Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1994 Sep;70(3):531–536. doi: 10.1038/bjc.1994.340

Diagnostic X-ray and ultrasound exposure and risk of childhood cancer.

X O Shu 1, F Jin 1, M S Linet 1, W Zheng 1, J Clemens 1, J Mills 1, Y T Gao 1
PMCID: PMC2033354  PMID: 8080742

Abstract

In a population-based case-control study of 642 childhood cancer cases and the same number of matched controls in Shanghai, China, we evaluated the relationship between diagnostic X-ray (preconception, pre- and post-natal) and antenatal ultrasound exposure and the subsequent risk of developing three major types of childhood cancer (acute leukaemia, lymphoma and brain tumours) and all childhood neoplasms combined. Consistent with previous studies, prenatal X-ray exposure was found to be associated with an 80% increased risk of childhood cancers, although the estimation was based on 4% and 2% exposed cases and controls and was only marginally statistically significant (P = 0.08). Post-natal X-ray exposure was also linked with a small elevation in the risk of all cancers and the major categories of malignancies in children. Little evidence, however, was found to relate parental preconception X-ray exposure with the subsequent cancer risk in offspring, regardless of the exposure window and the anatomical site of X-ray exposures. This study adds further to the growing literature indicating that antenatal ultrasound exposure is probably not associated with an increased risk of childhood cancer.

Full text

PDF
532

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bross I. D., Natarajan N. Risk of leukemia in susceptible children exposed to preconception, in utero and postnatal radiation. Prev Med. 1974 Sep;3(3):361–369. doi: 10.1016/0091-7435(74)90048-6. [DOI] [PubMed] [Google Scholar]
  2. Buckley J. D., Sather H., Ruccione K., Rogers P. C., Haas J. E., Henderson B. E., Hammond G. D. A case-control study of risk factors for hepatoblastoma. A report from the Childrens Cancer Study Group. Cancer. 1989 Sep 1;64(5):1169–1176. doi: 10.1002/1097-0142(19890901)64:5<1169::aid-cncr2820640534>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
  3. Burch P. R., Stewart A. M., Kneale G. W. Prenatal radiation exposure and childhood cancer. Lancet. 1970 Dec 5;2(7684):1189–1190. doi: 10.1016/s0140-6736(70)90376-4. [DOI] [PubMed] [Google Scholar]
  4. Cartwright R. A., McKinney P. A., Hopton P. A., Birch J. M., Hartley A. L., Mann J. R., Waterhouse J. A., Johnston H. E., Draper G. J., Stiller C. Ultrasound examinations in pregnancy and childhood cancer. Lancet. 1984 Nov 3;2(8410):999–1000. doi: 10.1016/s0140-6736(84)91105-x. [DOI] [PubMed] [Google Scholar]
  5. Chicca M., Muzzoli M., Pinamonti S. In vitro production of free oxygen radicals induced by pulsed ultrasounds in whole blood exposed to diagnostical frequencies and intensities. Boll Soc Ital Biol Sper. 1991 Jan;67(1):31–38. [PubMed] [Google Scholar]
  6. Diamond E. L., Schmerler H., Lilienfeld A. M. The relationship of intra-uterine radiation to subsequent mortality and development of leukemia in children. A prospective study. Am J Epidemiol. 1973 May;97(5):283–313. doi: 10.1093/oxfordjournals.aje.a121510. [DOI] [PubMed] [Google Scholar]
  7. Doida Y., Miller M. W., Cox C., Church C. C. Confirmation of an ultrasound-induced mutation in two in-vitro mammalian cell lines. Ultrasound Med Biol. 1990;16(7):699–705. doi: 10.1016/0301-5629(90)90103-j. [DOI] [PubMed] [Google Scholar]
  8. GILES D., HEWITT D., STEWART A., WEBB J. Malignant disease in childhood and diagnostic irradiation in utero. Lancet. 1956 Sep 1;271(6940):447–447. doi: 10.1016/s0140-6736(56)91923-7. [DOI] [PubMed] [Google Scholar]
  9. Gardner M. J., Hall A. J., Downes S., Terrell J. D. Follow up study of children born to mothers resident in Seascale, West Cumbria (birth cohort). Br Med J (Clin Res Ed) 1987 Oct 3;295(6602):822–827. doi: 10.1136/bmj.295.6602.822. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Gardner M. J., Snee M. P., Hall A. J., Powell C. A., Downes S., Terrell J. D. Results of case-control study of leukaemia and lymphoma among young people near Sellafield nuclear plant in West Cumbria. BMJ. 1990 Feb 17;300(6722):423–429. doi: 10.1136/bmj.300.6722.423. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Graham S., Levin M. L., Lilienfeld A. M., Schuman L. M., Gibson R., Dowd J. E., Hempelmann L. Preconception, intrauterine, and postnatal irradiation as related to leukemia. Natl Cancer Inst Monogr. 1966 Jan;19:347–371. [PubMed] [Google Scholar]
  12. Hartley A. L., Birch J. M., McKinney P. A., Teare M. D., Blair V., Carrette J., Mann J. R., Draper G. J., Stiller C. A., Johnston H. E. The Inter-Regional Epidemiological Study of Childhood Cancer (IRESCC): case control study of children with bone and soft tissue sarcomas. Br J Cancer. 1988 Dec;58(6):838–842. doi: 10.1038/bjc.1988.321. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Howe G. R., Burch J. D., Chiarelli A. M., Risch H. A., Choi B. C. An exploratory case-control study of brain tumors in children. Cancer Res. 1989 Aug 1;49(15):4349–4352. [PubMed] [Google Scholar]
  14. Jablon S., Kato H. Studies of the mortality of A-bomb survivors. 5. Radiation dose and mortality, 1950-1970. Radiat Res. 1972 Jun;50(3):649–698. [PubMed] [Google Scholar]
  15. Kaczmarek R. G., Moore R. M., Jr, Keppel K. G., Placek P. J. X-ray examinations during pregnancy: National Natality Surveys, 1963 and 1980. Am J Public Health. 1989 Jan;79(1):75–77. doi: 10.2105/ajph.79.1.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Kinlen L. J. Can paternal preconceptional radiation account for the increase of leukaemia and non-Hodgkin's lymphoma in Seascale? BMJ. 1993 Jun 26;306(6894):1718–1721. doi: 10.1136/bmj.306.6894.1718. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Kinnier Wilson L. M., Waterhouse J. A. Obstetric ultrasound and childhood malignancies. Lancet. 1984 Nov 3;2(8410):997–999. doi: 10.1016/s0140-6736(84)91104-8. [DOI] [PubMed] [Google Scholar]
  18. Miller D. L., Reese J. A., Frazier M. E. Single strand DNA breaks in human leukocytes induced by ultrasound in vitro. Ultrasound Med Biol. 1989;15(8):765–771. doi: 10.1016/0301-5629(89)90117-8. [DOI] [PubMed] [Google Scholar]
  19. Mole R. H. Childhood cancer after prenatal exposure to diagnostic X-ray examinations in Britain. Br J Cancer. 1990 Jul;62(1):152–168. doi: 10.1038/bjc.1990.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Nishi M., Miyake H. A case-control study of non-T cell acute lymphoblastic leukaemia of children in Hokkaido, Japan. J Epidemiol Community Health. 1989 Dec;43(4):352–355. doi: 10.1136/jech.43.4.352. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. STEWART A., WEBB J., HEWITT D. A survey of childhood malignancies. Br Med J. 1958 Jun 28;1(5086):1495–1508. doi: 10.1136/bmj.1.5086.1495. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Shu X. O., Gao Y. T., Brinton L. A., Linet M. S., Tu J. T., Zheng W., Fraumeni J. F., Jr A population-based case-control study of childhood leukemia in Shanghai. Cancer. 1988 Aug 1;62(3):635–644. doi: 10.1002/1097-0142(19880801)62:3<635::aid-cncr2820620332>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  23. Stiller C. A., Draper G. J. Trends in childhood leukaemia in Britain 1968-1978. Br J Cancer. 1982 Apr;45(4):543–551. doi: 10.1038/bjc.1982.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Urquhart J. D., Black R. J., Muirhead M. J., Sharp L., Maxwell M., Eden O. B., Jones D. A. Case-control study of leukaemia and non-Hodgkin's lymphoma in children in Caithness near the Dounreay nuclear installation. BMJ. 1991 Mar 23;302(6778):687–692. doi: 10.1136/bmj.302.6778.687. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Wang J. X., Inskip P. D., Boice J. D., Jr, Li B. X., Zhang J. Y., Fraumeni J. F., Jr Cancer incidence among medical diagnostic X-ray workers in China, 1950 to 1985. Int J Cancer. 1990 May 15;45(5):889–895. doi: 10.1002/ijc.2910450519. [DOI] [PubMed] [Google Scholar]
  26. Yoshimoto Y. Cancer risk among children of atomic bomb survivors. A review of RERF epidemiologic studies. Radiation Effects Research Foundation. JAMA. 1990 Aug 1;264(5):596–600. [PubMed] [Google Scholar]
  27. van Hoff J., Schymura M. J., Curnen M. G. Trends in the incidence of childhood and adolescent cancer in Connecticut, 1935-1979. Med Pediatr Oncol. 1988;16(2):78–87. doi: 10.1002/mpo.2950160203. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES