Radiation Exposure: Is Your CT Scan Safe? - Radiology

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Radiation Issues


Hello doctor, I would like to ask if a radiation dose of 320 mGy for a CT scan of the abdomen is considered high.
The hospital informed me of this dose, and I am concerned about the risk of developing cancer.
If I want to become pregnant, how long should I wait? Thank you, doctor.
Also, is the limit of 100 millisieverts (mSv) a lifetime limit or an annual limit? Thank you, doctor.
I am a 26-year-old female weighing 37 kg; does this have any impact on radiation exposure? Thank you.

Anny, 20~29 year old female. Ask Date: 2021/04/20

Dr. Wang Yifen reply Radiology


Hello, the parameters related to radiation dose in computed tomography (CT) scans are primarily two: CTDI vol and DLP.
DLP (Dose-Length Product) is used to assess the total radiation dose received by the patient during a complete CT scan.
DLP (units: mGy·cm) = CTDI-Vol x total scan length.
E = k·DLP.
The conversion factor k (mSv·mGy⁻¹·cm⁻¹) is related to the examination site.
For a DLP of 320 mGy·cm, using a conversion factor k = 0.015 for the adult abdomen, the effective dose E is calculated as E = 0.015 x 320 = 4.8 mSv.
Your abdominal CT radiation dose result is within a reasonable range.
According to the International Commission on Radiological Protection (ICRP) report 103, doses below 100 millisieverts (including single or multiple exposures) do not cause clinical functional impairment.
The 100 millisieverts refers to the cumulative dose.
The decision to perform a radiation examination is made by the physician based on medical judgment, with the principle of optimizing medical exposure, and does not limit the number of examinations or doses.
Following your doctor's instructions to undergo radiation-related examinations is based on the consideration that the health benefits outweigh the risks of radiation.
If you have concerns, it is advisable to communicate with your physician before undergoing the examination.
Do not avoid examinations out of fear of radiation, as this may lead to missed opportunities for disease treatment.
Please take this into consideration, and I wish you peace and health.

Reply Date: 2021/04/20

More Info


When it comes to understanding radiation exposure from medical imaging, particularly CT scans, it's essential to grasp both the context of the radiation dose and the associated risks. The radiation dose you mentioned, "Blp 320 mGy cm," appears to be a misinterpretation or miscommunication of the actual dose. Typically, radiation doses from CT scans are measured in millisieverts (mSv), not in gray (Gy) or centimeters (cm).
For context, a standard abdominal CT scan usually exposes a patient to a radiation dose ranging from about 8 to 14 mSv. To put this in perspective, the average person is exposed to about 2-3 mSv of natural background radiation each year from environmental sources. Therefore, a single abdominal CT scan can equate to several years of natural radiation exposure.


Cancer Risk from Radiation Exposure
The concern about cancer risk from radiation exposure is valid. According to the International Commission on Radiological Protection (ICRP), the risk of developing cancer from radiation exposure is generally considered to be low, especially at doses below 100 mSv. The risk is often quantified as an increase in the lifetime risk of cancer, which is estimated to be about 0.005 (or 0.5%) per mSv of exposure. Therefore, if you received a dose of 10 mSv from a CT scan, your risk of developing cancer would increase by approximately 0.05%, which is relatively small compared to the baseline risk of cancer in the general population.


Pregnancy Considerations
Regarding pregnancy, it is generally recommended to wait a certain period after exposure to radiation before trying to conceive. The consensus is that if the radiation dose is below 50 mSv, the risk to the fetus is minimal. However, for doses above this threshold, it is advisable to consult with your healthcare provider for personalized guidance. If your abdominal CT scan was within the typical range (8-14 mSv), waiting a few weeks to a couple of months before attempting to conceive is often considered sufficient, but again, this should be discussed with your physician.


Cumulative Radiation Exposure
The 100 mSv threshold you mentioned refers to the cumulative lifetime exposure to radiation. It is not an annual limit but rather a lifetime accumulation. For instance, if you were to receive multiple imaging studies over the years, those doses would accumulate. However, most medical professionals aim to minimize unnecessary radiation exposure and will only recommend imaging when the benefits outweigh the risks.


Body Weight and Radiation Sensitivity
As for your weight and age, while these factors can influence how your body metabolizes and responds to radiation, the overall risk from a single CT scan is more significantly determined by the dose of radiation received rather than individual characteristics. Generally, younger individuals may have a slightly higher risk of developing radiation-induced cancer later in life, but the difference is marginal compared to the overall risk posed by the radiation dose itself.


Conclusion
In summary, while any exposure to radiation carries some risk, the doses associated with CT scans are typically low and considered safe when medically justified. If you have concerns about your specific situation, including the radiation dose you received or plans for pregnancy, it is crucial to have an open discussion with your healthcare provider. They can provide personalized advice based on your medical history and the specifics of your imaging studies. Always remember that the benefits of accurate diagnosis and treatment often outweigh the risks associated with radiation exposure.

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