CT Scans: Radiation Exposure and Image Quality Concerns - Radiology

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Computed Tomography (CT) scan


Hello Doctor, last November I underwent an abdominal CT scan at a small hospital in Yilan due to diarrhea and abdominal pain.
Since my condition did not improve, I found out that the CT scan was performed with 4 slices.
I would like to ask the doctor: 1.
Does 4 slices mean that the entire abdomen is scanned multiple times? Does this increase the radiation dose? Or is the radiation dose the same regardless of how many times the scan is performed in the same environment? I remember that I might have gone back and forth for 2 or 3 times.
Would the image quality of 2 or 4 slices be less clear, making it harder to detect smaller lesions? My symptoms have worsened recently, and I am very anxious.
Doctors have been diagnosing me with irritable bowel syndrome, but the medication hasn't been very effective.
I have never been troubled for this long...
Thank you, doctor.

A-Zhen, 20~29 year old female. Ask Date: 2022/07/05

Dr. Ye Weicheng reply Radiology


Dear Mr.
A-Zhen,
Regarding your questions about computed tomography (CT) scans, let me explain:
1.
Is a 4-slice CT scan performed in multiple passes for the abdomen, and does the radiation dose increase?
Answer: Generally, the range of a CT scan is determined by the radiologic technologist based on the physician's order.
An abdominal CT scan is typically completed in one session.
The reason for 2-3 passes is that the first pass is for localization imaging, the second pass is for non-contrast imaging, and the third pass is for imaging after the administration of contrast agent.
Therefore, it is normal for you to enter and exit the machine three times.
Naturally, the more scans performed, the higher the radiation dose; however, these doses are quite low, so the risk of radiation harm is also very low, and there is no need for excessive concern.
2.
Is the image quality of a 4-slice scan less clear, making it difficult to detect smaller lesions?
Answer: The image quality of a 4-slice scan is indeed inferior to that of a 64-slice scan.
This is due to the inherent resolution of the 4-slice machine being relatively lower than that of a 64-slice machine, and the scanning speed of a 4-slice CT is slower, requiring a longer scanning time.
Patients may have difficulty holding their breath for the extended duration, which can lead to blurred images.
However, the assessment of your condition will not rely solely on the CT images; the physician will consider your complaints, physical examination findings, and various blood tests or other diagnostic information to evaluate your condition.
If your symptoms do not improve, I recommend visiting a larger hospital for further evaluation.
Sincerely,
Dr.
Wei-Cheng Yeh
Department of Radiology, Nantou Hospital

Reply Date: 2022/07/05

More Info


Understanding CT Scans: Radiation Exposure and Image Quality Concerns
CT scans, or computed tomography scans, are widely used diagnostic tools that provide detailed images of the body's internal structures. However, concerns regarding radiation exposure and image quality are common among patients, especially after multiple scans. Your situation, involving multiple scans with a 4-slice CT scanner, raises important questions about radiation exposure and the clarity of the images produced.

1. Understanding 4-Slice CT Scanners: A 4-slice CT scanner captures images of the body in slices, or cross-sections, using four detectors. This means that the scanner can acquire four slices of data simultaneously during each rotation. While this technology allows for faster imaging compared to single-slice scanners, it does not necessarily mean that the entire abdomen is scanned in multiple passes. Instead, the scanner rotates around the patient, capturing multiple slices in one go. Therefore, the radiation dose is not cumulative in the way you might think; each scan has a specific radiation dose based on the parameters set by the technician and the machine's capabilities.

2. Radiation Dose Considerations: The radiation dose from a CT scan is typically measured in millisieverts (mSv). For abdominal scans, the dose can range from about 5 to 15 mSv, depending on the scanner type and the specific protocols used. In your case, if you underwent 2 to 3 scans with a 4-slice CT, the total radiation exposure would be the sum of the doses from each scan. However, it is important to note that modern CT scanners are designed to optimize radiation dose while maintaining image quality. The cumulative dose from multiple scans should be discussed with your healthcare provider, who can provide context based on your specific situation.

3. Image Quality and Detection of Small Lesions: The image quality produced by a 4-slice CT scanner may not be as high as that from more advanced scanners, such as 16-slice or 64-slice CT scanners. Higher-slice scanners can capture more data in a single rotation, leading to better resolution and the ability to detect smaller lesions or abnormalities. However, a 4-slice CT can still provide adequate imaging for many diagnostic purposes. If your symptoms are worsening and there is a concern about detecting small lesions, it may be worth discussing with your physician the possibility of using a higher-slice CT scanner for better image quality.

4. Addressing Your Health Concerns: It is understandable to feel anxious about your health, especially when symptoms persist despite treatment. If you have been diagnosed with irritable bowel syndrome (IBS) and are not responding well to medication, it may be beneficial to seek a second opinion or further evaluation. There are various conditions that can mimic IBS symptoms, and additional imaging or tests may be warranted to rule out other gastrointestinal issues.

5. Communication with Your Healthcare Provider: Open communication with your healthcare provider is crucial. Discuss your concerns about radiation exposure, the number of scans, and the quality of imaging. They can provide reassurance and help you understand the necessity of each scan in the context of your symptoms and overall health. If further imaging is needed, they can also guide you on the most appropriate type of scan to use.

In conclusion, while CT scans do involve radiation exposure, the benefits of accurate diagnosis often outweigh the risks, especially when managed appropriately. Your healthcare provider can help you navigate these concerns and ensure that you receive the best possible care while minimizing unnecessary radiation exposure. Always feel empowered to ask questions and advocate for your health during medical consultations.

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