Is Frequent X-Ray Exposure Harmful? Risks After 6 X-Rays - Radiology

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Six X-rays were taken in half an hour?


Hello doctor, I recently sprained my ankle and have some pain in my jaw.
After seeing a doctor, I was advised to get X-rays.
Within half an hour, I had a total of 6 X-rays taken (4 of my head and 2 of my foot) without wearing any protective clothing.
Will this have any adverse effects? Thank you.

Niming, 10~19 year old female. Ask Date: 2017/07/14

Dr. Wang Yifen reply Radiology


The radiation dose from a head X-ray is approximately 0.1 millisieverts, while a limb X-ray is about 0.001 millisieverts.
In Taiwan, the average annual natural background radiation dose per person is around 1.62 millisieverts.
You have received 4 head X-rays and 2 foot X-rays, resulting in a total radiation dose of approximately 0.402 millisieverts.
This level of radiation exposure is unlikely to have any adverse effects on you, with more than 99% certainty.
Radiographic imaging is an effective tool for disease screening.
If you are concerned about radiation exposure, it is advisable to discuss the necessity of the examination with your physician beforehand.
Sincerely, Yi-Fen Wang.

Reply Date: 2017/07/14

More Info


Frequent exposure to X-rays can understandably raise concerns about potential health risks, particularly regarding radiation exposure and its association with cancer. However, it is essential to understand the context and the actual risks involved.

X-rays are a form of ionizing radiation, which means they have enough energy to remove tightly bound electrons from atoms, potentially leading to cellular damage. The amount of radiation exposure from a single chest X-ray is approximately 0.02 millisieverts (mSv). To put this into perspective, the average person is exposed to about 3 mSv of natural background radiation each year from sources like cosmic rays, radon, and terrestrial radiation.

In your case, you mentioned undergoing six X-rays in a short period, specifically four for the head and two for the ankle. The cumulative dose from these X-rays would be relatively low. For example, if we consider that each X-ray delivers about 0.02 mSv, six X-rays would amount to approximately 0.12 mSv. This is significantly lower than the annual limit of 1 mSv recommended for the general public and is well within safe exposure levels.

Medical professionals, including radiologists and your treating physicians, weigh the benefits of obtaining diagnostic information through imaging against the risks associated with radiation exposure. In acute situations, such as assessing a suspected fracture or other injuries, the immediate need for diagnosis often outweighs the potential risks of radiation exposure. The information gained from these X-rays can lead to appropriate treatment and management, which is crucial for recovery.

Regarding your concern about not wearing protective clothing, it is important to note that protective gear, such as lead aprons, is typically used to shield sensitive organs from unnecessary radiation exposure, particularly in areas like the abdomen and pelvis. However, for the head and extremities (like your ankle), the risk of significant radiation exposure is much lower, and the necessity of protective clothing is often evaluated based on the specific circumstances of the imaging.

In summary, while it is prudent to be aware of radiation exposure, the amount you received from six X-rays is minimal and unlikely to pose any significant health risks. If you have ongoing concerns about radiation exposure or the frequency of imaging studies, it is advisable to discuss these with your healthcare provider. They can provide personalized guidance based on your medical history and the necessity of the imaging studies you have undergone.

In conclusion, while it is essential to be mindful of radiation exposure, the benefits of X-rays in diagnosing and treating medical conditions typically outweigh the risks, especially when performed judiciously and when necessary for patient care. Always feel free to communicate with your healthcare team about any concerns you have regarding your treatment and diagnostic procedures.

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