The cumulative radiation dose paradigm in pediatric imaging.

Journal Article (Journal Article;Review)

Medical imaging professionals have an accountability for both quality and safety in the care of patients that have unexpected or anticipated repeated imaging examinations that use ionizing radiation. One measure in the safety realm for repeated imaging is cumulative effective dose (CED). CED has been increasingly scrutinized in patient populations, including adults and children. Recognizing the challenges with effective dose, including the cumulative nature, effective dose is still the most prevalent exposure currency for recurrent imaging examinations. While the responsibility for dose monitoring incorporates an element of tracking an individual patient cumulative radiation record, a more complex aspect is what should be done with this information. This challenge also differs between the pediatric and adult population, including the fact that high cumulative doses (e.g.,>100 mSv) are reported to occur much less frequently in children than in the adult population. It is worthwhile, then, to review the general construct of CED, including the comparison between the relative percentage occurrence in adult and pediatric populations, the relevant pediatric medical settings in which high CED occurs, the advances in medical care that may affect CED determinations in the future, and offer proposals for the application of the CED paradigm, considering the unique aspects of pediatric care.

Full Text

Duke Authors

Cited Authors

  • Frush, D

Published Date

  • October 1, 2021

Published In

Volume / Issue

  • 94 / 1126

Start / End Page

  • 20210478 -

PubMed ID

  • 34520223

Pubmed Central ID

  • PMC9328059

Electronic International Standard Serial Number (EISSN)

  • 1748-880X

Digital Object Identifier (DOI)

  • 10.1259/bjr.20210478


  • eng

Conference Location

  • England