Children may be more sensitive to radiation received from medical imaging scans than adults. One factor to consider is that children have more rapidly dividing cells that can be exposed to the low-level radiation. Also, they have a longer expected lifetime for the effects of radiation exposure to manifest as cancer.
That is why it is important that with children, the lowest radiation dose necessary is used for providing an image from which an accurate diagnosis can be made.
FDA's Center for Devices and Radiological Health (CDRH) regulates medical imaging devices. Among its many responsibilities is helping consumers keep informed about minimizing unnecessary radiation exposure in medical procedures.
One type of radiological imaging is computed tomography (CT).
CT scans are taken in large machines containing a round hole and tunnel chamber. Patients lie on a table that slides into the chamber, where an X-ray camera rotates around them and snaps pictures offering health care professionals three-dimensional views of internal organs, bone, soft tissue, and blood vessels.
CT has helped improve the diagnosis and care for conditions such as cancer, heart disease, brain disorders, and cardiovascular illnesses. But the technology does expose patients to higher doses of radiation than most other radiological exams.
FDA has long been involved in notifying the public and health care professionals about reducing radiation risk from CT for pediatric and small adult patients.
The agency has advised radiology professionals to optimize CT settings based on patient weight or diameter and the part of the body of interest, reduce dose while maintaining diagnostic image quality, reduce the number of multiple scans with contrast material, and eliminate inappropriate patient referrals for CT.
Meanwhile, the FDA advises parents to talk with your child's physician. He or she will know or can find out if the imaging center to which they refer uses appropriate pediatric CT scanning techniques, and if a non-radiation imaging test might be as useful for your child's situation.
•Be your child's advocate.
Learn about ways health care professionals can lower and limit radiation dose in the CT imaging of children without compromising diagnostic quality.
•Ask questions.
Be sure that the imaging facility is using appropriate reduced radiation techniques. You may not know unless you ask, and it is reasonable and within your rights to do so.
•Check credentials. Ask whether the facility has American College of Radiology accreditation, whether the CT technologists have the proper credentials, and if the person interpreting the studies is a board-certified radiologist or pediatric radiologist.