Here are the recommendations to reduce radiation exposure in
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Pediatric patients are particularly vulnerable to radiation exposure from medical imaging, according to numerous studies, potentially raising their risk to develop cancer later in life. And orthopaedic surgeons are often at the forefront in deciding if a pediatric patient needs medical imaging.

Based on the available evidence, the authors developed the following list of best practices that orthopaedic surgeons should follow:
-Follow the ALARA, or "as low as reasonably achievable" principle, to limit exposure to parts of the body that are absolutely essential for diagnosis

-Eliminate repeated exposures resulting from technical errors

-Limit precise collimation to the region of interest

-Limit fluoroscopy to short bursts as needed (don't "go live")

-Utilize low-dose CT protocols adjusted for the size of the patient

-Limit CTs of the spine and pelvis in pediatric patients

-Female patients are more susceptible to adverse effects than male patients

-Scoliosis patients should have limited follow-up X-rays

-Leg length, scoliosis, and hip dysplasia (anteversion) studies should utilize EOS imaging technology rather than traditional X-rays

-X-rays are an acceptable diagnostic tool for extremities, such as the wrist, ankle, etc. CT scans are an acceptable diagnostic tool for triplane fractures

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