title: A case of chronic myeloid leukemia in a diagnostic radiographer.
abstract: BACKGROUND
  Occupational radiation exposure causes certain types of cancer, specifically hematopoietic diseases like leukemia. In Korea, radiation exposure is monitored and recorded by law, and guidelines for compensation of radiation-related diseases were implemented in 2001. However, thus far, no occupation-related disease was approved for compensation under these guidelines. Here, we report the first case of radiation-related disease approved by the compensation committee of the Korea Workers' Compensation and Welfare Service, based on the probability of causation.
  
  
  METHODS
  A 45-year-old man complained of chronic fatigue and myalgia for several days. He was diagnosed with chronic myeloid leukemia. The patient was a diagnostic radiographer at a diagnostic radiation department and was exposed to ionizing radiation for 21 years before chronic myeloid leukemia was diagnosed. His job involved taking simple radiographs, computed tomography scans, and measuring bone marrow density.
  
  
  CONCLUSIONS
  To our knowledge, this is the first approved case report using quantitative assessment of radiation. More approved cases are expected based on objective radiation exposure data and the probability of causation. We need to find a resolution to the ongoing demands for appropriate compensation and improvements to the environment at radiation workplaces.
authors: Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.
authors: Chulyong
authors: C
authors: Park
authors: Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.
authors: Sungyeul
authors: S
authors: Choi
authors: Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.
authors: Dohyung
authors: D
authors: Kim
authors: Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.
authors: Jaechan
authors: J
authors: Park
authors: Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.
authors: Saerom
authors: S
authors: Lee
keywords: Chronic myeloid leukemia; Diagnostic radiation; Occupational diseases; Occupational radiation; Probability of causation; Workers’ compensation
references: Radiat Res. 1995 May;142(2):117-32
references: 7724726
references: J Natl Cancer Inst. 2011 Dec 21;103(24):1827-39
references: 22158127
references: Lancet Oncol. 2002 May;3(5):269-79
references: 12067803
references: Int J Environ Res Public Health. 2013 Jan 14;10(1):314-27
references: 23343985
references: N Engl J Med. 1999 Apr 29;340(17):1330-40
references: 10219069
references: Radiat Res. 1996 Jul;146(1):1-27
references: 8677290
references: Br J Radiol. 2006 May;79(941):383-8
references: 16632618
references: Health Phys. 2008 Jul;95(1):119-47
references: 18545036
references: Leuk Lymphoma. 2013 Jul;54(7):1411-7
references: 23121646
references: BMJ. 2011 Feb 25;342:d947
references: 21355025
references: Radiat Res. 1994 Feb;137(2 Suppl):S68-97
references: 8127953