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International Journal of Toxicology
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Primary DNA Damage Assessed With the Comet Assay and Comparison to the Absorbed Dose of Diagnostic X-rays in Children

Durdica Milkovic
Vera Garaj-Vrhovac
Mária Ranogajec-Komor
Saveta Miljanic
Goran Gajski
Zeljka Knezevic
Natko Beck

From the Children’s Hospital Srebrnjak, Zagreb, Croatia (DM, NB); Institute for Medical Research and Occupational Health, Zagreb, Croatia (VG-V, GG); Ruder Boskovic Institute, Zagreb, Croatia (MR-K, SM, ZK).

Correspondence: Vera Garaj-Vrhovac, Institute for Medical Research and Occupational Health, Mutagenesis Unit, Ksaverska cesta 2, 10000 Zagreb, Croatia; e-mail: vgaraj{at}imi.hr.

The aim of this work is to assess DNA damage in peripheral blood lymphocytes of children prior to and following airway X-ray examinations of the chest using the alkaline comet assay and to compare data with the measured absorbed dose. Twenty children with pulmonary diseases, between the ages of 5 and 14 years, are assessed. Absorbed dose measurements are conducted for posterior–anterior projection on the forehead, thyroid gland, gonads, chest, and back. Doses are measured using thermoluminescent and radiophotoluminescent dosimetry systems. Differences between tail lengths, tail intensity, and tail moments as well as for the long-tailed nuclei before and after exposures are statistically significant and are dependent on the individual. The results demonstrate the usefulness of the comet assay as a measure of X-ray damage to lymphocytes in a clinical setting. Doses measured with both dosimeters show satisfactory agreement (0.01 mSv) and are suitable for dosimetric measurements in X-ray diagnostics.

Key Words: X-ray dosimetry • DNA damage • human peripheral blood lymphocytes • alkaline comet assay • ALARA

International Journal of Toxicology, Vol. 28, No. 5, 405-416 (2009)
DOI: 10.1177/1091581809344775


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