0000000000206142

AUTHOR

Lucian Krille

showing 5 related works from this author

Regional deprivation and non-cancer related computed tomography use in pediatric patients in Germany: Cross-sectional analysis of cohort data.

2016

BACKGROUND: Conflicting findings were observed in recent studies assessing the association between patients' area-level socio-economic status and the received number of computed tomography (CT) examinations in children. The aim was to investigate the association between area-level socio-economic status and variation in CT examination practice for pediatric patients in Germany. METHODS: Data from Radiology Information Systems for children aged 0 to < 15 years without cancer who had at least one CT examination between 2001 and 2010 were extracted in 20 hospitals across Germany. The small-area German Index of Multiple Deprivation (GIMD) was used to assess regional deprivation. The GIMD …

MalePediatricsCross-sectional studyGerman Peoplelcsh:MedicinePediatricsDiagnostic RadiologyGeographical Locations0302 clinical medicineGermanyNeoplasmsMedicine and Health SciencesEthnicities030212 general & internal medicineChildlcsh:ScienceTomographyGeographic AreasRadiationMultidisciplinaryGeographymedicine.diagnostic_testRadiology and ImagingPhysicsMagnetic Resonance ImagingEuropeOncologyChild Preschool030220 oncology & carcinogenesisPhysical SciencesCohortFemaleBody regionResearch ArticleUrban Areasmedicine.medical_specialtyAdolescentImaging TechniquesNeuroimagingResearch and Analysis Methods03 medical and health sciencesDiagnostic MedicineHounsfield scaleCancer Detection and DiagnosismedicineHumansHealthcare DisparitiesRetrospective StudiesNuclear Physicsbusiness.industrylcsh:RInfant NewbornInfantBiology and Life SciencesCancerMagnetic resonance imagingRetrospective cohort studyOdds ratiomedicine.diseaseComputed Axial TomographyCross-Sectional StudiesSocial ClassSocioeconomic FactorsPediatrics ; Urban areas ; German people ; Germany ; Magnetic resonance imaging ; Computed axial tomography ; Cancer detection and diagnosis ; Ionizing radiationPeople and PlacesIonizing RadiationEarth SciencesPopulation Groupingslcsh:QTomography X-Ray ComputedbusinessNuclear medicineNeuroscience
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Japanese Radiation Research Society

2017

Computed tomography (CT) is an essential tool in modern medicine and is frequently used to diagnose a wide range of conditions, particularly in industrial countries, such as Japan and Germany. However, markedly higher doses of ionizing radiation are delivered during CT imaging than during conventional X-ray examinations. To assess pediatric CT practice patterns, data from three university hospital databases (two in Japan and one in Germany) were analyzed. Anonymized data for patients aged 0 to 14 years who had undergone CT examinations between 2008 and 2010 were extracted. To assess CT practice, an interdisciplinary classification scheme for CT indications, which incorporated the most commo…

MaleIonizing radiationmedicine.medical_specialtyModern medicineAdolescentHealth Toxicology and Mutagenesischildren ; computed tomography ; ionizing radiation ; practice pattern ; international comparisonComputed tomographyClassification schemePediatric ct030218 nuclear medicine & medical imagingHospitals UniversityGerman03 medical and health sciences0302 clinical medicineJapanPractice patternGermanyRegular PapermedicineHumansRadiology Nuclear Medicine and imagingPractice Patterns Physicians'ChildChildrenComputed tomographyInternational comparisonRadiationmedicine.diagnostic_testbusiness.industryInfant NewbornInfantUniversity hospitallanguage.human_languageChild Preschool030220 oncology & carcinogenesislanguageFemaleRadiologyTomographyCt imagingTomography X-Ray ComputedbusinessJournal of Radiation Research
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EPI-CT: design, challenges and epidemiological methods of an international study on cancer risk after paediatric and young adult CT

2015

Computed tomography (CT) has great clinical utility and its usage has increased dramatically over the years. Concerns have been raised, however, about health impacts of ionising radiation exposure from CTs, particularly in children, who have a higher risk for some radiation induced diseases. Direct estimation of the health impact of these exposures is needed, but the conduct of epidemiological studies of paediatric CT populations poses a number of challenges which, if not addressed, could invalidate the results. The aim of the present paper is to review the main challenges of a study on the health impact of paediatric CTs and how the protocol of the European collaborative study EPI-CT, coor…

CT scanmedicine.medical_specialtyPediatricsNeoplasms Radiation-InducedBRAIN-TUMORSPopulationMEDLINEEpidemiological methodPediatricsRisk AssessmentRADIATION-EXPOSURERadiation ProtectionATOMIC-BOMB SURVIVORSMONTE-CARLORisk FactorsNORTHERN ENGLANDEpidemiologyMedicine and Health Sciencescohort studymedicineHumanscancerCOMPUTED-TOMOGRAPHYeducationWaste Management and DisposalTHYROID-CANCEReducation.field_of_studybusiness.industryepidemiological methodsPublic Health Environmental and Occupational HealthGeneral MedicineEuropeRadiological weaponleukaemiaEmergency medicineCohortSUBSEQUENT RISKCHILDHOOD LEUKEMIAIONIZING-RADIATIONEpidemiologic MethodsTomography X-Ray ComputedRisk assessmentbusinessCohort studyJournal of Radiological Protection
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Adverse effects of iodine thyroid blocking: a systematic review

2011

(131)I, when released in a radiological or nuclear accident as happened recently in Fukushima, Japan, may cause thyroid cancer as a long-term consequence. Iodine thyroid blocking (ITB) is known to reduce the risk of developing thyroid cancer. Potential adverse effects of ITB have not been systematically investigated so far. This article summarises the results of a review on adverse effects of ITB based on a systematic literature search in scientific medical databases. A meta-analysis was not performed as identified studies displayed major heterogeneity. The search resulted in 14 articles relevant to the topic, reporting mostly on surveys, ecological and intervention studies. Only one study …

medicine.medical_specialtyPsychological interventionMEDLINEContext (language use)Health careThyroid Diseases/chemically inducedMedicineHumansRadiology Nuclear Medicine and imagingThyroid NeoplasmsIntensive care medicineAdverse effectThyroid cancerRadiationRadiological and Ultrasound Technologybusiness.industryPotassium IodidePublic Health Environmental and Occupational HealthCase-control studyGeneral MedicinePharmacoepidemiologymedicine.diseasePotassium Iodide/adverse effectsThyroid DiseasesReview Literature as TopicCase-Control StudiesThyroid Neoplasms/drug therapybusiness
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Systematic review on physician's knowledge about radiation doses and radiation risks of computed tomography.

2010

Abstract Background The frequent use of computed tomography is a major cause of the increasing medical radiation exposure of the general population. Consequently, dose reduction and radiation protection is a topic of scientific and public concern. Aim We evaluated the available literature on physicians’ knowledge regarding radiation dosages and risks due to computed tomography. Methods A systematic review in accordance with the Cochrane and PRISMA statements was performed using eight databases. 3091 references were found. Only primary studies assessing physicians’ knowledge about computed tomography were included. Results 14 relevant articles were identified, all focussing on dose estimatio…

Riskmedicine.medical_specialtyHealth Knowledge Attitudes PracticeEvidence-based practicePopulationMEDLINEComputed tomographyRadiation DosageRadiation ProtectionPhysiciansmedicineHumansRadiology Nuclear Medicine and imagingMedical physicseducationeducation.field_of_studymedicine.diagnostic_testbusiness.industryMedical practiceGeneral MedicineEvidence-based medicineSurgeryDose reductionRadiation protectionbusinessTomography X-Ray ComputedEuropean journal of radiology
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