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Thyroid Cancer after Exposure to External Radiation: A Pooled Analysis of Seven Studies
Abstract
Elaine Ron, Jay H. Lubin, Roy E. Shore, Kiyohiko Mabuchi, Baruch Modan, Linda M. Pottern, Arthur B. Schneider, Margaret A. Tucker, John D. Boice, Jr., Thyroid Cancer after Exposure to External Radiation: A Pooled Analysis of Seven Studies, Radiation Research, Vol. 141, No. 3 (Mar., 1995), pp. 259-277
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“The risk of thyroid neoplasia is greatest with exposure to low-level external radiation (0.1-25 Gy; *0.09-30 lCi/g or 3.33-1110 Bq/g) (314,315,352,354,357), not with the higher administered activities used to treat GD.”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [352]
In the citing paper
“Because of an increased risk of thyroid nodules and cancer associated with low-level thyroid irradiation in children (314,(352)(353)(354)) and poor remission rates with low-administered activities of RAI (88)(89)(90), it is important that RAI activities >150 lCi (>5.55 MBq/g) rather than smaller activities of RAI be administered to achieve hypothyroidism (312).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [352]
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“Dosimeters were lithium fluoride TLDs; this type of dosimeter is characterized by the individual doses estimated based on primary beam location, beam quality, and source-to-skin distance (Ron et al. 1995).”
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“This excess risk persists for at least four decades after exposure [23].”
Background3. Radiation and thyroid cancer
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Self-citationCounty-Level Radon and Incidence of Female Thyroid Cancer in Iowa, New Jersey, and Wisconsin, USA
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“09 Gy over a lifetime) and thyroid cancer incidence [19], an ecologic study may not be robust enough to identify this association.”
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“Moreover, Land used a log-normal distribution in assessing the risk of thyroid cancer due to fallout from the Nevada atomic test site, based on Ron et al.’s ERR values.”
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“The association of thyroid malignancies with therapeutic or accidental radiation is epidemiologically documented (9).”
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“The influence of age at irradiation has been assessed in a pooled analysis of seven studies of radiationinduced thyroid cancer [25].”
BackgroundThyroid cancer following Chernobyl
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“This is consistent with the results of studies of thyroid carcinoma following irradiation from other sources [5].”
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“The excess relative risk seems to be higher for females than that for males [20].”
BackgroundThyroid Ultrasound Findings 7 Years after the Chernobyl Accident
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“Several other studies confirm that radiation expo sure, particularly in childhood, is associated with an increased incidence of both thyroid cancer and be nign adenomas (18-21, 25).”
BackgroundRadiation-induced endocrine tumors
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“While radiation exposure is linked with thyroid cancer, it does not appear to be the main cause with this rise in incidences [147,148].”
BackgroundHistologic Variants Of Papillary Thyroid Carcinoma
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“A pooled analysis of five cohort studies and two case-controlled studies concluded convincing evidence for cancer risk at approximately 0.10 Gy (Ron et al 1995).”
BackgroundInfluentialRadiation-induced papillary thyroid cancer: is it a distinct clinical entity?
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“1 Gy [10], increases linearly with doses up to 15–20 Gy [2], and then decreases because of a cell-killing effect at higher doses.”
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“Thyroid cancer can develop 5 years to several decades after exposure.(2,3) Hence we also considered a 5-year latency period between the time of the incident and the time of diagnosis as it was observed after the Chernobyl accident(27,28) and calculated SIR for the years 2013–2014.”
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“opment of DTC has been associated with medical and accidental radiation exposure during childhood [4], only a small proportion of exposed subjects develop DTC.”
BackgroundThe Role of Fragile Sites in Sporadic Papillary Thyroid Carcinoma
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BackgroundInfluentialMagnetic Resonance Imaging of the Pediatric Neck
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“However, cumulative evidence now suggests that while radiation exposure contributes to the development of thyroid cancer (1–3), the prognosis once the disease is treated is no different to sporadic forms (23–25).”
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“The Marshall Islands tests from 1946 through 1958 released almost 240 EBq (8 billion curies) of 131I, and it is estimated that during the final years of weapons testing from 1961 to 1962, the former Soviet Union and United States testing in the Pacific released upwards of 430 EBq (12 billion…”
BackgroundSubclinical thyroid disease after radiation therapy detected by radionuclide scanning
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“Sporadic thyroid tumors of both the Chernobyl [Table 1; (9)] and radiotherapy [Table 2; (10)] series developed in French patients without a history of radiation exposure.”
Morphological difference in adult thyroid papillary carcinoma between Japan and Ukraine
Ito, M., Ti, B., Zurnadzhy, L. Y., et al. (2014) · Endocrine Journal · doi:10.1507/endocrj.ej14-0239 · Cited by 7
Leux, C., Colonna, M., Guizard, A. V., et al. (2009) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2009.08.008 · Cited by 7
Zheng, J., Li, C., Wang, C., et al. (2014) · Molecular Genetics and Genomics · doi:10.1007/s00438-014-0981-7 · Cited by 7
Metadata
- Authors
- Ron, E., Lubin, J. H., Shore, R. E., Mabuchi, K., Modan, B., Pottern, L. M., Schneider, A. B., Tucker, M. A., & Boice, J. D.
- Venue
- Radiation Research
- Publisher
- JSTOR
- Published
- 1995-03
- Volume
- 141
- Issue
- 3
- Pages
- 259
- ISSN
- 0033-7587 (ISSN-L)
- OpenAlex
- W4234375295
- Cited by
- 1,107
- References
- 0
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 18 · 2023: 25 · 2022: 22 · 2021: 30 · 2020: 41 · 2019: 28 · 2018: 37 · 2017: 48 · 2016: 44 · 2015: 55 · 2014: 59 · 2013: 40 · 2012: 58
- FWCI
- 11.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Radiation Research (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
- Physical Sciences › Environmental Science › Pollution › Radioactive contamination and transfer
- Keywords
- thyroid cancer, external radiation exposure, radiation-induced cancer, pooled analysis, cancer risk, ionizing radiation
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