All X-Rays involve exposure to radiation. X-rays used in modern diagnostic imaging use low levels of radiation that are considered to be very safe.
There are many natural sources of radiation. In most procedures the radiation dose from an X-ray will be less than the radiation a person receives from natural sources each year.
The radiation exposure from an X-ray will vary with the type of scan and the size of the patient.
It is also important to remember the risk of missing an important finding is almost always going to be larger than the theoretical risk from radiation from an X-ray. This is considered at the time your Doctor has written your request form.
For more information regarding radiation and medical imaging, please see the Australian Radiation Protection and Nuclear Safety Agency website and view the ionising radiation and health fact sheet.
X-rays During Pregnancy
We ask all women of child-bearing age if they may be pregnant before X-ray and nuclear medicine tests. If you are or think you may be pregnant it is important you tell the Radiographer. The technician or a Radiologist will discuss the risks of the test and expected radiation dose as well as the benefits of the examination. There may be other options available to you, some of which may not require radiation.
In most cases the examination can wait until after your baby is born. In some cases with serious illness it is considered the benefits far outweigh the risks and the examination must be done.
Some low dose X-ray procedures can be performed during pregnancy when they are looking at anatomy not near the abdomen e.g. hand/wrist or ankle X-Rays. These may be performed with little to no risk to the foetus during pregnancy. Comparatively, X-rays directly to the abdomen expose the foetus to a relatively higher dose. It is good practice if possible to avoid X-rays to the abdomen during pregnancy.
The technician can further limit the dose to the foetus by using lead aprons, reducing exposure factors and limiting the number of X-rays performed in the test.
Radiation if Trying to Become Pregnant
Pre-conception exposure to radiation has not been shown to increase cancer or abnormalities in children.
If a woman’s period is late and she is sexually active it should be assumed she is pregnant until a pregnancy test is performed.
If a woman is uncertain if she is pregnant, she is sexually active, but her period is not overdue, it is considered safe to proceed with a low dose (<10mGy) examination without a pregnancy test.
Radiation if Breastfeeding
It is safe to continue breastfeeding after an X-ray procedure, CT or MRI, including if you have been given contrast. Some radiopharmaceuticals can enter breast milk in nuclear medicine exams. It is advised that mothers having some nuclear medicine tests suspend breast feeding in favour of expressed milk or formula in the short period during and after the test.
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