电离辐射
医学
甲状腺
辐射暴露
核医学
生理学
辐射剂量
辐射防护
医学物理学
放射科
内科学
辐照
物理
核物理学
出处
期刊:Occupational Medicine
[Oxford University Press]
日期:2024-07-01
卷期号:74 (Supplement_1)
标识
DOI:10.1093/occmed/kqae023.1220
摘要
Abstract Introduction While prior research evinces that acute IR exposure contributes to cancer growth, this research aims to assess the risk of thyroid cancer in thyroid nodules and parenchymal heterogeneity among medical radiation workers (MRW) due to low-dose chronic radiation exposure, primarily driven by the growing utilization of radiation in diagnostic medical procedures. Methods This study conducted by M.F.Baran and A.E.Atas, includes 148 MRW from Konya City Hospital, aged between 18 and 65 with no prevalence. They were divided into groups according to their sociodemographic and professional information. Their TSH levels, and thyroid ultrasonography (US) data were also collected. The detected thyroid nodules were classified based on the ACR TI-RADS method. Results The analysis revealed that the prevalence of thyroid nodules increases with age and years of employment, especially in workers over 33 (p=0.02) and participants with chronic diseases (p=0.003).The experiments demonstrate a significant correlation between thyroid parenchymal heterogeneity and increased TSH levels, implying that nodules tend to develop in the presence of hypothyroidism or thyroiditis. The differences in work department or gender didn’t impact these factors. The majority of nodules found were benign. Discussion This retrospective study attests that MRW are at higher risk of developing thyroid nodules than the overall population when facing a longer radiation exposure. However, it discards the idea of a higher risk of thyroid cancer. Further research is needed to explore alternative risk factors for thyroid cancer within this occupational group. Conclusion Regular screening and radiation protection measures are important to promote better health management.
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