Is My Radiation Exposure Too High? Safe Levels for 2022 and 2023 - Radiology

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Radiation Issues


Hello Doctor, in the year 2022, I accumulated a total of 20.828 millisieverts (as seen in the National Health Insurance Easy Access app), which includes many ultrasounds and X-rays.
The 20.828 millisieverts only accounts for the examinations performed by doctors and does not include health check-ups.
During my health check-up in 2022, I underwent a cardiac ultrasound, abdominal ultrasound, abdominal X-ray, and chest X-ray.
I would like to know if the radiation exposure in 2022 is too high.
Additionally, in 2023, I had a dopamine brain CT scan; is the accumulated radiation exposure from these procedures safe?

zero zero, 20~29 year old female. Ask Date: 2023/11/15

Dr. Wang Yifen reply Radiology


Hello, ultrasound is a non-radiative examination and does not involve any radiation dose.
Diagnostic X-rays and nuclear medicine dopamine brain scans are considered low-dose radiation examinations, which are reported to be safe according to the literature.
When it comes to X-ray radiation examinations, the necessity of the examination should be considered, rather than limiting the radiation dose or the number of examinations.
Following your doctor's instructions to undergo radiation-related examinations is based on the consideration that the health benefits outweigh the effects of radiation.
If you have any concerns, it is advisable to communicate with your physician before proceeding with the examination.
Do not avoid examinations out of fear of radiation, as this may lead to missing the opportunity for disease treatment.
Please take this into consideration, and I wish you peace and good health.

Reply Date: 2023/11/15

More Info


When considering radiation exposure from medical imaging, it's essential to understand the context and the potential risks involved. In your case, you've accumulated a total of 20.828 millisieverts (mSv) in 2022, which includes various imaging studies such as X-rays and ultrasounds. To put this into perspective, let's break down the radiation exposure levels and their implications.

First, it's important to note that the average person is exposed to about 3 mSv of natural background radiation per year from sources like cosmic rays, radon, and terrestrial radiation. Medical imaging can significantly add to this exposure, but the benefits often outweigh the risks when these procedures are medically necessary.

1. Understanding Radiation Dosage:
- A single chest X-ray typically exposes a patient to about 0.1 mSv, while a standard abdominal CT scan can expose a patient to around 10 mSv. Your cumulative exposure of 20.828 mSv from various procedures is within a range that is generally considered acceptable for medical imaging, especially if these tests were necessary for diagnosing or monitoring health conditions.

- The radiation dose from a dopamine head CT scan can vary but is generally around 4-7 mSv, depending on the protocol used.

2. Risk Assessment:
- The risk of developing cancer from radiation exposure is often expressed in terms of increased lifetime risk. For example, an additional dose of 10 mSv is estimated to increase the lifetime risk of cancer by about 0.05% (or 1 in 2,000). Therefore, your total exposure of around 20.828 mSv could theoretically increase your cancer risk slightly, but it is crucial to remember that many other factors contribute to cancer risk, including lifestyle, genetics, and environmental exposures.

- The concept of "probabilistic risk" means that while there is a risk associated with radiation exposure, it is not deterministic. This means that not everyone exposed to a certain level of radiation will develop cancer.

3. Medical Necessity:
- It's vital to weigh the necessity of each imaging study against the potential risks. If the imaging was performed to diagnose or manage a significant health issue, the benefits of obtaining critical information often outweigh the risks associated with radiation exposure.

- Discussing with your healthcare provider about the necessity of each imaging study can help alleviate concerns. They can provide insights into whether the imaging was essential and if alternative methods (like ultrasound or MRI, which do not use ionizing radiation) could have been considered.

4. Future Imaging:
- If you are concerned about future imaging and radiation exposure, it is advisable to communicate these concerns with your healthcare provider. They can help determine the necessity of future scans and explore alternatives if appropriate.

- Regular health check-ups and discussions about your imaging history can help manage your cumulative exposure effectively.

In conclusion, while your cumulative radiation exposure of 20.828 mSv in 2022 is higher than the average background exposure, it is not considered excessively high in the context of necessary medical imaging. The key is to ensure that each procedure is justified and to maintain open communication with your healthcare provider regarding your imaging needs and concerns. Remember, maintaining a healthy lifestyle and minimizing other risk factors can also play a significant role in reducing your overall cancer risk.

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