The relationship between whole-body computed tomography (CT) scans and cancer risk?
Hello, doctor.
Ten years ago, I went to the emergency room at Mackay Memorial Hospital due to abdominal pain of unknown origin.
They administered a contrast agent into my body (which later caused me to have an allergic shock), and I was placed in a room where the bed rotated 360 degrees.
Is this what is known as a full-body CT scan? It was ultimately confirmed to be appendicitis, and I underwent surgery.
I would like to know if such examinations increase the risk of developing cancer.
There is no family history of cancer, but I have been worried about having undergone this scan.
Recently, I read an article stating that research in the United States shows that one in every 1,000 people who undergo a CT scan may develop cancer, and I am concerned about potential changes in my body in the future.
After a CT scan, does the radiation gradually leave the body, or does it accumulate over time? I have been experiencing unexplained pains in my body lately, especially in the abdomen and lower back, which has led me to visit the emergency room again.
The doctor mentioned that if the cause remains undetermined, I might need to undergo a CT scan, which reminded me of this issue.
I would greatly appreciate your clarification on these concerns.
Thank you!
Eve, 30~39 year old female. Ask Date: 2016/11/20
Dr. Sun Shengyi reply Radiology
In theory, any radiation exposure increases the risk of developing cancer, although the majority of doses are negligible.
Based on your description, it seems you received a contrast agent (likely via intravenous injection), which suggests a total body computed tomography (CT) scan.
The radiation dose from a single abdominal CT scan is approximately 8.0-14.0 mSv (millisieverts).
This dose is not typically considered a significant risk for cancer; however, it is important to note that the biological effects of radiation tend to accumulate.
Therefore, unless there is a clear indication that a CT scan is necessary for diagnosis, it is advisable to avoid examinations that involve radiation exposure whenever possible.
Reply Date: 2016/11/20
More Info
When considering the potential cancer risk associated with full-body CT scans, it's essential to understand both the nature of the procedure and the associated radiation exposure. A full-body CT scan, especially one that includes the abdomen and pelvis, typically involves a significant amount of radiation. The radiation dose from a standard abdominal CT scan can range from 8 to 14 mSv, depending on the specific protocols used. For context, the average person is exposed to about 3 mSv of background radiation annually from natural sources.
The concern about increased cancer risk from CT scans stems from the fact that ionizing radiation can damage DNA, potentially leading to mutations that may result in cancer. Research indicates that for every 1,000 individuals who undergo a CT scan, approximately one may develop cancer as a result of the radiation exposure. However, this statistic must be interpreted with caution. The actual risk varies based on several factors, including the individual's age, sex, genetic predisposition, and the number of scans performed over a lifetime.
In your case, having undergone a CT scan ten years ago, the immediate concern about cancer risk should be balanced against the necessity of the scan at that time. The scan was performed to diagnose a medical condition (suspected appendicitis), and the benefits of obtaining a timely and accurate diagnosis often outweigh the potential risks associated with radiation exposure. It's also worth noting that the risk of developing cancer from a single scan is relatively low, especially when compared to the risks associated with untreated medical conditions.
Regarding your question about radiation accumulation, the body does not retain the radiation from a CT scan. Instead, the radiation exposure is a transient event; the effects of the radiation are what may accumulate over time with repeated exposure. Therefore, while one CT scan does contribute to your lifetime radiation exposure, it is the cumulative effect of multiple scans that raises concern.
If you are experiencing unexplained symptoms, such as abdominal pain, it is crucial to communicate these concerns with your healthcare provider. They can help determine whether further imaging or diagnostic tests are necessary. If additional imaging is required, your doctor will weigh the risks and benefits of each procedure, considering your medical history and current symptoms.
In summary, while there is a theoretical risk of increased cancer from CT scans due to radiation exposure, the actual risk from a single scan is relatively low, especially when weighed against the diagnostic benefits. If you have ongoing health concerns, it is essential to discuss them with your healthcare provider, who can guide you on the best course of action based on your specific situation. Regular follow-ups and open communication with your medical team can help alleviate concerns and ensure that any potential issues are addressed promptly.
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