Radiation issues
Thank you for your response, Doctor.
I apologize for my health anxiety and overthinking.
I don't quite understand what you mean, so should I be concerned about my current radiation exposure of 36.2 millisieverts? What should I be paying attention to? Should I seek an examination at a major hospital for any additional diseases caused by radiation, such as blood and urine tests for relevant items? Additionally, could you clarify how much radiation is involved in an abdominal CT scan, as I recall you mentioned different amounts in your previous responses—was it indeed 14 millisieverts?
Miss Pan, 30~39 year old female. Ask Date: 2020/04/05
Dr. Wang Yifen reply Radiology
Hello Ms.
Pan, the radiation dose is estimated based on data provided by the American Society of Radiologic Technologists at https://www.xrayrisk.com/calculator/calculator-normal-studies.php?id=23, which indicates that the exposure from an abdominal CT scan including the pelvic region is approximately 14 millisieverts.
According to the International Commission on Radiological Protection (ICRP) report 103, doses below 100 millisieverts (whether received in a single exposure or multiple exposures) do not cause clinically significant functional impairment.
Therefore, there is currently no need for additional tests due to these radiation-related examinations.
If you wish to gain a deeper understanding of radiation issues, you can refer to the Atomic Energy Commission's Radiation Knowledge Station at https://www.aec.gov.tw/webpage/radtown/default.php.
If you experience any unusual symptoms, it is advisable to consult a relevant specialist for further guidance.
Wishing you safety and good health.
Reply Date: 2020/04/05
More Info
Understanding radiation exposure and its associated risks can indeed be a source of anxiety for many individuals, especially those who have undergone multiple imaging studies. Your concern regarding the cumulative radiation dose of 36.2 millisieverts (mSv) and the associated increase in cancer risk is valid, but it is essential to contextualize this information to alleviate unnecessary worry.
First, let's break down the numbers. A cumulative dose of 36.2 mSv is significant when compared to the average annual background radiation exposure, which is approximately 2-3 mSv per year from natural sources such as cosmic rays, radon, and terrestrial sources. The additional cancer risk associated with a dose of 36.2 mSv, as you mentioned, is estimated to increase the risk of developing cancer by about 0.5% (or 5 in 1,000). While this does indicate a slight increase in risk, it is crucial to understand that the baseline risk of developing cancer over a lifetime is already significant, and many factors contribute to this risk, including lifestyle, genetics, and environmental exposures.
Regarding your specific concerns about whether you should be worried about your current radiation exposure, it is important to remember that medical imaging is performed with the intent of diagnosing and treating conditions effectively. The benefits of obtaining critical diagnostic information often outweigh the risks associated with radiation exposure. It is advisable to have open discussions with your healthcare provider about the necessity of any imaging studies, especially if they involve radiation. They can help you weigh the risks and benefits based on your medical history and current health status.
If you are feeling anxious about potential health impacts from radiation exposure, consider the following steps:
1. Consult Your Doctor: Discuss your concerns with your healthcare provider. They can provide reassurance and help you understand the necessity of any past or future imaging studies. They can also guide you on whether further evaluations are warranted based on your medical history.
2. Monitor Symptoms: If you experience any unusual symptoms, such as unexplained weight loss, persistent pain, or changes in your health, it is essential to seek medical attention. However, routine screening for radiation-related illnesses is generally not recommended unless specific symptoms arise.
3. Lifestyle Modifications: Focus on maintaining a healthy lifestyle, which can mitigate some cancer risks. This includes a balanced diet rich in fruits and vegetables, regular physical activity, avoiding tobacco, and limiting alcohol consumption.
4. Stay Informed: Educate yourself about radiation exposure and its effects. Understanding the science behind radiation can help alleviate fears. Resources from reputable organizations, such as the American Cancer Society or the National Cancer Institute, can provide valuable information.
As for your question regarding the radiation dose from an abdominal CT scan, the typical radiation dose for a standard abdominal CT scan is approximately 10-15 mSv, depending on the specific protocol used and the equipment. If you received different estimates, it may be due to variations in the imaging technique or the specific area being scanned.
In conclusion, while it is natural to feel concerned about radiation exposure, it is essential to approach the topic with a balanced perspective. Engaging in open communication with your healthcare provider, focusing on a healthy lifestyle, and understanding the context of your radiation exposure can help you manage your anxiety effectively. Remember that the goal of medical imaging is to enhance your health and well-being, and the risks associated with radiation are carefully considered in the context of your overall care.
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