PMID- 27510626 OWN - NLM STAT- MEDLINE DCOM- 20170522 LR - 20210109 IS - 1432-1084 (Electronic) IS - 0938-7994 (Linking) VI - 27 IP - 4 DP - 2017 Apr TI - DNA damage in lymphocytes induced by cardiac CT and comparison with physical exposure parameters. PG - 1660-1666 LID - 10.1007/s00330-016-4519-8 [doi] AB - OBJECTIVES: To investigate whether physical exposure parameters such as the dose index (CTDI), dose length product (DLP), and size-specific dose estimate (SSDE) are predictive of DNA damage. METHODS: In vitro, we scanned a phantom containing blood samples from five volunteers at CTDI 50, 100, and 150 mGy. One sample was not scanned. We also scanned samples in three different-size phantoms at CTDI 100 mGy. In vivo, we enrolled 45 patients and obtained blood samples before and after cardiac CT. The gamma-H2AX foci were counted. RESULTS: In vitro, in the control and at CTDI 50, 100, and 150 mGy, the number of gamma-H2AX was 0.94 +/- 0.24 (standard error, SE), 1.28 +/- 0.30, 1.91 +/- 0.47, and 2.16 +/- 0.20. At SSDE 180, 156, and 135 mGy, it was 2.41 +/- 0.20, 1.91 +/- 0.47, and 1.42 +/- 0.20 foci/cell. The gamma-H2AX foci were positively correlated with the radiation dose and negatively correlated with the body size. In vivo, the gamma-H2AX foci were significantly increased after CT (from 1.21 +/- 0.19 to 1.92 +/- 0.22 foci/cell) and correlated with CTDI, DLP, and SSDE. CONCLUSIONS: DNA damage was induced by cardiac CT. There was a correlation between the physical exposure parameters and gamma-H2AX. KEY POINTS: * DNA damage was induced by radiation exposure from cardiac CT. * The gamma-H2AX foci number was correlated with the CT radiation dose. * Physical exposure parameters reflect the DNA damage by CT radiation exposure. FAU - Fukumoto, Wataru AU - Fukumoto W AUID- ORCID: 0000-0001-7645-8446 AD - Department of Diagnostic Radiology, Institute of Biomedical Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan. wfukumoto@hiroshima-u.ac.jp. FAU - Ishida, Mari AU - Ishida M AD - Department of Cardiovascular Physiology and Medicine, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Sakai, Chiemi AU - Sakai C AD - Department of Cardiovascular Physiology and Medicine, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Tashiro, Satoshi AU - Tashiro S AD - Department of Cellular Biology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan. FAU - Ishida, Takafumi AU - Ishida T AD - Institute of Clinical Research West Medical Center, Hiroshima, Japan. FAU - Nakano, Yukiko AU - Nakano Y AD - Department of Cardiovascular Medicine, Hiroshima University Hospital, Hiroshima, Japan. FAU - Tatsugami, Fuminari AU - Tatsugami F AD - Department of Diagnostic Radiology, Institute of Biomedical Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan. FAU - Awai, Kazuo AU - Awai K AD - Department of Diagnostic Radiology, Institute of Biomedical Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan. LA - eng PT - Journal Article DEP - 20160810 PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 RN - 0 (H2AX protein, human) RN - 0 (Histones) SB - IM MH - Adult MH - Aged MH - Arrhythmias, Cardiac/diagnostic imaging MH - Body Size MH - *DNA Damage MH - Female MH - Histones/analysis/drug effects MH - Humans MH - Lymphocytes/*radiation effects MH - Male MH - Middle Aged MH - Phantoms, Imaging MH - Radiation Dosage MH - Radiation Exposure MH - Tomography, X-Ray Computed/*methods OTO - NOTNLM OT - CT dose index OT - Computed tomography OT - DNA OT - Size-specific dose estimates OT - gamma-H2AX EDAT- 2016/08/12 06:00 MHDA- 2017/05/23 06:00 CRDT- 2016/08/12 06:00 PHST- 2016/02/16 00:00 [received] PHST- 2016/07/19 00:00 [accepted] PHST- 2016/07/13 00:00 [revised] PHST- 2016/08/12 06:00 [pubmed] PHST- 2017/05/23 06:00 [medline] PHST- 2016/08/12 06:00 [entrez] AID - 10.1007/s00330-016-4519-8 [pii] AID - 10.1007/s00330-016-4519-8 [doi] PST - ppublish SO - Eur Radiol. 2017 Apr;27(4):1660-1666. doi: 10.1007/s00330-016-4519-8. Epub 2016 Aug 10.