Radiation Exposure from X-rays and CT Scans - Radiology

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Is this amount of radiation high?


I had three chest X-rays between 2020 and 2021, and after an injury, I had a CT scan of my head and one cervical spine X-ray.
I would like to know the total radiation exposure from these procedures.

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

Dr. Wang Yifen reply Radiology


According to information from the American Society of Radiologic Technologists, the radiation dose from three chest X-rays (including frontal and lateral views) is approximately 0.3 millisieverts, a single head CT scan has a radiation dose of about 2 millisieverts, and a thoracic X-ray is around 1 millisievert.
The total radiation exposure from these examinations is approximately 3.3 millisieverts.
The International Commission on Radiological Protection (ICRP) report 103 states that doses below 100 millisieverts (whether single or multiple) do not cause clinically significant functional damage.
Following your doctor's recommendations for radiation-related examinations is important, as the health benefits outweigh the risks associated with radiation exposure.
If you have concerns, it is advisable to discuss them with your physician before undergoing any examinations.
Do not avoid necessary tests out of fear of radiation, as this could result in missing critical treatment opportunities for diseases.
Please take this into consideration, and I wish you safety and health.

Reply Date: 2021/04/29

More Info


When considering the radiation exposure from X-rays and CT scans, it's essential to understand the specific doses associated with each type of imaging. In your case, you've had three chest X-rays and one CT scan of the head and neck. Let's break down the radiation exposure for each of these procedures.

1. Chest X-rays: A standard chest X-ray typically delivers a radiation dose of about 0.1 to 0.2 millisieverts (mSv) per image. Therefore, if you had three chest X-rays, the total radiation exposure from these would be approximately 0.3 to 0.6 mSv.

2. CT Scan of the Head and Neck: A CT scan generally involves a higher dose of radiation compared to standard X-rays. The radiation dose for a CT scan of the head is usually around 2 to 4 mSv, while a CT scan of the neck can range from 2 to 6 mSv, depending on the specific protocol used and the equipment. For the sake of estimation, let's assume your CT scan delivered a dose of about 4 mSv.

Now, if we sum these values, your total radiation exposure would be approximately:
- Chest X-rays: 0.3 to 0.6 mSv
- CT Scan (Head and Neck): 4 mSv
Total Estimated Radiation Exposure: 4.3 to 4.6 mSv

Context of Radiation Exposure
To put this in perspective, the average person is exposed to about 3 mSv of natural background radiation per year from sources such as cosmic rays, radon gas, and terrestrial radiation. Therefore, your total exposure from the imaging studies you've undergone is slightly above the annual background exposure but still well below levels that are typically considered concerning.


Evaluating Risks
According to the International Commission on Radiological Protection (ICRP), doses below 100 mSv are not associated with significant health risks, particularly in terms of immediate effects. The risk of developing cancer from radiation exposure increases with higher cumulative doses, but the risk from doses below 10 mSv is considered very low. Your total exposure from the X-rays and CT scan is significantly below this threshold.


Recommendations
1. Discuss with Your Physician: If you have concerns about the cumulative radiation exposure from your imaging studies, it’s crucial to discuss these with your healthcare provider. They can help assess the necessity of each imaging study based on your medical history and current health status.

2. Consider Alternatives: In some cases, alternative imaging methods that do not involve radiation, such as ultrasound or MRI, may be appropriate depending on the clinical situation.

3. Monitor Future Imaging: If you find yourself needing frequent imaging, keep a record of your past exposures and discuss them with your healthcare provider to ensure that the benefits of any future imaging outweigh the risks.

In conclusion, while radiation exposure from medical imaging is a valid concern, the doses associated with your recent X-rays and CT scan are relatively low and within safe limits. Always prioritize open communication with your healthcare team regarding any imaging procedures you may need in the future.

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