Abdominal X-ray was performed without providing protective measures?
Hello, doctor.
Recently, I went to the hospital for treatment due to abdominal pain.
During the X-ray procedure, the hospital did not provide any protective equipment (such as lead aprons).
Is this a normal situation? Could it pose any harm to my body? Thank you!
Tòngfēng bìngrén, 30~39 year old female. Ask Date: 2021/06/21
Dr. Wang Yifen reply Radiology
Hello, considering the advancements in technology and the current evidence regarding radiation exposure risks, the American Association of Physicists in Medicine (AAPM) issued a position statement on April 2, 2019, recommending the cessation of the use of patient gonadal and fetal shielding in routine X-ray diagnostic imaging examinations.
This is because such shielding (protective devices) may obscure organ structures or interfere with the automatic exposure control of imaging systems, potentially increasing the patient's radiation dose.
Therefore, with the current imaging technology, the use of shields is not recommended.
For reference, please visit https://www.aapm.org/org/policies/details.asp?id=468&type=PP.
Wishing you safety and health.
Reply Date: 2021/06/21
More Info
When it comes to receiving an abdominal X-ray without protective gear, it is essential to understand the current guidelines and the nature of radiation exposure involved in diagnostic imaging. The American Association of Physicists in Medicine (AAPM) has stated that the use of protective shielding, such as lead aprons, during routine X-ray examinations is not recommended. This is primarily due to the fact that these shields can obscure important anatomical structures, potentially leading to inadequate imaging and requiring repeat exposures, which could ultimately increase the patient's radiation dose.
In the context of your abdominal X-ray, the radiation exposure from a single X-ray is relatively low. For instance, an abdominal X-ray typically delivers a dose of about 0.7 millisieverts (mSv). To put this into perspective, the average person is exposed to approximately 3 mSv of natural background radiation each year from environmental sources. The International Commission on Radiological Protection (ICRP) indicates that doses below 100 mSv are unlikely to cause any significant clinical effects. Therefore, the radiation dose from a single abdominal X-ray is well below this threshold and is generally considered safe.
Moreover, the risk associated with radiation exposure is cumulative, meaning that repeated exposures can add up over time. However, the doses from standard X-ray procedures are designed to be as low as reasonably achievable while still providing the necessary diagnostic information. If you have concerns about the frequency of X-rays or the cumulative dose, it is advisable to discuss these with your healthcare provider. They can help assess the necessity of each imaging study and determine whether alternative diagnostic methods could be employed.
In summary, receiving an abdominal X-ray without protective gear is in line with current medical guidelines and is generally considered safe. The radiation dose involved is low and unlikely to cause harm. However, if you have ongoing concerns about radiation exposure or the need for multiple imaging studies, it is always best to have an open discussion with your physician. They can provide personalized advice based on your medical history and the specific circumstances surrounding your care. Remember, the benefits of obtaining necessary diagnostic information often outweigh the risks associated with low-level radiation exposure.
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