-131暴露后白血病发生率
Lancet (London, England)
|July 14, 1992
概括
这项研究发现,在接受-131 (131I) 治疗的瑞典患者中,白血病风险没有显著增加. 结果表明,131I的医学暴露对辐射诱导白血病具有保证性.
科学领域:
- 核医学是一种核医学.
- 辐射瘤学 辐射瘤学
- 流行病学 流行病学
背景情况:
- 白血病是已知的电离辐射暴露的晚期影响.
- -131 (131I) 用于诊断和治疗甲状腺疾病.
研究的目的:
- 为了调查暴露于-131 (131I) 后白血病的发生率.
- 在一大群患者中评估131I暴露与白血病风险之间的关系.
主要方法:
- 研究了一组46,988名瑞典患者暴露于131I的队列.
- 观察到的白血病病例与一般人群中预期的病率进行了比较.
- 骨髓吸收的平均剂量估计为14mGy.
主要成果:
- 195例白血病发生在暴露后2年以上,标准化发病率 (SIR) 为1.09 (95% CI:0.94-1.25)).
- 慢性淋巴细胞白血病 (CLL) 或非CLL的风险没有显著增加.
- 白血病风险没有因性别,年龄,时间或辐射剂量而异.
结论:
- 在这个成年人群中,高保证率排除了超过25%的多余白血病风险.
- 对于在医疗实践中暴露于131I的患者来说,结果令人放心.
- 这些发现也可能与暴露在切尔诺贝利核灾后的个人有关.
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