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Table 6 Radiation Dose and Estimated Cancer Risk Associated with Selected Spine Imaging Studies [87, 100–102]

From: Diagnostic imaging for spinal disorders in the elderly: a narrative review

      

Estimated Cancer Risk

Imaging Modality

Region

Study

Relative Radiation Level*

Estimated Effective Dose (mSv)

Equivalent # of chest x-rays

Risk coefficient (X10-4)

Risk Ratio

Radiography

 

Chest

PA view

Minimal

0.02

1

0.01

1 in 1,000,000

  

Lat view

Minimal

0.02

1

0.01

1 in 1,000,000

 

Cervical

AP view

Minimal

0.12

6

0.06

1 in 180,000

  

Lat view

Minimal

0.02

1

0.01

1 in 1,000,000

 

Lumbar

AP view

Medium

2.2

110

1.1

1 in 9,000

  

Lat view

Medium

1.5

75

0.75

1 in 10,500

CT

 

Thoracic

Whole T-spine

High

10

500

5.5

1 in 1,800

 

Lumbar

Whole L-spine

Medium

5.6

280

3.1

1 in 3,200

Tc-99 m bone scan

  

Whole body

Medium

3.5

175

1.9

1 in 5,200

FDG-PET

  

Whole Body

Medium

7

350

3.8

1 in 2,500

Bone density

 

QCT

L-spine

Minimal

0.1

5

0.05

1 in 200,000

 

DXA

L-spine

Minimal

0.005

0.25

0.025

1 in 4,000,000

MRI

   

None

0

0

0

0

Ultrasound

 

Abdominal

Aorta

None

0

0

0

0

  1. * Relative Radiation Level: 0 mSv = None; <0.1-1 mSv = Minimal; 1–10 mSv = Medium; 10–100 = High.