the Risks of Multiple X-Rays: Health Impacts and Concerns - Radiology

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The harm of X-rays?


How much harm does it cause to the body to have two X-rays within six months? In March 2012, due to an additional nerve conduction line in the heart, I underwent catheter ablation.
What was the approximate radiation dose for that procedure? In August of the same year, I had a CT scan of half my neck.
What was the radiation dose for that? What is the potential harm from the consecutive radiation examinations in 2012? Will there be any changes in the next 10 to 20 years, and does having X-rays increase the risk of developing cancer later on? Thank you.

Xiao Lu, 30~39 year old female. Ask Date: 2019/06/09

Dr. Zhang Zheng'ang reply Radiology


Hello, the radiation dose from catheter ablation is approximately 15 millisieverts per procedure.
The radiation dose from a CT scan of the head and neck varies depending on the scan area, the number of scans (if contrast is injected, it typically requires two scans), and the type of CT machine used, generally ranging from 2 to 6 millisieverts.
In general, an accumulated radiation dose below 100 millisieverts does not cause immediate significant harm to the body, and the likelihood of developing cancer in the future does not significantly increase.
There is no need for excessive concern.
Thank you!

Reply Date: 2019/06/09

More Info


When it comes to the risks associated with multiple X-ray examinations, it is essential to understand the context of radiation exposure and its potential health impacts. X-rays and CT scans are valuable diagnostic tools that allow healthcare providers to visualize internal structures of the body, aiding in the diagnosis and management of various medical conditions. However, they do expose patients to ionizing radiation, which has been associated with an increased risk of cancer over time.

To address your specific concerns, let's break down the radiation exposure from the procedures you mentioned. A typical chest X-ray delivers a dose of about 0.1 to 0.2 millisieverts (mSv), while a CT scan of the neck can range from 2 to 6 mSv depending on the specific protocol used. For your heart catheterization, the radiation dose can be approximately 15 mSv.
In general, the cumulative radiation dose is what matters when considering potential health risks. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are not likely to cause significant harm or increase cancer risk substantially. For context, the average person is exposed to about 3 mSv of natural background radiation annually from sources such as cosmic rays, radon, and terrestrial sources.

In your case, if you had two X-rays and a CT scan within a short period, the total radiation exposure might be around 20 mSv or slightly higher, depending on the specifics of each procedure. While this is higher than a single chest X-ray, it remains below the threshold where significant health risks are expected. The risk of developing cancer from radiation exposure is generally considered to be low, especially when the exposure is infrequent and below the 100 mSv mark.

Regarding your concerns about future health implications, it is important to note that while there is a theoretical increase in cancer risk with higher cumulative radiation exposure, the actual risk from the doses you've described is minimal. The risk of developing cancer from medical imaging is often outweighed by the benefits of accurate diagnosis and treatment.
Moreover, individual factors such as age, sex, genetic predisposition, and lifestyle choices (like smoking or diet) play a significant role in cancer risk. At 19 years old, your body is still developing, and while younger individuals may be more sensitive to radiation, the doses you have received are still within a safe range.

If you have ongoing concerns about your health or the necessity of these imaging studies, it is advisable to discuss them with your healthcare provider. They can provide personalized advice based on your medical history and the specific reasons for each imaging study. Additionally, if you find yourself needing frequent imaging, it may be worth exploring alternative diagnostic methods that do not involve radiation, such as ultrasound or MRI, depending on the clinical situation.

In summary, while there is a theoretical risk associated with multiple X-ray examinations, the doses you have received are unlikely to pose a significant health threat. The benefits of these diagnostic tools in managing your health generally outweigh the risks. Always feel free to communicate your concerns with your healthcare provider, who can help clarify the necessity and safety of any imaging procedures you may need in the future.

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