Thyroid Function in Health Care Workers Exposed to Ionizing Radiation

Health Phys. 2019 Oct;117(4):403-407. doi: 10.1097/HP.0000000000001071.

Abstract

Objectives: To analyze possible alterations of thyroid function related to dosimetric values in health care workers exposed to ionizing radiation.

Materials and methods: Forty-six health care workers exposed to ionizing radiation at a tertiary hospital previously exposed to ionizing radiation were included in the study. Age, sex, history of thyroid diseases, thyroid hormones, work post, service, dosimetric values of previous year, and 5 y period were considered. Alterations of thyroid function and other variables were analyzed by exact logistic regression univariate model.

Results: 7.1% workers showed an increased serum thyroid-stimulating hormone without free T3 or free T4 alteration. A significant relationship between workers with increased thyroid-stimulating hormone and dosimetric values of previous year (odds ratio 6.35, 95% confidence interval 1.20-98.1, p = 0.021) and previous 5 y period of radiation exposure (odds ratio 1.72, 95% confidence interval 1.12-3.34, p = 0.007) was obtained.

Conclusion: An increased risk of subclinical hypothyroidism related to radiation doses was observed in this pilot study on a group of health care workers exposed to ionizing radiation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Health Personnel / statistics & numerical data*
  • Humans
  • Male
  • Occupational Exposure / analysis*
  • Pilot Projects
  • Radiation Exposure / analysis*
  • Radiation Monitoring / methods*
  • Radiation, Ionizing*
  • Retrospective Studies
  • Risk Assessment / methods*
  • Thyroid Function Tests
  • Thyroid Gland / physiology*
  • Thyroid Gland / radiation effects