How Long Can You Safely Be Exposed to X-Ray Radiation? - Radiology

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How long of X-ray exposure can cause harm to the human body? (Forwarded from the Minister's mailbox)


Dear Sir/Madam: How long can a person be exposed to an X-ray machine before exceeding the safe dose? On November 12th, I underwent an X-ray for my lumbar spine at an orthopedic clinic in Changhua.
From the moment I stood on the platform and heard the machine start until it stopped, it seemed to take more than 20 to 30 seconds.
I felt uncomfortable standing there, and I am unsure if the radiation exposure was excessive.
The resulting images were blurry, and the doctor mentioned that the X-ray dose was very low, taking into account my weight and body area.
However, I did not hear the doctor give any instructions to the nurse before the procedure.
I am uncertain whether the doctor was being vague with me or if such a lengthy process is indeed necessary.
Could the relevant personnel provide accurate information to clarify my concerns? Thank you!

Mr. Wu (Ms. Wu), 30~39 year old female. Ask Date: 2013/11/13

Dr. Yang Jinghua reply Radiology


To msesewu: General radiography requires proper positioning to ensure the area of interest is imaged as clearly as possible.
Therefore, the radiologic technologist will ask the patient to cooperate with positioning, which takes a few seconds to a few minutes.
The actual X-ray exposure lasts less than one second.
However, any slight movement during this time may affect the examination results.
Currently, the Atomic Energy Commission regulates and audits medical exposures nationwide.
Only facilities that meet the criteria are allowed to operate.
There must be visible certifications for both the equipment and personnel outside the examination room.
If the above conditions are met, the radiation dose from this single examination is only slightly higher than that of a chest X-ray and is far below the annual background radiation dose that an average person is exposed to, posing no harm to the body.
I hope this explanation is helpful.
Wishing you peace and joy! Yang Ching-Hua, Department of Radiology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2013/11/13

More Info


When it comes to X-ray radiation exposure, it’s essential to understand both the safety limits and the nature of the radiation involved. X-rays are a form of ionizing radiation, which means they have enough energy to remove tightly bound electrons from atoms, potentially leading to cellular damage. However, the amount of radiation exposure from a single X-ray is relatively low, and the risk of harm is generally considered minimal when the procedure is medically necessary.


Understanding Radiation Exposure
1. Radiation Dose Measurement: The amount of radiation exposure is measured in millisieverts (mSv). For context, a typical chest X-ray exposes a person to about 0.1 mSv, while a lumbar spine X-ray can range from 1 to 10 mSv depending on the specific technique and equipment used. The annual limit for the general public is typically set at 1 mSv from artificial sources, excluding natural background radiation, which averages around 2-3 mSv per year.

2. Duration of Exposure: The duration of exposure during an X-ray procedure can vary. The actual time the X-ray machine is active (i.e., emitting radiation) is usually only a few seconds. The time spent in the machine may include preparation, positioning, and the actual imaging process. If you felt discomfort while standing in position, it could be due to the physical stance rather than radiation exposure.

3. Cumulative Effects: While there is a theoretical risk associated with cumulative radiation exposure, the doses from medical imaging are generally low. The International Commission on Radiological Protection (ICRP) suggests that any exposure carries a risk, but for low doses, this risk is very small. The risk of developing cancer from low-dose radiation is considered to be linear, meaning that as exposure increases, so does the risk, but the increase is very slight at low levels.


Addressing Your Concerns
- Feeling Uncomfortable: If you felt uncomfortable during the procedure, it might have been due to standing still for an extended period rather than the radiation itself. It’s important to communicate with the medical staff if you experience discomfort.

- Quality of the X-ray Image: If the resulting image was unclear or "blurry," it could be due to various factors, including patient movement, improper positioning, or equipment settings. The technician should ensure that the patient is properly positioned and still during the exposure to obtain a clear image.

- Communication with Medical Staff: It’s crucial for healthcare providers to communicate effectively about the procedure, including the expected duration and any necessary precautions. If you feel uncertain about the process or the amount of radiation exposure, don’t hesitate to ask questions before the procedure begins.


Recommendations
1. Discuss with Your Doctor: If you have concerns about the amount of radiation you’ve been exposed to, discuss them with your healthcare provider. They can provide specific information based on your medical history and the procedures you’ve undergone.

2. Limit Unnecessary Exposures: While X-rays are valuable diagnostic tools, it’s wise to avoid unnecessary imaging. Always weigh the benefits of the information gained against the risks of radiation exposure.

3. Stay Informed: Familiarize yourself with the typical radiation doses associated with different types of X-rays and other imaging modalities. This knowledge can help you make informed decisions about your healthcare.

In conclusion, while X-ray radiation does carry some risk, the levels used in medical imaging are generally low and considered safe when performed appropriately. If you have specific concerns about your exposure or the procedures you’ve undergone, it’s best to consult with your healthcare provider for personalized advice and reassurance.

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