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Contrast medium-enhanced radiation damage caused by CT examinations
Saskia Grudzenski1, Michael A Kuefner, Martina B Heckmann
1Darmstadt University of Technology, Radiation Biology and DNA Repair, Schnittspahnstrasse 13, 64287 Darmstadt, Germany.
Iodinated contrast media (CM) used in computed tomographic (CT) scans increase DNA double-strand breaks (DSBs) in lymphocytes by about 30%. This CM-enhanced radiation damage occurs when administered before x-ray exposure, but not after or with gamma-rays.
Area of Science:
- Radiology
- Molecular Biology
- Radiation Oncology
Background:
- Computed tomographic (CT) examinations utilize ionizing radiation.
- Iodinated contrast media (CM) are frequently administered during CT scans.
- The potential impact of CM on radiation-induced DNA damage is not fully understood.
Purpose of the Study:
- To evaluate the effect of iodinated contrast media (CM) on the induction and repair of DNA double-strand breaks (DSBs).
- To assess these effects in peripheral blood lymphocytes following computed tomographic (CT) examinations.
Main Methods:
- Prospective study involving 37 patients undergoing CT scans with or without intravenous CM.
- Assessment of DSBs in lymphocytes using the gammaH2AX foci assay.
- In vitro cell culture experiments with lymphocytes and fibroblasts exposed to CM and irradiation.
Main Results:
- CT examinations with CM administration increased DSB levels in peripheral lymphocytes by approximately 30%.
- In vitro studies confirmed that CM prior to x-ray irradiation enhances initial DSB yield.
- CM administration after irradiation or with gamma-rays did not affect DSB levels.
Conclusions:
- The gammaH2AX foci assay demonstrates CM enhances radiation damage to lymphocytes during CT.
- The long-term bioeffects, including potential cancer risk, of CM-enhanced low-dose radiation from CT remain unknown.
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Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
X-ray Imaging

