Is 10 Millisieverts of Radiation Exposure in a Year Too Much? - Radiology

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Is 10 millisieverts a lot in a year?


Hello, Dr.
Sun.
This year, due to various medical issues, I had a total of 2 abdominal X-rays, 3 frontal chest X-rays, 1 lateral chest X-ray, and one chest CT scan with contrast (not low-dose).
After researching online, it seems that the total radiation exposure has exceeded 10 millisieverts! Is this above the annual standard? Fortunately, the issues have been resolved after the examinations.
Do you recommend that I continue to have a frontal chest X-ray during my annual health check-ups, or should I have it done every few years? Thank you very much!

A, 20~29 year old female. Ask Date: 2017/01/02

Dr. Sun Shengyi reply Radiology


A dose of 10 millisieverts is not particularly concerning; however, since the likelihood of radiation damage increases with higher doses and there is no definitive safety threshold, as well as the cumulative nature of its biological effects, it is still advisable to minimize unnecessary exposure.
The radiation dose from a standard chest X-ray is only 0.2 millisieverts, which is widely accepted as permissible for annual health screenings.

Reply Date: 2017/01/02

More Info


When considering radiation exposure from medical imaging, it's essential to understand the context and implications of the doses involved. The question of whether 10 millisieverts (mSv) of radiation exposure in a year is too much is nuanced and requires a thorough understanding of radiation safety standards and the associated risks.

First, let's clarify the concept of millisieverts. The millisievert is a unit used to measure the biological effect of ionizing radiation. It accounts for the type of radiation and the sensitivity of different tissues and organs to radiation. In general, the annual dose limit for the general public is set at 1 mSv from artificial sources, while occupational exposure limits for radiation workers can be significantly higher, typically around 20 mSv per year.

In your case, accumulating a total of approximately 10 mSv from various imaging studies, including X-rays and a CT scan, is not uncommon, especially for individuals who may require multiple diagnostic procedures throughout the year. For context, a single chest X-ray typically delivers a dose of about 0.1 to 0.2 mSv, while a CT scan of the chest can range from 5 to 10 mSv, depending on the protocol used. Therefore, while 10 mSv is higher than the recommended annual limit for non-medical exposure, it is still within a range that is generally considered acceptable for medical imaging, especially when the benefits of the diagnostic information outweigh the risks associated with radiation exposure.

It is also important to note that the biological effects of radiation are cumulative over time. This means that while a single exposure may not pose a significant risk, repeated exposures can increase the likelihood of potential long-term effects, such as cancer. However, the risk associated with doses below 100 mSv is considered low, and the consensus in the medical community is that the benefits of necessary imaging procedures often outweigh the risks.

Regarding your future imaging needs, the decision to continue with annual chest X-rays should be based on your individual health circumstances and the recommendations of your healthcare provider. If your previous health issues have been resolved and there are no ongoing concerns that warrant frequent imaging, it may be reasonable to space out your chest X-rays to every few years, rather than annually. Regular discussions with your healthcare provider about the necessity of imaging studies can help ensure that you are not undergoing unnecessary radiation exposure.

In summary, while 10 mSv of radiation exposure in a year is higher than the typical limit for non-medical exposure, it is not necessarily alarming when it comes from medically necessary imaging. The key is to balance the need for diagnostic information with the potential risks of radiation exposure. Always consult with your healthcare provider to make informed decisions about your imaging needs and to discuss any concerns you may have about radiation exposure.

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