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

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X-ray radiation issues?


Hello, Doctor: I am a student in the radiology department.
Yesterday, while I was checking if the lead door was securely closed, my classmate accidentally pressed the exposure button, which seemed to activate the imaging.
The machine displayed mas 250 and Kv 64.
I was in the X-ray room checking the lead door when this happened.
Could you please tell me if this could have any impact on my health? The X-ray machine is part of the school's facilities.

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

Dr. Ye Weicheng reply Radiology


Hello, Liu Xiaodi: Regarding the issue you raised, it should not be a major concern.
According to the regulations of the Atomic Energy Commission, X-ray machines and lead doors must have an interlock system.
This means that the X-ray machine cannot be activated when the lead door is not closed, so the lead door should be securely closed.
Director Yeh Wei-Cheng, Department of Radiology, Nantou Hospital.

Reply Date: 2020/11/02

More Info


Accidental exposure to X-rays, even in a controlled environment like a radiology department, raises valid concerns regarding radiation safety and health impacts. In your case, the exposure occurred while you were checking the lead door of the X-ray room, and the machine was set to a specific exposure time and voltage (250 mAs and 64 kV). Understanding the implications of such exposure requires a grasp of radiation dose and its potential effects on human health.

First, let's break down the numbers. The exposure parameters you mentioned (250 mAs and 64 kV) indicate that the X-ray machine was set to deliver a certain amount of radiation. However, the actual dose you received depends on several factors, including the distance from the X-ray source, the duration of exposure, and the shielding provided by the lead door.
Typically, a standard chest X-ray delivers a dose of about 0.02 to 0.06 millisieverts (mSv). In comparison, a dental X-ray might deliver around 0.005 mSv. The radiation dose from a single exposure is relatively low, and the human body can tolerate small amounts of radiation without significant risk. According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are not expected to cause any immediate health effects or clinical damage.

In your situation, if the X-ray machine was activated accidentally while you were in the room, the actual dose you received would likely be minimal, especially if you were behind the lead door, which is designed to shield against radiation. Lead barriers are effective at absorbing X-rays, significantly reducing exposure for anyone behind them. If the door was properly closed and you were not directly in the path of the X-ray beam, your exposure would have been further minimized.

Regarding the potential health impacts, the risk of developing radiation-induced health effects, such as cancer, is generally considered to be very low for doses received in the range of a few mSv. The risk increases with higher cumulative doses over time, but occasional low-level exposure, like what you might have experienced, is unlikely to pose a significant risk.

It's also important to note that radiation exposure is cumulative. This means that while a single low-dose exposure is unlikely to cause harm, repeated exposures can add up over time. However, the threshold for concern is typically much higher than what would be encountered in a single accidental exposure.

If you have concerns about your exposure, it would be wise to discuss them with a qualified radiologist or health physicist at your institution. They can provide more specific information based on the exact circumstances of the exposure and the safety protocols in place at your school.

In summary, while accidental exposure to X-rays can be concerning, the actual risk associated with a single, brief exposure in a controlled environment is generally very low, particularly if proper safety measures, such as lead shielding, are in place. Always prioritize safety and adhere to established protocols to minimize exposure risks in the future. If you have ongoing concerns or experience any unusual symptoms, seeking medical advice is always a prudent course of action.

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