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Record W2127440769 · doi:10.1136/eb-2012-101037

A small but real risk of cancer in children from undergoing CT

2012· letter· en· W2127440769 on OpenAlexaff
Mathew Mercuri, Andrew J. Einstein

Bibliographic record

VenueEvidence-Based Medicine · 2012
Typeletter
Languageen
FieldMedicine
TopicRadiation Dose and Imaging
Canadian institutionsMcMaster University
Fundersnot available
KeywordsWeb of scienceMedicineMedical radiationNuclear medicineRadiation exposureEpidemiologyInternal medicineMedical physics

Abstract

fetched live from OpenAlex

Commentary on: Pearce MS, Salotti JA, Little MP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 2012;380:499–505.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Use of ionising radiation in medical imaging has grown in recent decades. In some populations, its cumulative radiation dose approaches that from all other sources combined. This radiation burden has led to concerns about cancers caused by medical imaging. However, imaging studies expose patients to considerably lower radiation doses, and different types of radiation, than those received by most individuals in populations where we have epidemiological evidence of cancer, such as atomic bomb survivors. This gap in the evidence base has led to the controversy regarding whether radiation from medical imaging is indeed harmful. A recent study by Pearce and colleagues provides epidemiological evidence that radiation … [1]: {openurl}?query=rft.jtitle%253DLancet%26rft.stitle%253DLancet%26rft.aulast%253DPearce%26rft.auinit1%253DM.%2BS.%26rft.volume%253D380%26rft.issue%253D9840%26rft.spage%253D499%26rft.epage%253D505%26rft.atitle%253DRadiation%2Bexposure%2Bfrom%2BCT%2Bscans%2Bin%2Bchildhood%2Band%2Bsubsequent%2Brisk%2Bof%2Bleukaemia%2Band%2Bbrain%2Btumours%253A%2Ba%2Bretrospective%2Bcohort%2Bstudy.%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS0140-6736%252812%252960815-0%26rft_id%253Dinfo%253Apmid%252F22681860%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1016/S0140-6736(12)60815-0&link_type=DOI [3]: /lookup/external-ref?access_num=22681860&link_type=MED&atom=%2Febmed%2F18%2F4%2F158.atom [4]: /lookup/external-ref?access_num=000307109000031&link_type=ISI

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmano category
Domain: not available · Genre: Empirical
About the Canadian research system: no · About a Canadian topic: no
Observationallow
gptno category
Domain: not available · Genre: Commentary
About the Canadian research system: no · About a Canadian topic: no
Not applicablehigh
models splitAgreement compares identical category sets and study designs across arms.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.163
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.305
Teacher spread0.257 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Labeled directly by 2 models reading the full record.

The models applied no category: nothing in the taxonomy fit this work.

The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.

Study designObservational · Not applicable
Domainnot available
GenreEmpirical · Commentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2012
Admission routes1
Has abstractyes

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