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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 machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.058
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.026
Threshold uncertainty score0.086

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.058
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0020.002
Science and technology studies0.0020.002
Scholarly communication0.0020.005
Open science0.0040.001
Research integrity0.0230.020
Insufficient payload (model declined to judge)0.0260.010

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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