Radiation doses to neonates and issues of radiation protection in a special care baby unit

Radiographs are most commonly taken in the neonatal period to assist in the diagnosis and management of respiratory difficulties. Frequent accurate radiographic assessment is required and a knowledge of the radiation dose is necessary to make the justification of such exposures. A survey of radiation doses to neonates from diagnostic X-ray examinations (chest and abdomen) has been carried out in the special care baby unit (SCBU) of the Royal Free Hospital. Entrance surface dose (ESD) was calculated from Quality Control measurements on the X-ray set itself. Direct measurement of radiation doses was also performed using highly sensitive thermoluminescence dosimeters (LiF:Mg,Cu,P), calibrated and tested for consistency in sensitivity. The mean ESD per radiograph was calculated to be 36μGy (with a standard deviation of 6μGy), averaged over 95 X-ray examinations. The ESD's as derived from the TLD crystals, ranged from 18μGy to 60μGy. The mean energy imparted (EI) and the mean whole body dose per radiograph were estimated to be 14μJ and 10μGy respectively. Assuming that neonates and foetuses are equally susceptible to carcinogenic effects of radiation (it involves an overestimation of risk), the radiation risk of childhood cancer from a single radiograph was estimated to be of the order (0.3-1.3)x10-6. Radiation doses compared favourably with the reference value of 80μGy ESD published by CEC in 1996. (author)