Evidence map›Paper›PMID 38760836›Full record

ArticleItalian journal of pediatrics2024

The burden of radiation exposure in congenital heart disease: the Italian cohort profile and bioresource collection in HARMONIC project.

Jonica Campolo, Giuseppe Annoni, Gabriele Vignati, Alessio Peretti, Marco Papa, Paola Enrica Colombo, Gaia Muti, Marina Parolini, Andrea Borghini, Marzia Giaccardi and 3 more

Abstract read
In one paragraph

Article in Italian journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Decreasing radiation exposure in interventional pediatric cardiology: a 10-year European single-center analysis of 3683 procedures.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jonica CampoloCNR Institute of Clinical Physiology, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy. jonica.campolo@cnr.it.ORCID http://orcid.org/0000-0002-1711-6216
Giuseppe AnnoniPediatric Cardiology, Regina Margherita Children's Hospital, Turin, Italy.
Gabriele VignatiPediatric Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Alessio PerettiPediatric Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Marco PapaPediatric Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Paola Enrica ColomboMedical Physics, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Gaia MutiMedical Physics, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Marina ParoliniCNR Institute of Clinical Physiology, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.
Andrea BorghiniCNR Institute of Clinical Physiology, Pisa, Italy.
Marzia GiaccardiDepartment of Internal Medicine, Electrophysiology Unit, Santa Maria Annunziata Hospital, Florence, Italy.
Lamia Ait-AlìCNR Institute of Clinical Physiology, Pisa, Italy.
Eugenio PicanoCNR Institute of Clinical Physiology, Pisa, Italy.
Maria Grazia AndreassiCNR Institute of Clinical Physiology, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe European-funded Health Effects of Cardiac Fluoroscopy and Modern Radiotherapy in Pediatrics (HARMONIC) project aims to improve knowledge on the effects of medical exposure to ionizing radiation (IR) received during childhood. One of its objectives is to build a consolidated European cohort of pediatric patients who have undergone cardiac catheterization (Cath) procedures, with the goal of enhancing the assessment of long-term radiation-associated cancer risk. The purpose of our study is to provide a detailed description of the Italian cohort contributing to the HARMONIC project, including an analysis of cumulative IR exposure, reduction trend over the years and an overview of the prospective collection of biological samples for research in this vulnerable population.

methodsIn a single-center retrospective cohort study, a total of 584 patients (323 males) with a median age of 6 (2-13) years, referred at the Pediatric Cardiology in Niguarda Hospital from January 2015 to October 2023, were included. Biological specimens from a subset of 60 patients were prospectively collected for biobanking at baseline, immediately post-procedure and after 12 months.

resultsTwo hundred fifty-nine (44%) patients were under 1 year old at their first procedure. The median KAP/weight was 0.09 Gy·cm

conclusionsIn the Italian Harmonic cohort, radiation dose in cardiac catheterization varies by age and procedure type. An institution's radiological protection strategy has contributed to a reduction in radiation dose over time. Biological samples provide a valuable resource for future research, offering an opportunity to identify potential early biomarkers for health surveillance and personalized risk assessment.

Indexed as

Cardiac CatheterizationHeart Defects, CongenitalRadiation ExposureAdolescentChildChild, PreschoolCohort StudiesFemaleFluoroscopyHumansItalyMaleRadiation DosageRetrospective StudiesCardiac catheterizationCongenital heart diseaseIonizing radiation

Identifiers

PMID38760836
PMCPMC11102118

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.