Lack of association between occupational radiation exposure and thyroid nodules in healthcare personnel

Int Arch Occup Environ Health. 2003 Sep;76(7):529-32. doi: 10.1007/s00420-003-0443-8. Epub 2003 Jul 8.

Abstract

Objectives: To investigate whether healthcare workers routinely exposed to low-level ionizing radiation have a higher prevalence of thyroid nodularity.

Methods: Presence of thyroid nodularity, as assessed by 10-MHz neck ultrasonography, was compared with accumulated radiation doses of 579 exposed university hospital workers (M:F 350:229) obliged to wear a personal dosimeter.

Results: Nodules were detected in 141/579 (24.3%) subjects. Mean accumulated dose was not different among subjects with and without nodules (14.19+/-28.00 mSv vs 17.71+/-32.89 mSv; P=0.12). Duration of occupational exposure (<10 years vs 10-19 years vs >or=20 years) did not affect prevalence of nodularity. At multivariate analysis, only female gender and age were significant risk factors.

Conclusions: Mildly exposed health workers do not appear to incur any excess risk of thyroid nodularity.

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Exposure*
  • Personnel, Hospital
  • Radiation Dosage
  • Radiation Effects
  • Radiation, Ionizing*
  • Thyroid Nodule / epidemiology
  • Thyroid Nodule / etiology*