Does Frequent X-Ray Exposure Increase Cancer Risk? Radiation Effects - Radiology

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Will undergoing multiple radiographic examinations in a short period of time have an impact on the body?


Hello Doctor,
I experienced sudden abdominal discomfort last October, and over the past three months, I have undergone numerous tests, including X-rays, ultrasounds, and CT scans.
On November 22, 2021, I had a chest X-ray; on October 22, 2023, I had an abdominal X-ray; on November 17, 2023, I had another chest X-ray; on November 29, 2023, I underwent an abdominal CT scan (it took three attempts to successfully complete it); on December 5, 2023, I had an abdominal X-ray (performed by the gastroenterology department); and on January 17, 2024, I had another abdominal X-ray (performed by the urology department).
Currently, according to the National Health Insurance app, I have received a total medical radiation dose of 12 millisieverts.

Question 1: Does having so many imaging studies in a short period increase my risk of developing cancer in the future?
Question 2: Will the repeated abdominal X-rays have any impact on my abdominal organs?
Question 3: If I undergo further imaging in the future, will the radiation dose have any effects on my body?

Ms. Zhang, 20~29 year old female. Ask Date: 2024/01/17

Dr. Wang Yifen reply Radiology


Hello: Diagnostic X-ray examinations are classified as low-dose radiation imaging.
According to the International Commission on Radiological Protection (ICRP) report 103, doses below 100 millisieverts (including single or multiple exposures) do not cause clinical functional impairment.
The necessity of the examination should be considered for X-ray radiation checks, and there are no restrictions on the radiation dose or the number of examinations.
Following your doctor's instructions to undergo radiation-related examinations is based on the assessment that the health benefits outweigh the effects of radiation.
If you have 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 critical treatment opportunities for diseases.
For more information regarding radiation from imaging examinations, please refer to the press release from the Ministry of Health and Welfare.
Link: https://www.mohw.gov.tw/cp-5023-64571-1.html.
Please take care and wish you good health.

Reply Date: 2024/01/17

More Info


Frequent exposure to X-rays and other forms of medical imaging that utilize radiation has been a topic of concern for many patients, especially regarding the potential long-term risks of cancer. Your situation, involving multiple imaging studies over a relatively short period, raises valid questions about the cumulative effects of radiation exposure.


Understanding Radiation Exposure and Cancer Risk
1. Cumulative Radiation Dose: The total radiation dose you mentioned, approximately 12 millisieverts (mSv), is significant when considering the potential risks associated with radiation exposure. For context, the average person is exposed to about 3 mSv of natural background radiation per year. Medical imaging can contribute additional exposure, and while the risk of developing cancer from radiation is generally low, it is not negligible. The risk is often quantified as an increase in the lifetime risk of cancer, which can be estimated at about 0.05% per mSv of exposure. Therefore, a cumulative dose of 12 mSv could theoretically increase your risk of cancer by about 0.6%, which is relatively small but still a consideration.

2. Short-Term vs. Long-Term Risks: The immediate concern with multiple X-rays in a short time frame is not typically about acute effects but rather the long-term risk of cancer. While the risk increases with higher doses and more frequent exposures, the majority of studies suggest that the risk is quite low for doses below 100 mSv. Your total exposure of 12 mSv is below this threshold, suggesting that while there is a slight increase in risk, it is not considered significant in the context of cancer development.

3. Impact of Repeated Imaging: Regarding your question about the impact of repeated abdominal X-rays on your abdominal organs, the consensus in the medical community is that the risk of harm from a few X-rays is minimal. However, repeated exposure can lead to a cumulative effect, which is why it is essential to evaluate the necessity of each imaging study. If the imaging is clinically justified, the benefits of accurate diagnosis and treatment often outweigh the risks associated with radiation exposure.

4. Future Imaging Considerations: As for future imaging, it is crucial to maintain open communication with your healthcare provider. Discuss any concerns you have about radiation exposure and ask whether alternative imaging methods, such as ultrasound or MRI, which do not involve ionizing radiation, could be appropriate for your situation. If X-rays or CT scans are necessary, ensure that they are performed with the lowest possible dose that still provides the necessary diagnostic information.


Conclusion
In summary, while there is a theoretical increase in cancer risk associated with your cumulative radiation exposure from medical imaging, the actual risk remains low, especially at doses below 20 mSv. It is essential to weigh the benefits of diagnostic imaging against the risks of radiation exposure. Always discuss your concerns with your healthcare provider, who can help determine the necessity of further imaging and explore alternative options if appropriate. Remember, the goal of medical imaging is to provide critical information for diagnosis and treatment, and when used judiciously, the benefits typically outweigh the risks.

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