Is X-ray Safe for My Toddler? Risks and Concerns - Pediatrics

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X-ray examination for children?


Hello, doctor.
My child is currently 1 year and 4 months old.
He had a fever previously, which came and went, and we took him to the emergency room of a large hospital twice.
Both times, he had a chest X-ray (the second one was taken 14 days after the first).
I would like to know if this will affect my child's development since he is still growing.
Is there a risk of cancer from these X-rays? (A very worried mother) Thank you!

Zhang Xiaojie, 30~39 year old female. Ask Date: 2020/05/27

Dr. Xiao Kaiwen reply Pediatrics


With the advancements in medical technology, the amount of radiation exposure from a standard X-ray is very low, and undergoing two standard X-rays does not have any adverse effects on the body.
In fact, we are exposed to natural background radiation every day, so there is no need for excessive concern.

Reply Date: 2020/05/27

More Info


When it comes to the safety of X-rays for toddlers, it's understandable for parents to have concerns, especially regarding potential long-term effects such as cancer risk. Let's break down the situation based on current medical knowledge and guidelines.

Firstly, X-rays are a form of ionizing radiation, which means they have enough energy to remove tightly bound electrons from atoms, potentially causing cellular damage. However, the amount of radiation exposure from a single X-ray is relatively low. For instance, a chest X-ray typically exposes a person to about 0.1 millisieverts (mSv) of radiation, which is a fraction of the natural background radiation we are exposed to in our environment over time.

In the case of your toddler, the two chest X-rays taken 14 days apart would have resulted in a cumulative exposure of approximately 0.2 mSv. According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are not associated with any clinically significant health effects, including cancer. In fact, the risk of developing cancer from such low doses is considered to be extremely small, especially in the context of the benefits that X-rays provide in diagnosing and treating medical conditions.

Children are indeed more sensitive to radiation than adults due to their developing tissues and longer life expectancy, which gives more time for potential radiation-induced effects to manifest. However, the medical community emphasizes that the benefits of necessary imaging, such as diagnosing pneumonia or other serious conditions, far outweigh the risks associated with the radiation exposure from X-rays. In emergency situations, such as when a child is experiencing severe symptoms, the immediate need for accurate diagnosis often necessitates the use of X-rays.

It's also worth noting that healthcare providers are trained to minimize radiation exposure, especially in pediatric patients. Techniques such as using lower doses of radiation, limiting the number of X-rays taken, and employing protective measures (like lead aprons) are standard practices. Additionally, if a child requires multiple imaging studies, radiologists often assess the necessity of each procedure to ensure that the benefits justify the risks.

If you have ongoing concerns about your child's exposure to X-rays, it is always a good idea to discuss these with your pediatrician or the radiologist. They can provide reassurance and explain the rationale behind the imaging decisions made during your child's care. Keeping a record of your child's imaging history can also be helpful for future medical consultations.

In summary, while it is natural to worry about the effects of radiation exposure on a developing child, the risk associated with the X-rays your toddler received is minimal compared to the potential benefits of accurate diagnosis and treatment. Always feel empowered to ask your healthcare providers about the necessity of imaging studies and the safety measures in place to protect your child's health.

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