Guidance

Patient dose information: guidance

Published 4 September 2008

This table gives typical effective doses, equivalent periods of natural background radiation and lifetime fatal cancer risks from diagnostic medical exposures.

1. X-ray examinations

Diagnostic procedure Typical effective doses (mSv) Equivalent period of natural background radiation 1 Lifetime additional risk of fatal cancer per examination 2
Limbs and joints (except hip) < 0.01 < 1.5 days 1 in a few million
Teeth (single bitewing) < 0.01 < 1.5 days 1 in a few million
Teeth (panoramic) 0.01 1.5 days 1 in 2 million
Chest (single PA film) 0.02 3 days 1 in a million
Skull 0.07 11 days 1 in 300,000
Cervical spine (neck) 0.08 2 weeks 1 in 200,000
Hip 0.3 7 weeks 1 in 67,000
Thoracic spine 0.7 4 months 1 in 30,000
Pelvis 0.7 4 months 1 in 30,000
Abdomen 0.7 4 months 1 in 30,000
Lumbar spine 1.3 7 months 1 in 15,000
Barium swallow 1.5 8 months 1 in 13,000
IVU (kidneys and bladder) 2.5 14 months 1 in 8000
Barium meal 3 16 months 1 in 6700
Barium follow 3 16 months 1 in 6700
Barium enema 7 3.2 years 1 in 3000
CT head 2 1 year 1 in 10,000
CT chest 8 3.6 years 1 in 2500
CT abdomen/pelvis 10 4.5 years 1 in 2000

2. Nuclear medicine studies

Diagnostic procedure Typical effective doses (mSv) Equivalent period of natural background radiation 1 Lifetime additional risk of fatal cancer per examination 2
Lung ventilation (Kr-81m) 0.1 2.4 weeks 1 in 200,000
Lung perfusion (Tc-99m) 1 6 months 1 in 20,000
Kidney scan (Tc-99m) 1 6 months 1 in 20,000
Thyroid scan (Tc-99m) 1 6 months 1 in 20,000
Bone scan (Tc-99m) 4 2 years 1 in 5000
Dynamic cardiac (Tc-99m) 6 2.7 years 1 in 3300
Myocardial perfusion (Tl-201) 18 8 years 1 in 1100

1UK average = 2.2mSv per year: regional averages range from 1.5 - 7.5 mSv per year

2 Approximate lifetime risk for patients 16 to 69 years old: for paediatric patients multiply risks by about 2 for geriatric patients divide risks by about 5