Radiation Exposure in CT Scans: Key Questions Answered - Radiology

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Radiation issues


Hello Dr.
Yang,
I would like to continue asking you some questions.
I recently visited an orthopedic doctor who suggested that I undergo another CT scan of the painful area.
I would like to know:
1.
How much radiation is typically involved in a standard CT scan?
2.
I had a full-body bone scan earlier this year; is it necessary to do another one now?
3.
Besides a CT scan, can an MRI be performed to check for bone issues, as it has less radiation exposure? My pain is located at a point between my right navel and chest.

Thank you for your answers.

Ms. Chen, 40~49 year old female. Ask Date: 2012/09/20

Dr. Yang Jinghua reply Radiology


Dear Ms.
Chen,
Hello.
Computed tomography (CT) utilizes X-ray imaging, which results in ionizing radiation effects.
Therefore, the radiation dose should be estimated based on the examination area.
Currently, regulations and international consensus do not restrict medical radiation; they only recommend recording the dose and require that examinations must be conducted in a clinically diagnostic manner.

Based on the examination areas you provided: a single chest CT scan is approximately 7 millisieverts (mSv), a single abdominal CT scan is about 10 mSv, and a whole-body bone scan, if performed using nuclear medicine, is around 10 mSv.
If it is a standard X-ray, the dose depends on the actual number of images taken, and it should not exceed 3 mSv.
The doses and time intervals for the aforementioned examinations do not pose a significant risk of radiation harm, with cancer risk being nearly equivalent to that of individuals who have not undergone any examinations.

Natural background radiation also exists, with an approximate dose of 3 mSv on the main island of Taiwan.

Wishing you peace and joy.
Sincerely,
Dr.
Yang Ching-Hua
Director, Department of Radiology
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2012/09/20

More Info


When considering the use of CT scans for medical imaging, it's essential to understand the associated radiation exposure and the implications for your health. Here are the answers to your questions based on current medical knowledge and guidelines.

1. Radiation Exposure from CT Scans: The radiation dose from a standard CT scan can vary significantly depending on the type of scan and the area being imaged. For instance, a typical abdominal CT scan can expose a patient to approximately 10 to 15 millisieverts (mSv), while a head CT scan usually delivers about 2 mSv. To put this into perspective, the average person is exposed to about 3 mSv of natural background radiation annually. Therefore, a single abdominal CT scan can equate to several years of natural exposure. It's important to note that while CT scans do involve radiation, they are often necessary for accurate diagnosis and treatment planning.

2. Need for Repeat Scans: If you have already undergone a full-body bone scan earlier this year, the necessity for another CT scan should be carefully evaluated. The decision to repeat imaging should be based on clinical indications, such as changes in symptoms, new findings, or the need for further evaluation of a specific condition. It is advisable to discuss with your physician the reasons for the repeat scan and whether it is essential at this time. If the previous imaging has provided sufficient information, you may not need another scan.

3. Alternatives to CT Scans: MRI (Magnetic Resonance Imaging) is indeed a viable alternative to CT scans, particularly for assessing soft tissue structures and certain bone conditions. MRI does not use ionizing radiation, making it a safer option for patients concerned about radiation exposure. However, MRIs have limitations, such as longer scan times and potential issues for patients with claustrophobia or certain implants. For your specific area of concern, which is located between your navel and chest, an MRI could provide valuable information without the risks associated with radiation exposure.

In summary, while CT scans are valuable diagnostic tools, their use should be justified based on clinical need. If you have concerns about radiation exposure, it is crucial to communicate these with your healthcare provider. They can help assess the necessity of the imaging and discuss alternative options like MRI, ensuring that you receive the best possible care while minimizing unnecessary radiation exposure. Always remember that the benefits of accurate diagnosis and timely treatment often outweigh the risks associated with radiation exposure, but informed decision-making is key to your health.

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