Radiation Safety in Pediatric Interventional Radiology

Manrita Sidhu, MD, Keith J. Strauss, MSc, FAAPM, FACR, Bairbre Connolly, MB,
Terry T. Yoshizumi, PhD, John Racadio, MD, Brian D. Coley, MD, Tara Utley, MRT,
and Marilyn J. Goske, MD

Radiation Effects in Children
This past year, the National Council on Radiation Control and Measurements reported that medical radiation now accounts for almost half of the radiation exposure to the USpopulation, a marked increase from the 1980s when medical radiation made up only approximately 15% of the population dose.1 Interventional fluoroscopy is the third largest contributor of medical radiation, accounting for 14% of the medical radiation dose to the public. Although interventional cardiology (NCRP Report 160, figure 4.4) contributes a larger percentage of medical radiation in interventional fluoroscopy, Tsapaki et al’s report from developing countries demonstrated that noncardiac applications may also result in a substantial dose to patients, including children.1,2
When a medical procedure is justified for the health of the child, the small potential risk from ionizing radiation is considered an acceptable trade-off. Nonetheless, a

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