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9 Current evidence suggests that there is no increased risk of major malformations, growth restriction or miscarriage from radiation doses of 250 mGy may be associated with a 0.1% risk of fetal malformation.14 However, microcephaly, microphthalmia, genital and skeletal malformations, cataracts and small for gestational age have been clearly observed in human embryos and fetuses exposed to >1000 mGy.4 The association of in utero diagnostic radiological exposure with check details subsequent occurrence of malignancy, particularly childhood leukaemia, has been a subject of great controversy over the last 40 years.15,16 Such malignancy is a stochastic effect which is due to unrepaired or misrepaired DNA damage in a single cell or number of cells. Earlier studies17�C19 and meta-analyses15,18,20,21 reported that in utero radiological exposure was associated with a 40% elevated risk of childhood acute lymphocytic leukaemia. For example, the background rate of leukaemia in children is about 3.6 per 10 000;22 exposure to 10�C20 mGy, falling within the range supplied by some radiographic studies (Table 2, Table 3, Table 4 and Table 5), increases this rate to 5 per 10 000,1 therefore, although the relative risk is counted as 40%, Ergoloid the absolute risk is only around 1 per 10 000. In other words, the background risk of childhood leukaemia is 40 per 106 per year and the additional risk from 50 mGy exposure is AC220 supplier risks among the Japanese atomic bomb survivors exposed in utero to much higher doses of irradiation24,25 and cohorts of children exposed in utero in the UK26 and the USA.27 Experimental data do not support an association between fetal irradiation and increased occurrence of leukaemia.28 Furthermore, nearly 20 years after the Chernobyl disaster (1986), according to the Chernobyl Forum no evidence of increases in solid cancers and, possibly more significantly, none of the widely expected increases in leukaemia, have been found in the population.29,30 Radiation can also induce gene mutation and potentially affect future generations. Radiation merely increases the frequency of mutations occurring naturally in the general population.7 It is believed that exposure to 10 mGy increases the risk of occurrence of new genetic mutations by 0.1�C0.4%,6 with a 0.012�C0.099% risk of developing a genetic disease in future generations.

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