Concerns About Radiation Exposure from X-rays and CT Scans - Radiology

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Radiation issues


Hello, Doctor.
I would like to express my apologies to the staff at Taiwan e-Hospital.
I am very sorry for asking a similar question before, but due to my tendencies towards depression and anxiety, I still feel uneasy.
If I still feel worried after this inquiry, I will seek help from a psychologist and will not ask similar questions again.
Thank you to the staff and doctors for your patience and understanding.
My question is whether the radiation from X-rays or CT scans can cause bone changes in adults, leading to continued growth of fully developed bones and resulting in gigantism.
I had over 20 X-rays of my lower back and legs within a month due to an injury, and now I am quite concerned.
Thank you, Doctor.

Hehe, 20~29 year old female. Ask Date: 2017/11/15

Dr. Sun Shengyi reply Radiology


Significant exposure to X-ray radiation can potentially cause changes in the bones, but it will not lead to further development of fully matured bones.
Receiving over twenty X-ray exposures will not result in continued bone development, so there is no need for further concern regarding this issue.

Reply Date: 2017/11/15

More Info


Dear Patient,
Thank you for reaching out with your concerns about radiation exposure from X-rays and CT scans. It's completely understandable to feel anxious about medical procedures, especially when they involve radiation. I appreciate your openness in discussing your worries, and I want to provide you with some clarity regarding the potential risks associated with these imaging techniques.

First, it’s important to understand that both X-rays and CT scans involve exposure to ionizing radiation. This type of radiation has enough energy to remove tightly bound electrons from atoms, which can potentially lead to cellular damage. However, the doses of radiation used in medical imaging are carefully controlled and are generally considered safe when the benefits of the imaging outweigh the risks.

Regarding your specific concern about whether radiation exposure from X-rays or CT scans can cause bone changes or lead to conditions like gigantism, the answer is no. Gigantism is caused by an overproduction of growth hormone, typically due to a tumor on the pituitary gland, and is not influenced by radiation exposure from medical imaging. The human skeletal system is quite resilient, and while excessive radiation exposure can increase the risk of certain cancers over a lifetime, it does not cause bones to continue growing or develop abnormalities like gigantism.

In terms of the amount of radiation exposure, let’s put it into perspective. A standard chest X-ray typically delivers a dose of about 0.1 mSv, while a CT scan of the abdomen can range from 5 to 10 mSv, depending on the type of scan and the protocols used. For context, the average person is exposed to about 3 mSv of natural background radiation each year from sources such as cosmic rays and radon gas. The cumulative effect of radiation exposure is a concern, but the doses from medical imaging are generally low and are justified when they are necessary for diagnosis or treatment.

You mentioned having 20 X-rays in a month due to an injury. While this is a significant number, it’s crucial to remember that medical professionals weigh the necessity of each imaging procedure against the potential risks. If your healthcare provider deemed these X-rays necessary for your diagnosis and treatment, it was likely in your best interest.

It’s also worth noting that the International Commission on Radiological Protection (ICRP) states that the risk of developing cancer from radiation exposure is very low at doses below 100 mSv. The cumulative dose from your imaging procedures is likely well below this threshold, especially if the X-rays were performed at lower doses.

If you continue to feel anxious about your health and the implications of past imaging, I encourage you to discuss these feelings with a mental health professional. They can provide support and strategies to help manage your anxiety. Additionally, maintaining open communication with your healthcare providers about your concerns can help alleviate some of your worries.

In summary, while it’s wise to be cautious about radiation exposure, the levels associated with medical imaging are generally safe when used appropriately. Your health and peace of mind are important, so please don’t hesitate to reach out for further clarification or support.

Wishing you good health and peace of mind.

Best regards.

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