The Radiation Burden of Radiological Investigations

Overview

Journal Arch Dis Child

Specialty Pediatrics

Date 2007 Nov 23

PMID 18032642

Citations 28

Authors

W Mazrani

K McHugh

P J Marsden

Affiliations

Soon will be listed here.

Abstract

The harmful effects of ionising radiation are widely acknowledged. It has been reported that young children, particularly girls, have a higher sensitivity to radiation than adults. However, the exact detrimental effects of radiation, particularly at the low doses used in routine diagnostic radiography, are unknown and the subject of much controversy. Computed tomography (CT) accounts for about 9% of all radiological examinations but is responsible for 47% of medical radiation dose. Approximately 11% of CT examinations performed are in the paediatric population, but the long-term hazards of CT are unknown.

Citing Articles

MRI contrast agents and retention in the brain: review of contemporary knowledge and recommendations to the future.

Vymazal J, Rulseh A Insights Imaging. 2024; 15(1):179.

PMID: 39060665 PMC: 11282029. DOI: 10.1186/s13244-024-01763-z.

Bone age assessment based on three-dimensional ultrasound and artificial intelligence compared with paediatrician-read radiographic bone age: protocol for a prospective, diagnostic accuracy study.

Chen L, Zeng B, Shen J, Xu J, Cai Z, Su S BMJ Open. 2024; 14(2):e079969.

PMID: 38401893 PMC: 10895244. DOI: 10.1136/bmjopen-2023-079969.

Early Results on the Efficacy of Demineralized Bone Matrix, Bone Morphogenic Protein, and Freeze-dried Bone Chips in Alveolar Cleft Repair.

Marquez J, Sudduth J, DeMay H, Kuo K, Battistini A, Yamashiro D Plast Reconstr Surg Glob Open. 2024; 12(2):e5600.

PMID: 38322815 PMC: 10846763. DOI: 10.1097/GOX.0000000000005600.

Diagnostic accuracy of ultrasound versus X-ray for distal forearm fractures in children and adolescents: a systematic review and meta-analysis.

Delniotis I, Bontinis V, Ktenidis K, Drakonaki E, Galanis N Eur J Trauma Emerg Surg. 2024; 50(6):2649-2662.

PMID: 38300283 DOI: 10.1007/s00068-024-02451-9.

Does occupational radiation exposure affect retinal nerve fiber thickness?.

Koc H, Ozen S Int Ophthalmol. 2023; 43(12):4831-4836.

PMID: 37840074 DOI: 10.1007/s10792-023-02885-x.

References

Westerman B . Radiation dose from Toshiba CT scanners. Pediatr Radiol. 2002; 32(10):735-7; discussion 751-4. DOI: 10.1007/s00247-002-0801-9. View

Tsukamoto E, Ochi S . PET/CT today: system and its impact on cancer diagnosis. Ann Nucl Med. 2006; 20(4):255-67. DOI: 10.1007/BF02984642. View

. The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction. Multidisciplinary conference organized by the Society of Pediatric Radiology. August 18-19, 2001. Pediatr Radiol. 2002; 32(4):217-313. DOI: 10.1007/s00247-002-0665-z. View

Cody D, Moxley D, Krugh K, ODaniel J, Wagner L, Eftekhari F . Strategies for formulating appropriate MDCT techniques when imaging the chest, abdomen, and pelvis in pediatric patients. AJR Am J Roentgenol. 2004; 182(4):849-59. DOI: 10.2214/ajr.182.4.1820849. View

Nakajo M, Shapiro B, Copp J, Kalff V, Gross M, Sisson J . The normal and abnormal distribution of the adrenomedullary imaging agent m-[I-131]iodobenzylguanidine (I-131 MIBG) in man: evaluation by scintigraphy. J Nucl Med. 1983; 24(8):672-82. View

Pierce D, Preston D . Radiation-related cancer risks at low doses among atomic bomb survivors. Radiat Res. 2000; 154(2):178-86. DOI: 10.1667/0033-7587(2000)154[0178:rrcral]2.0.co;2. View

Corbett R, Pinkerton R, Tait D, Meller S . [131I]metaiodobenzylguanidine and high-dose chemotherapy with bone marrow rescue in advanced neuroblastoma. J Nucl Biol Med (1991). 1991; 35(4):228-31. View

Warburg O . On respiratory impairment in cancer cells. Science. 1956; 124(3215):269-70. View

Smergel E, Benson D . Radiation dose on pediatric CT: losing track of time. AJR Am J Roentgenol. 2002; 178(2):507-8. DOI: 10.2214/ajr.178.2.1780507b. View

10.

Hollingsworth C, Frush D, Cross M, Lucaya J . Helical CT of the body: a survey of techniques used for pediatric patients. AJR Am J Roentgenol. 2003; 180(2):401-6. DOI: 10.2214/ajr.180.2.1800401. View

11.

Parisi M, Greene M, Dykes T, Moraldo T, Sandler E, Hattner R . Efficacy of metaiodobenzylguanidine as a scintigraphic agent for the detection of neuroblastoma. Invest Radiol. 1992; 27(10):768-73. DOI: 10.1097/00004424-199210000-00003. View

12.

Slovis T . The ALARA concept in pediatric CT: myth or reality?. Radiology. 2002; 223(1):5-6. DOI: 10.1148/radiol.2231012100. View

13.

Mayo J, Hartman T, Lee K, Primack S, Vedal S, Muller N . CT of the chest: minimal tube current required for good image quality with the least radiation dose. AJR Am J Roentgenol. 1995; 164(3):603-7. DOI: 10.2214/ajr.164.3.7863879. View

14.

Ware D, Huda W, Mergo P, Litwiller A . Radiation effective doses to patients undergoing abdominal CT examinations. Radiology. 1999; 210(3):645-50. DOI: 10.1148/radiology.210.3.r99mr05645. View

15.

van Santen H, de Kraker J, van Eck B, de Vijlder J, Vulsma T . Improved radiation protection of the thyroid gland with thyroxine, methimazole, and potassium iodide during diagnostic and therapeutic use of radiolabeled metaiodobenzylguanidine in children with neuroblastoma. Cancer. 2003; 98(2):389-96. DOI: 10.1002/cncr.11523. View

16.

Gaze M, Wheldon T, ODonoghue J, Hilditch T, McNee S, Simpson E . Multi-modality megatherapy with [131I]meta-iodobenzylguanidine, high dose melphalan and total body irradiation with bone marrow rescue: feasibility study of a new strategy for advanced neuroblastoma. Eur J Cancer. 1995; 31A(2):252-6. DOI: 10.1016/0959-8049(94)e0036-4. View

17.

Som P, Atkins H, Bandoypadhyay D, Fowler J, MacGregor R, Matsui K . A fluorinated glucose analog, 2-fluoro-2-deoxy-D-glucose (F-18): nontoxic tracer for rapid tumor detection. J Nucl Med. 1980; 21(7):670-5. View

18.

Willis C . Computed radiography: a higher dose?. Pediatr Radiol. 2002; 32(10):745-50; discussion 751-4. DOI: 10.1007/s00247-002-0804-6. View

19.

Bhatia S, Robison L, Oberlin O, Greenberg M, Bunin G, Fossati-Bellani F . Breast cancer and other second neoplasms after childhood Hodgkin's disease. N Engl J Med. 1996; 334(12):745-51. DOI: 10.1056/NEJM199603213341201. View

20.

Fox S, Toth T . Dose reduction on GE CT scanners. Pediatr Radiol. 2002; 32(10):718-23; discussion 751-4. DOI: 10.1007/s00247-002-0798-0. View