Impact of Accidental X-Ray Exposure in Radiology Practice - Radiology

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Incorrect X-ray dosage?


Hello, doctor.
I would like to ask a question.
I am a radiology student, and while we were practicing with the X-ray machine at school, I was in the room with the X-ray machine.
I was unsure if the lead door was closed properly, and my classmate accidentally pressed the exposure button.
At that time, the settings were 250 kV and 64 mAs.
What impact could this have, and is there any risk of cancer or other issues? I was in the same room as the X-ray machine while checking the lead door.

Liu Xiansheng, 10~19 year old female. Ask Date: 2020/11/02

Dr. Wang Yifen reply Radiology


Hello, the various tissues and organs in the human body are composed of numerous cells.
When exposed to a significant amount of radiation, cells may exhibit the following damage responses: 1.
Low-dose radiation may not affect cellular metabolism or delay its normal cycle, and after a period of time, cells can self-repair and return to normal.
Generally, diagnostic radiology and nuclear medicine examinations fall under low-dose radiation, which poses a lower risk than smoking.
2.
High-dose short-term exposure or low-dose long-term exposure can damage cells, causing them to lose their ability to divide and reproduce, ultimately leading to cell death.
3.
If damaged cells divide abnormally, changes in the genetic material (DNA) of germ cells can affect offspring, and abnormal development in somatic cells may lead to tumor formation.
4.
When the energy is very high, irradiated cells may swell and rupture immediately.
Diagnostic X-ray machines are classified as low-dose radiation, and the risk from a single exposure is lower than that of smoking.
Radiation workers face a higher risk of accidental exposure compared to the general workforce, so it is essential to implement necessary radiation protection measures while performing related tasks to ensure the safety of themselves and those around them.
Please take this into consideration, and I wish you safety and health.

Reply Date: 2020/11/02

More Info


Accidental exposure to X-rays, particularly in a radiology practice setting, raises valid concerns regarding radiation safety and potential health impacts. In your case, being in the same room as the X-ray machine when it was accidentally activated could lead to some level of radiation exposure, depending on several factors, including the machine's settings, the duration of exposure, and your distance from the source.

Firstly, it's essential to understand how X-ray machines operate. When an X-ray machine is activated, it emits ionizing radiation, which can penetrate body tissues and potentially cause cellular damage. The amount of radiation exposure is measured in units called millisieverts (mSv). For context, a standard chest X-ray typically delivers a dose of about 0.1 mSv, while a dental X-ray is around 0.01 mSv.
In your scenario, the settings you mentioned (250 kV and 64 mAs) indicate a relatively high energy level and current, which could result in a significant radiation dose if exposure occurred. However, the actual dose received would depend on whether the lead door was closed and how well it shielded you from the radiation. Lead barriers are designed to absorb X-rays and protect individuals from exposure, so if the door was closed and functioning correctly, your risk of exposure would be minimal.

If the lead door was not properly closed, and you were in the room during the exposure, you might have received some radiation dose. However, the likelihood of developing cancer from a single accidental exposure is generally low, especially if the exposure was brief and the dose was not exceedingly high. According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are not associated with significant health risks, including cancer.
It's also important to note that radiation effects are cumulative over time. The risk of cancer increases with higher cumulative doses, but a single incident of accidental exposure, particularly if it was a low dose, is unlikely to have a significant impact on your long-term health.
In the context of your training as a radiology student, this incident underscores the importance of adhering to safety protocols, including ensuring that all doors are securely closed and that only authorized personnel are present during X-ray exposure. Regular training and awareness of radiation safety practices are crucial in minimizing risks in clinical settings.

If you have concerns about your exposure, it would be prudent to discuss this with a qualified health professional or a radiation safety officer at your institution. They can provide personalized advice based on your specific situation and help assess any potential risks.
In summary, while accidental exposure to X-rays can be concerning, the actual risk of developing cancer from a single, brief exposure in a controlled environment is generally low, especially if safety protocols are followed. Continuous education and adherence to safety measures are vital in radiology practice to protect both patients and healthcare workers from unnecessary radiation exposure.

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