Radiation Risks: Should You Worry About Your Exposure? - Radiology

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Radiation issues


Hello, doctor.
I would like to ask: my total radiation exposure is 36.2 millisieverts, and the additional cancer risk is approximately 0.5%.
Does this mean that my likelihood of developing cancer is significantly increased? I have been constantly thinking about the effects of radiation, which is affecting my emotional well-being.
Doctor, am I worrying too much? In the future, if a doctor recommends a procedure involving radiation, should I refuse it to avoid further exposure?

Lübing Huanzhe, 30~39 year old female. Ask Date: 2020/06/07

Dr. Wang Yifen reply Radiology


Hello: According to the report in the 115th issue of Health Magazine, lifestyle is closely related to the occurrence of cancer, with very few cancers having a genetic association.
The American Institute for Cancer Research published "Stopping Cancer Before It Starts," which states that 77% of cancer origins are related to lifestyle, while genetic risk factors account for 14%, and the remaining 9% are associated with environmental risks.
Health Magazine has compiled a list of 10 types of individuals who are more likely to be diagnosed with cancer: those who are obese, lead a sedentary lifestyle, have a greasy diet, consume a lot of meat but few fruits and vegetables, smoke, chew betel nut, drink excessively, prefer salty foods, enjoy pickled foods, and experience high levels of stress or anxiety.
The link to the article is: https://www.commonhealth.com.tw/article/article.action?nid=63160.
The additional cancer risk from radiation exposure during imaging examinations is approximately 0.5%, similar to the odds of winning the sixth prize (200 TWD) in a lottery.
Personally, I do not believe this significantly increases risk, but it should not be overlooked.
It is recommended to discuss the necessity of X-ray examinations with your physician, and to assess whether the benefits of the examination outweigh the risks before proceeding.
Do not avoid examinations out of fear of radiation, as this may lead to missed opportunities for treatment.
Wishing you safety and good health.

Reply Date: 2020/06/07

More Info


When it comes to understanding radiation risks and their potential impact on health, it's essential to approach the subject with a balanced perspective. Your concern about the cumulative radiation exposure of 36.2 millisieverts (mSv) and the associated increase in cancer risk is understandable, especially given the anxiety that can arise from health-related issues. However, it's crucial to contextualize these numbers and understand what they mean in practical terms.

First, let's break down the figures. A cumulative exposure of 36.2 mSv is significant, but it’s important to compare it to typical background radiation levels and medical exposure. The average person is exposed to about 3 mSv of natural background radiation each year from cosmic rays, radon, and other sources. Medical imaging procedures can add to this exposure; for example, a single CT scan can deliver a dose of around 10 mSv.
The statement that your additional cancer risk increases by approximately 0.5% (or 5 in 1,000) due to this exposure is a statistical estimate based on population data. It does not mean that your individual risk of developing cancer has drastically increased. For context, the lifetime risk of developing cancer for an average person is about 1 in 3. Therefore, an increase of 0.5% is relatively small in the grand scheme of things.
It's natural to feel anxious when faced with potential health risks, especially when it comes to something as serious as cancer. However, it's essential to recognize that worrying excessively about these risks can lead to significant emotional distress and impact your quality of life. In many cases, the anxiety stemming from the fear of radiation exposure can be more debilitating than the actual risk itself.

Regarding your question about refusing future medical imaging that involves radiation, it's crucial to have open discussions with your healthcare provider. Medical imaging is often necessary for accurate diagnosis and treatment planning. The benefits of obtaining critical health information through imaging typically outweigh the risks associated with radiation exposure. If a doctor recommends a procedure that involves radiation, it is usually because the potential benefits—such as detecting a serious condition early—are deemed to be greater than the risks.

If you find that your anxiety about radiation exposure is affecting your daily life, it may be beneficial to explore strategies to manage this anxiety. Cognitive-behavioral therapy (CBT) is an effective approach for addressing health-related anxiety. It can help you challenge irrational fears and develop healthier thought patterns. Mindfulness techniques, such as meditation and deep breathing exercises, can also be beneficial in reducing anxiety and promoting a sense of calm.

In summary, while it is wise to be informed about radiation exposure and its potential risks, it is equally important to maintain a balanced perspective. The increase in cancer risk associated with your exposure is relatively small, and the benefits of necessary medical imaging often outweigh the risks. If your anxiety continues to be a concern, consider seeking support from a mental health professional who can help you navigate these feelings and develop coping strategies. Remember, taking care of your mental health is just as important as addressing physical health concerns.

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