients and to conduct a comparison of the results with 22 control subjects. The frequency of dicentric ring chromosomes and chromosome breaks was significantly increased in irradiated patients compared to the controls. The distribution of dicentrics among the cells demonstrated non-Poisson distribution that reflected non-uniform and partial-body radiation exposure. A fraction of patients followed Poisson distribution, which is typical for uniform whole-body exposures. Some patients demonstrated a level of dicentrics similar to the control subjects. The individual variations in the frequency and dicentric distribution suggested complex mechanisms of chromosome aberration induction and elimination that could be associated with individual radiosensitivity, as well as previous diagnostics that used ionizing radiation or the redistribution of small fractions of irradiated lymphocytes within the circulatory pull. In conclusion, CT scans may cause genome damage and possible increases in cancer risk. The introduction of a specific follow-up of such patients, especially in the case of repeated CT scans, is suggested.https://www.mdpi.com/2075-1729/12/12/1983non-cancer patientsionizing radiationCT examinationchromosome aberrationdicentricgenotoxic effects
spellingShingle Elizaveta Neronova
Sergei Aleksanin
Cytogenetic Effects in Patients after Computed Tomography Examination
Life
non-cancer patients
ionizing radiation
CT examination
chromosome aberration
dicentric
genotoxic effects
title Cytogenetic Effects in Patients after Computed Tomography Examination
title_full Cytogenetic Effects in Patients after Computed Tomography Examination
title_fullStr Cytogenetic Effects in Patients after Computed Tomography Examination
title_full_unstemmed Cytogenetic Effects in Patients after Computed Tomography Examination
title_short Cytogenetic Effects in Patients after Computed Tomography Examination
title_sort cytogenetic effects in patients after computed tomography examination
topic non-cancer patients
ionizing radiation
CT examination
chromosome aberration
dicentric
genotoxic effects
url https://www.mdpi.com/2075-1729/12/12/1983
work_keys_str_mv AT elizavetaneronova cytogeneticeffectsinpatientsaftercomputedtomographyexamination
AT sergeialeksanin cytogeneticeffectsinpatientsaftercomputedtomographyexamination