Eye CT Scans: Radiation Risks and Breastfeeding Concerns - Radiology

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Hello, a few days ago I developed cellulitis as a complication of a stye, and I experienced pain with eye movement.
The doctor in the emergency room was concerned about potential effects on the retina, so they arranged for a non-contrast orbital CT scan.
I would like to know how high the radiation dose from this scan is and whether it could affect areas outside the brain or head.
Additionally, since I am currently breastfeeding, will this have any impact on my baby? Thank you!

Mimi, 30~39 year old female. Ask Date: 2017/07/20

Dr. Wang Yifen reply Radiology


The radiation dose from a head CT scan is approximately 2 millisieverts, and there is a greater than 99% chance that it will not increase the risk of additional cancers in the brain or other parts of the body.
This examination will not affect breastfeeding; however, since you have cellulitis, it is advisable to discuss with your attending physician whether the cellulitis may impact your breastfeeding.
Sincerely, Yi-Fen Wang.

Reply Date: 2017/07/20

More Info


When it comes to eye CT scans, understanding the associated radiation risks and their implications, especially for breastfeeding mothers, is crucial. Eye CT scans, or computed tomography scans of the eye, are often performed to assess various ocular conditions, including trauma, infections, or other abnormalities. While these scans provide valuable diagnostic information, they also involve exposure to radiation, which raises concerns for many patients.


Radiation Exposure from Eye CT Scans
The radiation dose from a typical head CT scan, which includes the eye region, is approximately 2 millisieverts (mSv). This level of exposure is generally considered low, especially when compared to the average annual background radiation exposure a person receives, which is about 3 mSv. It is important to note that the radiation from a CT scan is localized, meaning that while the eyes and surrounding structures are exposed, the risk of radiation affecting other parts of the body, such as the brain or other organs, is minimal. Studies indicate that the risk of developing cancer from such low doses of radiation is exceedingly low, with estimates suggesting that the risk is less than 1 in 10,000 for a single scan.


Concerns for Breastfeeding Mothers
For breastfeeding mothers, the concern often revolves around whether the radiation exposure could affect breast milk or the nursing infant. Fortunately, the radiation used in CT scans does not contaminate breast milk. The radiation exposure is external and does not alter the chemical composition of breast milk. Therefore, it is safe for mothers to continue breastfeeding after undergoing an eye CT scan. However, if there are any lingering concerns, it is always advisable to discuss them with a healthcare provider.


Additional Considerations
1. Contrast Agents: In some cases, contrast agents may be used to enhance the imaging quality of the CT scan. If a contrast agent is used, it is essential to inform the healthcare provider about any known allergies, particularly to iodine-based contrast materials. Although allergic reactions are rare, they can occur.

2. Frequency of Scans: The necessity of repeated CT scans should be evaluated based on the clinical situation. If a patient has a condition that requires ongoing monitoring, the benefits of the scans often outweigh the risks associated with radiation exposure. However, it is crucial to have a thorough discussion with the healthcare provider regarding the need for multiple scans and any alternative imaging modalities that may involve less radiation, such as MRI or ultrasound.

3. Long-term Effects: While the immediate risks of radiation exposure from a single CT scan are low, cumulative exposure from multiple scans over time can increase the risk of radiation-related complications. Therefore, it is essential to keep track of any imaging studies performed and to discuss with healthcare providers the best approach to manage ongoing health concerns.


Conclusion
In summary, while eye CT scans do involve radiation exposure, the levels are generally low and pose minimal risk to both the patient and breastfeeding infants. It is crucial to weigh the benefits of obtaining necessary diagnostic information against the potential risks of radiation exposure. If you have further concerns or specific health conditions that may complicate the situation, consulting with your healthcare provider is the best course of action. They can provide personalized advice based on your medical history and current health status.

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