Concerns About Radiation Exposure from Frequent CT Scans - Radiology

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I am very concerned about exceeding radiation levels?


Hello, doctor.
Thank you for taking the time to help answer my questions.
Due to my sinusitis, I originally had a sinus CT scan scheduled for next month.
However, this week I experienced abdominal pain, and my doctor recommended an abdominal CT scan with contrast.
If I go for a head CT scan next month, will that be too frequent and harmful to my body? After the CT scan, can I hold a small baby? Thank you.

Xiao Hao, 30~39 year old female. Ask Date: 2016/12/08

Dr. Sun Shengyi reply Radiology


The radiation dose from a single abdominal CT scan with contrast injection is approximately 6-12 mSv (millisieverts), and this dose may vary depending on the purpose and scope of the examination.
In contrast, a single head CT scan is about 2.0 mSv.
The likelihood of this dose causing harm to the body is very low, so there is no need for concern.
Since the biological effects of radiation accumulate, it is advisable to avoid unnecessary radiation exposure; however, there is no need to panic about low levels of radiation exposure.
The radiation from X-rays (CT scans) does not transfer to others.
(If isotopes are injected into the body, it is important to maintain distance, but this does not apply to contrast agents.)

Reply Date: 2016/12/08

More Info


When it comes to concerns about radiation exposure from frequent CT scans, it's important to understand both the risks and the benefits associated with these imaging procedures. CT scans are valuable diagnostic tools that can provide critical information about various medical conditions, including sinusitis, abdominal pain, and other health issues. However, they do expose patients to ionizing radiation, which can accumulate over time and potentially increase the risk of cancer.


Understanding Radiation Exposure
CT scans typically deliver a higher dose of radiation compared to standard X-rays. For example, a head CT scan may expose a patient to approximately 2 mSv (millisieverts), while an abdominal CT scan can deliver around 10-14 mSv, depending on the specific protocol used. To put this into perspective, the average person is exposed to about 3 mSv of natural background radiation each year. Therefore, a single abdominal CT scan can equate to several years of natural exposure.

The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are unlikely to cause significant harm. However, the cumulative effect of multiple scans over time can raise concerns, particularly for younger patients or those requiring frequent imaging.


Assessing the Need for Multiple Scans
In your case, if you have already undergone a CT scan for your abdomen and are scheduled for another CT scan for your sinuses next month, it is crucial to evaluate the necessity of these scans. You should have a detailed discussion with your healthcare provider about the following:
1. Medical Necessity: Is the abdominal CT scan essential for diagnosing your current symptoms? Is the sinus CT scan necessary for managing your sinusitis? If the benefits of obtaining this information outweigh the risks associated with radiation exposure, then proceeding with the scans may be justified.

2. Alternative Imaging Options: In some cases, MRI (Magnetic Resonance Imaging) or ultrasound may be viable alternatives that do not involve ionizing radiation. Discuss with your doctor whether these options could be appropriate for your situation.

3. Frequency of Scans: If you find yourself needing multiple scans in a short period, it may be worth considering whether the imaging frequency can be reduced or spaced out, especially if the clinical situation allows for it.


Safety After CT Scans
Regarding your question about holding a small baby after undergoing a CT scan, it is generally considered safe to do so. The radiation exposure from a single CT scan is localized and does not linger in your body. Therefore, there is no risk of transmitting radiation to others, including infants, after the scan is completed.


Conclusion
In summary, while CT scans are invaluable diagnostic tools, it is essential to balance the need for imaging with the associated risks of radiation exposure. Frequent scans should be carefully evaluated for their necessity, and alternative imaging modalities should be considered when appropriate. Always communicate openly with your healthcare provider about your concerns and the rationale behind each imaging decision. This collaborative approach will help ensure that you receive the best care while minimizing unnecessary radiation exposure.

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