Medical radiation exposure to pediatric patients has gained national attention in the last few years. New guidelines encourage technologists, managers, radiologists, and equipment manufacturers to tailor imaging to smaller sized patients. With the advent of computed radiography, patient radiation doses have doubled. This literature review addresses how cumulative doses received by highly radiosensitive infants in neonatal intensive care units correspond to similar doses received by infants that later developed radiation induced cancers. While technologist expertise is important for dose management with any receptor technology, converting to digital flat panel detectors can reduce dose to these areas by > 50%, and minimize risks for radiation induced cancers that often do not present until several decades after exposure.