Li Qiang,Wang Ling,Yu Mingming,et al.Effect of iodine contrast agent on biological responses of CT examination[J].Chinese Journal of Radiological Medicine and Protection,2017,37(11):816-820
Effect of iodine contrast agent on biological responses of CT examination
Received:May 08, 2017  Revised:May 08, 2017
DOI:10.3760/cma.j.issn.0254-5098.2017.11.003
KeyWords:CT  Iodine contrast agent  Radiation damage  γ-H2AX
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Author NameAffiliationE-mail
Li Qiang Department of Radiology, Yinzhou Hospital Affiliated to Medical School of Ningbo University, Ningbo 315040, China  
Wang Ling Department of Radiology, First Hospital Affiliated to Soochow University, Suzhou 215006, China  
Yu Mingming Department of Radiology, Yinzhou Hospital Affiliated to Medical School of Ningbo University, Ningbo 315040, China  
Wang Ximing Department of Radiology, First Hospital Affiliated to Soochow University, Suzhou 215006, China  
Yao Feirong Department of Radiology, First Hospital Affiliated to Soochow University, Suzhou 215006, China  
Li Sheng Department of Radiology, Yinzhou Hospital Affiliated to Medical School of Ningbo University, Ningbo 315040, China  
Hu Chunhong Department of Radiology, First Hospital Affiliated to Soochow University, Suzhou 215006, China hch5305@163.com 
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Abstract::
      Objective To evaluate the effect of iodine contrast agent on the biological responses of CT examination. Methods A total of sixty patients with suspected urinary tract disease who underwent computed tomography urography(CTU) examination were randomly divided into control group and experimental group. The control group was treated with routine CTU, where only CT scan was performed on the first day. CTU was added after 3 days. The test group was treated with fractional injection CTU and injected with enhanced scanning agent on the first day. Before and after CT examination, the patients' peripheral blood was collected and the number of γ-H2AX foci in lymphocytes (mononuclear cells) was measured by immunofluorescence, and the differences of DNA damage in these two groups were observed. Results Before and after CT examination, the number of γ-H2AX foci was 0.06±0.02 and 1.06±0.27 in the lymphocytes of control group,0.06±0.03 and 1.42±0.50 in the test group, respectively. Hence, the number of γ-H2AX foci in the test group was increased by 38.14%. Moreover, the change of γ-H2AX foci in these two groups was not influenced by gender, but correlated with ages(between ≤ 50 years old and >50 years old) in control group (t=-4.76, P<0.05) and in test group(t=-8.16, P<0.05). Conclusions The iodine contrast agent can increase DNA damage of CT examination, and therefore the use of iodine contrast agent in CT should be reduced as much as possible in clinical work.
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