Childhood cancer risks estimates following CT scans: an update of the French CT cohort study
Résumé
Objectives: Increased risks of central nervous system (CNS) tumors and leukemia associated with computed tomography (CT)
exposure during childhood have been reported in recent epidemiological studies. However, no evidence of increased risks was
suggested in a previous analysis of the French CT cohort. This study benefits from an updated cohort with a longer follow-up and
a larger sample size of patients.
Methods: The patients were followed from the date of their first CT (between 2000 and 2011) until their date of cohort exit
defined as the earliest among the following: 31 December 2016, date of death, date of first cancer diagnosis or date of their 18th
birthday. Cancer incidence, vital status, cancer predisposing factors (PFs), and additional CT scans were collected via external
national databases. Hazard ratios (HRs) associated to cumulative organ doses and sex were estimated from Cox models.
Results: At the end of follow-up, mean cumulative doses were 27.7 and 10.3 mGy for the brain and the red bone marrow (RBM),
respectively. In patients without PFs, an HR per 10 mGy of 1.05 (95% CI: 1.01–1.09) for CNS tumors, 1.17 (95% CI: 1.09–1.26)
for leukemia, and 0.96 (95% CI: 0.63–1.45) for lymphoma was estimated. These estimates were not modified by the inclusion of
CT scans performed outside the participating hospitals or after the inclusion period.
Conclusions: This study shows statistically significant dose-response relationships for CNS tumors and leukemia for patients
without PFs.
Domaines
Statistiques [stat]Origine | Fichiers produits par l'(les) auteur(s) |
---|