Abstract: Objective To explore correlation between CT radiation dose and the number of gamma?H2AX (phosphorylated form of H2AX histone variant) foci in human peripheral blood mononuclear cells (PBMC)by usingγ?H2AX?based immunofluorescent assay. Methods 64 volunteers received phlebotomy for peripheral blood samples from cubital vein. Based on CT dose,a total of 16 groups of blood samples were used for in?vitro CT radiation (n=4 samples each). We measured the expression of PBMC γ?H2AX. Fluorescence microscopy was used for countingγ?H2AX foci. Results After in?vitro CT radiation,there was a significant increase in human PBMCγ?H2AX foci which was in positive linear correlation with the CT dose?length product(DLP)(R2=0.9357,P<0.05). Conclusion γ?H2AX quantitatively reflects CT radiation?induced peripheral blood DNA damage,which is justified for widespread use as a biomarker for low?dose ionizing radiation.