Should You Worry About Radiation Exposure from Recent Medical Imaging? - Radiology

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Radiation Issues


Hello: In January of this year, I had a CT scan of my head due to stones found during a tonsil examination.
In April, I had a dental X-ray of my front teeth (not a full mouth series).
Should I be concerned about the radiation exposure from these procedures? I had a thyroid nodule checked six or seven years ago, and I have been having annual follow-up ultrasounds.
My doctor mentioned that many people have them and that as long as I have an annual check-up, there is no need for concern.
However, I feel that the thyroid might be related to radiation exposure.
In the past, I would only have dental X-rays every few years, but this year I happened to have one for my front tooth and a CT scan of my brain.
I am now very worried.
Thank you.

Wendy, 30~39 year old female. Ask Date: 2018/10/09

Dr. Wang Yifen reply Radiology


According to the website supported by the American Society of Radiologic Technologists, the radiation dose from a single head CT scan is approximately 2 millisieverts (mSv), while a single dental X-ray has a radiation dose of about 0.005 mSv.
Therefore, the total radiation dose from both procedures is approximately 2.005 mSv.
The International Commission on Radiological Protection (ICRP) report 103 states that doses below 100 mSv (whether from a single exposure or multiple exposures) do not cause clinical functional impairment, so there is no need for excessive concern.
However, since the effects of radiation doses can accumulate, it is advisable to avoid unnecessary radiation exposure.
Before undergoing X-ray examinations, please discuss the necessity of the tests thoroughly with your physician.
Wishing you safety and good health.

Reply Date: 2018/10/09

More Info


When it comes to medical imaging and radiation exposure, it's understandable to have concerns, especially with the increasing frequency of various imaging tests. In your case, you mentioned having a head CT scan in January and a dental X-ray in April. Let's break down the radiation exposure from these procedures and address your concerns.

First, a head CT scan typically exposes a patient to about 2 millisieverts (mSv) of radiation. This is a relatively low dose, especially when compared to other imaging modalities. For instance, a chest X-ray usually delivers about 0.1 mSv, while a dental X-ray can range from 0.005 to 0.01 mSv, depending on the type of X-ray taken. Therefore, the total radiation exposure from your recent imaging would be approximately 2.01 mSv, which is well below the threshold that raises significant health concerns.

The key principle in radiation safety is the ALARA principle, which stands for "As Low As Reasonably Achievable." This means that medical professionals aim to minimize radiation exposure while still obtaining the necessary diagnostic information. The benefits of these imaging tests often outweigh the risks, particularly when they are used to diagnose or monitor medical conditions.

Regarding your concern about thyroid nodules and radiation exposure, it's important to note that the risk of developing thyroid cancer from radiation exposure is primarily associated with high doses, particularly in younger individuals. The doses from your recent imaging are considered low and are unlikely to contribute significantly to any cancer risk. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv do not cause clinically significant harm, and your cumulative exposure is far below this level.

Moreover, the thyroid gland is sensitive to radiation, but the risk is more pronounced with higher doses, especially in children and adolescents. Since you have been having regular ultrasound check-ups for your thyroid nodules, this is a proactive approach to monitoring any changes, and it is generally considered safe.

If you are still feeling anxious about radiation exposure, it may be beneficial to discuss your concerns with your healthcare provider. They can provide reassurance and clarify the necessity of each imaging test. Additionally, if you are concerned about future imaging, you can inquire about alternative methods that do not involve radiation, such as ultrasound or MRI, which are often used for soft tissue evaluation and do not expose patients to ionizing radiation.

In summary, the radiation exposure from your recent medical imaging is minimal and does not warrant significant concern. Regular monitoring of your thyroid nodules through ultrasound is a safe practice, and the benefits of the imaging tests you have undergone likely outweigh the risks associated with the low levels of radiation exposure. Always feel free to communicate with your healthcare provider about any worries you may have regarding your health and the procedures you undergo. Your health and peace of mind are paramount.

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