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Background Diagnostic imaging using ionizing radiation is a crucial tool in the management of patients with spina bifida, starting almost directly from birth. During childhood, a patient with spina bifida will have multiple CT scans of the head, Voiding cysto-urethrograms, and X-rays of the limbs and spine. Hence, the patient with spina bifida will have a much greater exposure to radiation than the average person throughout their lifetime. For a child, the radiation exposure to their immature and developing body can have significant consequences. Experts such as the International Commission on Radiation Protection have described a risk of cancer due to imaging studies that increases with increasing radiation dose. This study describes the magnitude of the exposure to diagnostic radiation in children with spina bifida. Understanding this should help the clinician caring for children with spina bifida to be prudent with the ordering of radiologic studies. It will also help clinicians caring for children and adults with spina bifida to be cognisant that their patients have a significant risk factor for the development of malignancies, especially those known to be related to radiation exposure such as leukaemia and lymphoma. They then can provide timely screening for early detection for these conditions.

Review of cumulative diagnostic radiation exposure during childhood in patients with spina bifida