Concerns About Radiation Exposure from Multiple X-rays in Young Children - Radiology

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The child's crying and fussing during the X-ray caused the images to be blurred?


Hello, doctor.
I recently took my 2-year-old child to the clinic due to abdominal pain, and the physician requested an X-ray.
During the procedure, my child was crying continuously, and the radiologic technologist mentioned that the images were blurry and requested a retake.
As a result, we had to retake the X-ray about three times within 10 minutes due to persistent blurriness.
Additionally, my child had another X-ray taken two weeks ago at the physician's request.
Does this mean that my child underwent X-ray imaging four times in a very short period? I have heard that adults should not have more than two X-rays in a year.
Is my child at risk of excessive radiation exposure? If so, are there any remedial measures? Also, is the radiation exposure from flying on an airplane greater than that from a single X-ray? Is it safe for infants and toddlers to fly? Thank you! I am a very concerned new mother.

Ying Ma, 30~39 year old female. Ask Date: 2014/03/20

Dr. Yang Jinghua reply Radiology


Dear Ms.
Ying,
Based on the description, this situation falls within the permissible scope of regulations and medical practices.
The principle for the use of X-rays (ionizing radiation) is to minimize exposure as much as possible.
Young children, due to their continuous growth, have tissues that are relatively more susceptible to the effects of ionizing radiation.
Such examinations do not result in clear cellular damage.
Current academic recommendations suggest retaining records of radiation exposure whenever possible.
According to the Atomic Energy Commission, the general reference value for non-occupational exposure is an annual limit of 1 millisievert for the general public, while a standard chest X-ray typically ranges from 0.01 to 0.1 millisieverts.
However, medical examinations are not regulated in the same way.
When flying, cosmic radiation at high altitudes is significantly higher than that at ground level, resulting in increased natural exposure.
Nevertheless, there are no recorded cases of radiation harm due to air travel.
Wishing your baby a healthy growth and your family harmony and well-being.
Sincerely,
Yang Ching-Hua
Department of Radiology, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2014/03/20

More Info


As a concerned parent, it's completely understandable to worry about the potential health risks associated with radiation exposure from multiple X-ray examinations, especially in young children. Let's address your concerns systematically.


Radiation Exposure from X-rays
1. Understanding X-ray Radiation: 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 standard X-ray is relatively low. For instance, a single chest X-ray typically exposes a person to about 0.1 mSv (millisieverts), while an abdominal X-ray can be around 0.7 mSv.

2. Cumulative Exposure: In your case, if your child underwent multiple X-rays in a short period, it is important to consider the cumulative dose. If your child had an X-ray for abdominal pain and then had to repeat it multiple times due to motion blur, the total exposure could be higher than a single X-ray. However, even with several X-rays, the total radiation dose is still likely to be within a safe range. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are unlikely to cause any significant health effects, including cancer risk.

3. Children's Sensitivity: It is true that children are more sensitive to radiation than adults because their cells are rapidly dividing. However, the risk of developing cancer from medical imaging is still very low, especially when the imaging is necessary for diagnosis and treatment. The benefits of obtaining critical medical information often outweigh the risks associated with radiation exposure.


Concerns About Overexposure
1. Frequency of X-rays: While it is generally advised that adults limit their X-ray exposure to a few times a year, children may require more frequent imaging depending on their medical needs. The key is to ensure that each X-ray is clinically justified. If your child's doctor recommended the X-rays based on medical necessity, it is likely that the benefits of the imaging outweighed the risks.

2. Remedial Measures: There are no specific "remedial measures" for radiation exposure after the fact, as the body does not retain radiation. However, it is always advisable to keep a record of your child's imaging history and discuss any concerns with your pediatrician or a radiologist. They can help assess whether further imaging is necessary in the future.


Air Travel and Radiation Exposure
1. Radiation from Flying: When it comes to air travel, it is important to note that passengers are exposed to higher levels of cosmic radiation at cruising altitudes. A round-trip flight from the East Coast to Asia can expose a person to about 0.05 to 0.1 mSv of radiation, which is comparable to or even less than a single chest X-ray. Therefore, flying does contribute to radiation exposure, but it is generally considered safe.

2. Flying with Infants: Infants and young children can safely fly, provided they are healthy and the flight is necessary. It is advisable to consult with your pediatrician before traveling, especially if your child has any underlying health conditions.


Conclusion
In summary, while multiple X-rays can increase radiation exposure, the doses involved in standard diagnostic imaging are low and typically considered safe, especially when the imaging is necessary for proper medical care. It is essential to maintain open communication with your child's healthcare providers regarding any concerns about imaging and to ensure that all procedures are justified. If you have ongoing concerns, consider seeking a second opinion or discussing your child's imaging history with a pediatric radiologist. Your child's health and well-being are paramount, and addressing these concerns with professionals can provide peace of mind.

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