X-Ray Radiation Risks for Children: What Parents Should Know - Radiology

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Pediatric X-ray radiation concerns?


Hello Doctor, our baby girl fell off the sofa when she was two months old.
She had a skull X-ray (AP and lateral views) and a KUB (Kidneys, Ureters, and Bladder) X-ray.
At ten months old, she had a pelvis X-ray.
I would like to ask how much total radiation dose this amounts to.
Is it too soon to have these X-rays, and could this pose a risk to her future fertility or be related to leukemia? I found online that leukemia is associated with the cumulative radiation dose to the red bone marrow over a lifetime, so I am very worried.
I would appreciate your clarification on this matter.
Thank you.

Jinzhang de jiafu, 30~39 year old female. Ask Date: 2024/03/10

Dr. Wang Yifen reply Radiology


Hello, according to the data from the American Society of Radiologic Technologists, the average radiation dose for women is approximately 0.1 millisieverts for a skull X-ray, 0.7 millisieverts for an abdominal X-ray, and 0.6 millisieverts for a pelvic X-ray.
The annual natural background radiation dose for the population in Taiwan is 1.6 millisieverts.
Diagnostic X-rays are considered low-dose radiation, and these examinations fall within reasonable and safe dose limits, so please rest assured.
Thank you for your attention, and I wish you peace and health.

Reply Date: 2024/03/10

More Info


When it comes to understanding the risks associated with X-ray radiation exposure in children, it is essential for parents to be informed about the potential effects and the context of these medical procedures. X-rays are a valuable diagnostic tool that can help identify injuries or medical conditions, but they do involve exposure to ionizing radiation, which can pose risks, especially in young children whose bodies are still developing.

In your case, your child underwent several X-ray examinations at a very young age. The specific types of X-rays mentioned include a skull X-ray (both anteroposterior and lateral views) and a KUB (Kidneys, Ureters, Bladder) X-ray at two months, followed by a pelvis view at ten months. The radiation doses for these procedures can be estimated based on standard values:
1. Skull X-ray: Approximately 0.1 millisieverts (mSv) per view, so for both views, it would be around 0.2 mSv.

2. KUB X-ray: This typically has a dose of about 0.7 mSv.

3. Pelvis X-ray: The dose for this is approximately 0.6 mSv.

Adding these together, the total estimated radiation dose your child received from these X-ray examinations would be approximately 1.5 mSv.
To put this into perspective, the average background radiation exposure for individuals living in Taiwan is about 1.6 to 2.4 mSv per year. Therefore, the cumulative dose from the X-rays your child received is relatively low and comparable to what she would naturally encounter in her environment over a short period.

Regarding your concerns about long-term health effects, such as fertility issues or leukemia, it is important to note that while children are indeed more sensitive to radiation than adults, the doses from diagnostic X-rays are generally considered low and are unlikely to cause significant harm. The risk of developing cancer from such low doses is minimal. According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are not associated with clinically significant damage.
Leukemia and other cancers are complex diseases influenced by various factors, including genetic predisposition and environmental exposures. The cumulative dose of radiation over a lifetime can contribute to cancer risk, but the doses from routine diagnostic X-rays are typically not high enough to significantly increase this risk.
It is also worth mentioning that medical professionals are trained to minimize radiation exposure, especially in children. They often employ techniques such as using lead aprons to shield sensitive areas and adjusting the X-ray settings to ensure the lowest possible dose is used while still obtaining the necessary diagnostic information.

As a parent, if you have ongoing concerns about your child's health or the necessity of future X-ray examinations, it is advisable to maintain an open dialogue with your healthcare provider. They can provide guidance on the risks and benefits of any proposed imaging studies and discuss alternative diagnostic methods if appropriate.

In summary, while it is natural to worry about the potential effects of radiation exposure, the doses associated with the X-rays your child received are low and within safe limits. Regular monitoring and communication with healthcare professionals will help ensure that any necessary medical imaging is performed judiciously and safely.

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