Is Your Radiation Exposure Too High? Imaging Risks - Radiology

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Is the radiation level too high?


Hello Doctor, in April 2016, I had a chest X-ray as part of my health check-up.
In October 2016, due to issues with my head and neck, I underwent a CT scan of the head and neck with contrast.
The next day, the doctor mentioned that the images were not sufficient for the lower part, so I had to go back for additional imaging with contrast.
In December, during my health check-up, I had another chest X-ray, a low-dose CT scan of the lungs, and a bone density test, which indicated the presence of nodules in my lungs.
In January 2017, the doctor referred me for a whole-body PET scan, where I was injected with glucose.
Later, the doctor advised me to return in April for a follow-up low-dose CT scan of the lungs.
I am a bit concerned about the cumulative radiation exposure.
Thank you!

ping, 20~29 year old female. Ask Date: 2017/01/19

Dr. Wang Yifen reply Radiology


In general, the radiation doses from chest X-rays, low-dose CT scans of the lungs, and bone density X-rays are quite low.
However, if multiple CT scans are required, it is advisable to discuss the necessity of the examinations with your physician beforehand.

Reply Date: 2017/01/19

More Info


When it comes to radiation exposure from medical imaging, it's essential to understand the risks and benefits associated with various imaging techniques. In your case, you've undergone several imaging procedures, including X-rays, CT scans, and a PET scan, which can raise concerns about cumulative radiation exposure.

Understanding Radiation Exposure:
Radiation exposure from medical imaging is measured in millisieverts (mSv). For context, a single chest X-ray typically exposes a patient to about 0.1 mSv, while a CT scan of the abdomen can expose a patient to approximately 10 mSv. The average person receives about 3 mSv of background radiation from natural sources each year.
Cumulative Exposure:
The cumulative effect of radiation exposure is a valid concern, especially for individuals who undergo multiple imaging studies over a short period. The National Council on Radiation Protection and Measurements (NCRP) suggests that the annual dose limit for occupational exposure is 50 mSv, while the general public should ideally receive less than 1 mSv per year from man-made sources.
In your case, the imaging studies you've had since 2016 may have contributed to a higher cumulative dose, but it's crucial to consider the medical necessity of each procedure. For instance, CT scans are often used to provide detailed images that can help diagnose conditions that may not be visible through other imaging methods.
Assessing Risks:
The risk of developing cancer from radiation exposure increases with the dose. However, the risk from diagnostic imaging is relatively low compared to the potential benefits of accurate diagnosis and treatment. The American College of Radiology (ACR) and the Radiological Society of North America (RSNA) emphasize that the benefits of necessary imaging often outweigh the risks associated with radiation exposure.

Recommendations:
1. Discuss with Your Doctor: It's essential to have an open dialogue with your healthcare provider about your imaging history. They can help assess whether the imaging you've had is justified and if further imaging is necessary.


2. Consider Alternatives: In some cases, alternative imaging techniques that do not involve radiation, such as ultrasound or MRI, may be appropriate. Discuss these options with your doctor if you're concerned about radiation exposure.

3. Keep Records: Maintain a record of all imaging studies you've undergone, including dates and types of scans. This information can be helpful for your healthcare provider to make informed decisions about future imaging.

4. Follow-Up: If you're feeling anxious about your radiation exposure, consider scheduling a follow-up appointment with your healthcare provider. They can provide reassurance and help you understand the necessity of any upcoming imaging.

5. Stay Informed: Educate yourself about the risks and benefits of medical imaging. Understanding the context of your imaging studies can help alleviate concerns about radiation exposure.

In conclusion, while it's natural to worry about radiation exposure from medical imaging, it's essential to weigh the risks against the benefits. Open communication with your healthcare provider and understanding your imaging history can help you make informed decisions about your health. If you have specific concerns about your cumulative radiation exposure, don't hesitate to discuss them with your doctor, who can provide personalized advice based on your medical history and needs.

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