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18F-FDG PET/CT Did Not Increase the Risk of Cataract Occurrence in Oncology Patients: A Nationwide Population-Based Cohort Study

Author

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  • Kai-Lun Cheng

    (Department of Veterinary Medicine, National Chung Hsing University, 250 Kuo Kuang Road, Taichung 40227, Taiwan
    Department of Medical Imaging, Chung Shan Medical University Hospital, 110 Jianguo North Road, Taichung 40201, Taiwan
    School of Medical Imaging and Radiological Sciences, Chung Shan Medical University, 110 Jianguo North Road, Taichung 40201, Taiwan)

  • Jing-Yang Huang

    (Center for Health Data Science, Chung Shan Medical University Hospital, 110 Jianguo North Road, Taichung 40201, Taiwan
    Institute of Medicine, College of Medicine, Chung Shan Medical University, 110 Jianguo North Road, Taichung 40201, Taiwan)

  • Jui-Hung Weng

    (Department of Nuclear Medicine, Chung Shan Medical University Hospital, 110 Jianguo North Road, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, 110 Jianguo North Road, Taichung 40201, Taiwan)

  • Jeng-Yuan Chiou

    (School of Health Policy and Management, Chung Shan Medical University, 110 Jianguo North Road, Taichung 40201, Taiwan)

  • Chyn-Tair Lan

    (Department of Anatomy, Faculty of Medicine, Chung Shan Medical University, 110 Jianguo North Road, Taichung 40201, Taiwan)

  • Kwong-Chung Tung

    (Department of Veterinary Medicine, National Chung Hsing University, 250 Kuo Kuang Road, Taichung 40227, Taiwan)

Abstract

This study aimed to evaluate the risk of cataract formation associated with radiation exposure from 18F-FDG PET/CT in oncology patients, using data from Taiwan’s National Health Insurance Research Database. The exposed group (Group E) consisted of oncology patients receiving 18F-FDG PET/CT within the first year of a cancer diagnosis. The comparison group (Group C) included subjects who had never been exposed to 18F-FDG PET/CT radiation and were propensity score-matched by date of enrolment, age, sex, cancer type, associated comorbidities, and CT utilization. Multiple Cox proportional hazard regression analysis was used to estimate the hazard ratio (HR) of cataract risk due to radiation exposure, while adjusting for potential confounding factors. A total of 703 patients and 1406 matched subjects were in Groups E and C, respectively. The incidence of cataract formation was not significantly higher among subjects in Group E (adjusted HR = 1.264; 95% confidence interval [CI] = 0.845–1.891). Our results revealed that 18F-FDG PET/CT was not a significant risk factor for developing cataracts in oncology patients.

Suggested Citation

  • Kai-Lun Cheng & Jing-Yang Huang & Jui-Hung Weng & Jeng-Yuan Chiou & Chyn-Tair Lan & Kwong-Chung Tung, 2022. "18F-FDG PET/CT Did Not Increase the Risk of Cataract Occurrence in Oncology Patients: A Nationwide Population-Based Cohort Study," IJERPH, MDPI, vol. 19(13), pages 1-10, June.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7651-:d:845381
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    References listed on IDEAS

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    1. Klein, B.E.K. & Klein, R. & Linton, K.L.P. & Franke, T., 1993. "Diagnostic x-ray exposure and lens opacities: The Beaver Dam Eye Study," American Journal of Public Health, American Public Health Association, vol. 83(4), pages 588-590.
    2. Hourihan, F. & Mitchell, P. & Cumming, R.G., 1999. "Possible associations between computed tomography scan and cataract: The blue mountains eye study," American Journal of Public Health, American Public Health Association, vol. 89(12), pages 1864-1866.
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