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The effective dose is certainly a calculated estimate made to provide a sex-averaged dose for a reference subject matter in confirmed exposure situation, not a dose for a specific subject.2 This calculation depends on assumptions regarding the radiation sensitivity of organs and tissues, imaging technique and protocols, and, regarding nuclear imaging, radiopharmaceutical activity, half-existence, distribution, and elimination kinetics.29 Although these assumptions possess raised controversy regarding the use of effective dose,36 it continues to be the only measure currently available that reflects the entire potential biologic detriment across various types of radiation direct exposure,37,38 which is why we used it as our primary measure.