Concerns About Radiation Exposure from X-rays in Infants - Radiology

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Concerns about radiation exposure from X-rays in infants?


Hello Dr.
Wang: My baby is 4 and a half months old and needs to have a bone age assessment due to some tests.
During the procedure, my baby had difficulty controlling their hand, so we ended up taking 6 consecutive X-rays without any protective clothing.
I would like to know if this level of radiation exposure could affect my baby's development or health.
Thank you.

Diana, 30~39 year old female. Ask Date: 2018/07/12

Dr. Wang Yifen reply Radiology


The radiation dose from six X-rays of the limbs is approximately 0.006 millisieverts.
According to the International Commission on Radiological Protection (ICRP) report 103, doses below 100 millisieverts (whether received in a single exposure or multiple exposures) are not expected to cause clinical functional impairment.
However, due to children's increased sensitivity to radiation, it is recommended to document their radiation exposure history and to have a thorough discussion with the physician about the necessity of the X-ray examination before proceeding.

Reply Date: 2018/07/12

More Info


When it comes to concerns about radiation exposure from X-rays in infants, it's essential to understand both the nature of the radiation involved and the potential risks associated with it. X-rays are a form of ionizing radiation, which means they have enough energy to remove tightly bound electrons from atoms, potentially leading to cellular damage. However, the amount of radiation exposure from a single X-ray is relatively low, especially when compared to the natural background radiation that we are exposed to daily.

In your case, your infant underwent six X-ray examinations in a short period. While this may sound alarming, it's important to contextualize the radiation dose involved. For instance, a typical X-ray of a hand or wrist (which is often used to assess bone age) delivers a dose of approximately 0.01 to 0.1 millisieverts (mSv). In comparison, the average person is exposed to about 3 mSv of natural background radiation each year. Therefore, even though six X-rays may seem excessive, the cumulative dose is still likely to be within a safe range, especially when considering that diagnostic X-rays are designed to minimize exposure while providing necessary medical information.

The sensitivity of infants to radiation is indeed higher than that of adults due to their developing tissues and longer life expectancy, which increases the potential for long-term effects. However, the risk of significant harm from the doses typically associated with diagnostic X-rays is considered low. According to the American College of Radiology and the Radiological Society of North America, the benefits of obtaining necessary medical imaging often outweigh the risks of radiation exposure, particularly when the imaging is essential for diagnosis and treatment.

Regarding your specific concerns about the potential impact on your child's development or health, research indicates that while there is a theoretical risk of increased cancer risk from radiation exposure, the actual risk from the relatively low doses associated with diagnostic X-rays is minimal. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are unlikely to cause any observable health effects, including cancer.
As for protective measures, while lead aprons are commonly used in adult X-ray procedures, they are not always practical or necessary for infants, especially for localized imaging like a hand or wrist. The radiation dose from these types of X-rays is low enough that the benefits of obtaining the necessary diagnostic information typically outweigh the risks.

In terms of dietary considerations, there is no specific food that can "flush out" radiation from the body, as X-ray radiation does not remain in the body after exposure. However, maintaining a healthy diet rich in antioxidants (found in fruits and vegetables) can support overall health and may help the body repair any minor cellular damage.

In conclusion, while it's natural to be concerned about radiation exposure, the doses involved in your child's X-ray examinations are likely within safe limits, and the benefits of the imaging for medical diagnosis and treatment typically outweigh the risks. If you have ongoing concerns, it may be beneficial to discuss them with your child's pediatrician, who can provide personalized guidance based on your child's health needs.

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