Research summary, case report or series, 1998

Is brain cancer an occupational disease of cardiologists?

Finkelstein MM. The Canadian journal of cardiology. 1998

Read the original paper

In plain language

Two Toronto cardiologists diagnosed with brain tumours in 1997 formed a statistically unusual cluster. The author judged a link to occupational radiation plausible but unproven, noted chance could explain it, and reminded physicians to practise radiation safety during fluoroscopy.

At a glance

Type of study
Case report or series
Who was studied
Interventional cardiologists
Size
n = 2 cardiologists with brain tumours
Where
Canada
Summary based on
the abstract

What it found

  • Two brain tumour diagnoses among Toronto cardiologists in 1997 were judged a statistically unusual event, or cluster.

    Key figures: 2 cases

  • A link to occupational radiation is biologically plausible, but risk assessment suggests such an effect would be unlikely to be observable in so small a population.

  • Possible explanations include chance occurrence with no common cause, or radiation exposure.

  • The author concludes that brain tumour initiation during cardiac fluoroscopy is plausible and reminds physicians to practise radiation safety.

  • In the author's view, diagnosis of two additional brain tumours in Canadian interventional cardiologists during the past 10 years would confirm occupational causation; the author invites case reports.

    Key figures: two additional brain tumours during the past 10 years

Limits to keep in mind

Based on only two cases with no individual exposure data or comparison group; the analysis is an expected-occurrence calculation plus literature review, so chance cannot be excluded and causation cannot be established.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.