Radiation Exposure from Multiple CT Scans: What You Need to Know - Radiology

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Radiation Dose from Computed Tomography (CT) Scans


Hello Doctor, I am 28 years old.
Due to my poor health over the past few years, I have undergone several abdominal CT scans this year, all of which were arranged by my doctor.
However, I am very scared about the risk of radiation exposure and potential cancer.
So far, I have had a total of 5 abdominal CT scans (with contrast) and 2 low-dose chest CT scans.
I have never seen anyone else undergo so many scans.
I am extremely worried every day and truly regret it, but I don’t know how to refuse my doctor.
If I say I don’t want to undergo the scans, will that increase my risk of developing cancer? Thank you.

Yuraaa, 20~29 year old female. Ask Date: 2022/10/26

Dr. Wang Yifen reply Radiology


According to information from the National Health Service, both men and women have approximately a 40% risk of being diagnosed with cancer at some point in their lives.
The vast majority of cases are caused by aging and long-term exposure to risk factors such as tobacco, alcohol, betel nut, radiation, and air pollution.
Other factors, such as poor diet and lack of regular exercise, also contribute to the risk of cancer.

Radiation examinations are determined by physicians based on medical professional judgment, adhering to the principles of medical justification and optimization of exposure.
There are no restrictions on the number or dosage of radiation examinations.
Following a doctor's instructions to undergo radiation-related tests is based on the consideration that the health benefits outweigh the risks of radiation exposure.
If there are any concerns, it is advisable to communicate with the physician before proceeding with the examination.
It is crucial not to avoid tests out of fear of radiation, as this could result in missing critical opportunities for disease treatment.

Please refer to the above information, and I wish you good health and safety.

Reply Date: 2022/10/26

More Info


Understanding the concerns surrounding radiation exposure from multiple CT scans is crucial, especially for patients who have undergone several imaging procedures in a short period. As you mentioned, you are 28 years old and have had a total of five abdominal CT scans with contrast and two low-dose chest CT scans this year. It’s understandable that you are feeling anxious about the potential risks associated with radiation exposure.

First, it’s important to recognize that all medical imaging procedures, including CT scans, involve some level of radiation exposure. However, the amount of radiation from a single CT scan is generally considered to be low, and the benefits of obtaining critical diagnostic information often outweigh the risks associated with radiation exposure. For context, a typical abdominal CT scan can expose a patient to about 8 to 14 millisieverts (mSv) of radiation, while a chest CT scan typically exposes a patient to about 1 to 3 mSv.
When you undergo multiple scans, the cumulative radiation dose can indeed add up. For example, if you had five abdominal CT scans averaging 10 mSv each, that would total approximately 50 mSv, plus the additional radiation from your chest scans. However, it’s essential to understand that the risk of developing cancer from radiation exposure is relatively low. According to the International Commission on Radiological Protection (ICRP), the risk of cancer from exposure to 1 mSv of radiation is estimated to be about 1 in 1000. Therefore, even with cumulative doses, the risk remains quite small compared to the background risk of developing cancer from other factors, such as genetics and lifestyle.

In your case, with a cumulative dose of around 50 mSv from your abdominal scans and additional doses from the chest scans, your overall risk of radiation-induced cancer remains low. The ICRP suggests that doses below 100 mSv are unlikely to cause significant health effects, and many medical professionals agree that the benefits of necessary imaging often outweigh the risks.

If you are feeling overwhelmed by the number of scans you have had, it is crucial to communicate your concerns with your healthcare provider. They can help you understand the necessity of each scan and whether alternative imaging methods, such as ultrasound or MRI, could be appropriate for your situation. MRI, for instance, does not involve ionizing radiation and can be a suitable alternative for certain conditions.

It’s also worth noting that medical professionals are trained to evaluate the risks and benefits of imaging studies. If a doctor recommends a CT scan, it is typically because they believe the information gained will significantly impact your diagnosis or treatment plan. However, you have the right to express your concerns and ask for clarification on the necessity of further imaging.

In summary, while it is natural to worry about radiation exposure from multiple CT scans, the actual risk of developing cancer from the doses you have received is relatively low. Open communication with your healthcare provider is key to addressing your concerns and ensuring that your imaging needs are met safely and effectively. Remember, the goal of these scans is to provide you with the best possible care and to help diagnose any underlying health issues.

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