Estimation of radiation disability weights for transgender patients enables quantitative justification of radiological procedures

Kotre, John ORCID logo ORCID: https://orcid.org/0000-0002-1890-1160 (2025) Estimation of radiation disability weights for transgender patients enables quantitative justification of radiological procedures. British Journal of Radiology . Full text not available from this repository.

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Official URL: https://doi.org/10.1093/bjr/tqaf284

Abstract

Objectives: By expressing radiation detriment in terms of disability-weighted life years (DALY) it is possible to quantify the balance between medical benefit and radiation detriment for medical exposures. This method is applied to a representative transgender population.

Methods: The lifetime DALY detriment with age at acute radiation exposure to a unit 1 Sv is calculated for a range of transgender combinations of organs and ages at transition, and the results are fitted to a simple model. When scaled by effective dose, the rates of change of the fits are equivalent to disability weights as used in the calculation of DALY.

Results: The radiation disability weights vary slightly with organ combinations and age at transition for transgender populations, but are generally less that the radiation disability weights established for males and females.

Conclusions: The radiation detriment to the transgender population from medical exposures is generally slightly less than that for male and female populations.

Advances in knowledge: In general the ratios of benefit to detriment for transgender patients undergoing radiological procedures are large, and not significantly different from those for male and female patients.

Item Type: Article
Journal / Publication Title: British Journal of Radiology
Publisher: British Institute of Radiology / Oxford University Press
ISSN: 1748-880X
Departments: Institute of Health > Medical Sciences
Additional Information: (Colin) John Kotre, Visiting Research Fellow, Institute of Health, University of Cumbria, UK.
Depositing User: Anna Lupton
Date Deposited: 24 Nov 2025 10:49
Last Modified: 24 Nov 2025 10:49
URI: https://insight.cumbria.ac.uk/id/eprint/9210
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