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Randomized Controlled Trial
. 2011 Feb 23;305(8):808-13.
doi: 10.1001/jama.2011.186.

Effects of cell phone radiofrequency signal exposure on brain glucose metabolism

Affiliations
Randomized Controlled Trial

Effects of cell phone radiofrequency signal exposure on brain glucose metabolism

Nora D Volkow et al. JAMA. .

Abstract

Context: The dramatic increase in use of cellular telephones has generated concern about possible negative effects of radiofrequency signals delivered to the brain. However, whether acute cell phone exposure affects the human brain is unclear.

Objective: To evaluate if acute cell phone exposure affects brain glucose metabolism, a marker of brain activity.

Design, setting, and participants: Randomized crossover study conducted between January 1 and December 31, 2009, at a single US laboratory among 47 healthy participants recruited from the community. Cell phones were placed on the left and right ears and positron emission tomography with ((18)F)fluorodeoxyglucose injection was used to measure brain glucose metabolism twice, once with the right cell phone activated (sound muted) for 50 minutes ("on" condition) and once with both cell phones deactivated ("off" condition). Statistical parametric mapping was used to compare metabolism between on and off conditions using paired t tests, and Pearson linear correlations were used to verify the association of metabolism and estimated amplitude of radiofrequency-modulated electromagnetic waves emitted by the cell phone. Clusters with at least 1000 voxels (volume >8 cm(3)) and P < .05 (corrected for multiple comparisons) were considered significant.

Main outcome measure: Brain glucose metabolism computed as absolute metabolism (μmol/100 g per minute) and as normalized metabolism (region/whole brain).

Results: Whole-brain metabolism did not differ between on and off conditions. In contrast, metabolism in the region closest to the antenna (orbitofrontal cortex and temporal pole) was significantly higher for on than off conditions (35.7 vs 33.3 μmol/100 g per minute; mean difference, 2.4 [95% confidence interval, 0.67-4.2]; P = .004). The increases were significantly correlated with the estimated electromagnetic field amplitudes both for absolute metabolism (R = 0.95, P < .001) and normalized metabolism (R = 0.89; P < .001).

Conclusions: In healthy participants and compared with no exposure, 50-minute cell phone exposure was associated with increased brain glucose metabolism in the region closest to the antenna. This finding is of unknown clinical significance.

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Conflict of interest statement

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

Figures

Figure 1
Figure 1. Amplitude of the Electric Field Emitted by the Right Cellular Telephone Antenna Rendered on the Surface of the Human Brain
E0 indicates maximal field value. Clusters proximal to the antenna are inferior to the red dashed line. Images created using the freeware Computerized Anatomical Reconstruction and Editing Toolkit (CARET) version 5.0 (http://brainvis.wustl.edu/wiki/index.php/Caret:About).
Figure 2
Figure 2. Brain Glucose Metabolic Images Showing Axial Planes at the Level of the Orbitofrontal Cortex
Images are from a single participant representative of the study population. Glucose metabolism in right orbitofrontal cortex (arrowhead) was higher for the “on” than for the “off” condition (see “Methods” for description of conditions).
Figure 3
Figure 3. Measures of Absolute and Normalized Glucose Metabolism and Correlation Between Estimated Electromagnetic Field Amplitudes and Increases in Measures (N = 47 Participants)
A and B, Mean measures of absolute glucose metabolism (µmol/100 g per minute) and normalized glucose metabolism (region/whole brain; units cancel) in regions with increased metabolism during “on” vs “off” conditions (see “Methods” for description of conditions) in the brain area within the spherical constraint, E0/2 < E (r) < E0 (where E0 indicates maximal field value and E (r) indicates amplitude of the theoretical electromagnetic field) and the E(r) emitted by the antenna of the right cellular telephone. Absolute = 40 clusters; 2000 voxels were activated within searching volume and grouped into clusters of 50 voxels each; normalized = 48 clusters; 2400 voxels were activated within searching volume and grouped into clusters of 50 voxels each. Range of variability (95% confidence interval [CI]): 9–21 µmol/100 g per minute (panel A) and 0.29–0.57 (panel B). C and D, Regression lines between cell phone–related increases in absolute and normalized glucose metabolism (both expressed as % change from the off condition) in brain regions within the spherical constraint, E0/2 < E (r) < E0, and the theoretical electric field, E (r), emitted by the antenna of the right cell phone. Increases significantly correlated with estimated electromagnetic field amplitudes (absolute: R = 0.95, P < .001; normalized: R = 0.89, P < .001). Data markers indicate mean metabolic measures; error bars, 95% CIs. Linear regression lines were fitted to the data using Interactive Data Language version 6.0.

Comment in

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