Concerns Over Excessive X-Ray Exposure: A Patient's Experience - Radiology

Share to:

Six X-rays were taken at once?


When I went to the hospital for a check-up due to a feeling of tightness in my chest, the doctor, who seemed to be a newly promoted attending physician, might have taken my concerns seriously because I suspected I had a pneumothorax like my brother.
The doctor enthusiastically ordered multiple X-rays, including several angles while lying on my side and standing.
Later, I noticed that the number of X-rays was quite high.
When I asked the nurse for a protective gown to shield my pelvis, it ended up slightly obscuring the lower edge of my sternum, prompting the radiologic technologist to take another round of images.
Is this level of exposure appropriate? After reviewing numerous papers and medical reports, I am now filled with fear about potential cancer risks, feeling as if I am facing a life-threatening challenge at any moment.
Were the radiologic technologist and physician being too careless? (When I took the X-ray copies to a larger hospital for consultation, the doctor laughed and asked how I could have been lying down for the X-rays, which made me realize that I might have been overexposed.)

A-Yan, 30~39 year old female. Ask Date: 2014/10/08

Dr. Yang Jinghua reply Radiology


Hello,
The purpose of medical imaging examinations is to assist clinicians in assessing the condition of patients for timely diagnosis and treatment.
It can be challenging to identify a small pneumothorax, which is why various imaging modalities are employed.
The most commonly used method is standing position, as the size limitations of the imaging detector may lead to difficulties in positioning, resulting in unreadable images.
Based on your description, multiple chest X-rays were taken during a single examination.
Under the commonly used imaging conditions in our country, this should not cause immediate tissue damage.
However, I recommend that you keep a record of the examination details (date, location, method, area, and number of images taken) to facilitate discussions with your physician during follow-up visits, allowing for the timely selection of appropriate examination methods.

Currently, there is an international initiative promoting the self-management of medical radiation dose records, based on the concept of radiation protection.
In addition to providing immediate diagnostic information, any exposure to artificial ionizing radiation should be managed throughout an individual's lifetime, guided by the principles of radiation physiology.
If you have any further questions, please feel free to reach out again.

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

Reply Date: 2014/10/08

More Info


Your concerns about excessive X-ray exposure are completely valid, especially given the increasing awareness of radiation risks associated with medical imaging. Let's break down your experience and the associated risks, as well as the rationale behind the use of X-rays in your situation.

First, it's essential to understand that X-rays are a form of ionizing radiation, which can potentially increase the risk of cancer over time, particularly with high doses or repeated exposure. However, the amount of radiation from a single chest X-ray is relatively low. For instance, a standard chest X-ray typically delivers about 0.1 mSv (millisieverts) of radiation, which is comparable to the amount of natural background radiation a person receives in about ten days.
In your case, it seems that you underwent multiple X-ray examinations, including various angles and positions. While it is crucial for physicians to obtain clear and comprehensive images for accurate diagnosis, it is equally important to minimize unnecessary exposure. The principle of "As Low As Reasonably Achievable" (ALARA) is a standard guideline in radiology, emphasizing that radiation exposure should be kept to a minimum while still achieving the necessary diagnostic quality.

Regarding your experience with the radiology staff, it is not uncommon for medical professionals to err on the side of caution, especially when they suspect a serious condition like pneumothorax (collapsed lung). However, the decision to take multiple images should be carefully weighed against the potential risks. If the protective lead apron was not positioned correctly, leading to additional imaging, it raises questions about the necessity of those extra exposures.
Your feelings of anxiety and fear about radiation exposure are understandable, particularly if you have read literature suggesting a link between X-ray exposure and cancer. However, it is important to contextualize this risk. The cumulative effect of radiation exposure is a concern, but the doses from standard X-ray procedures are generally considered safe when performed judiciously. The risk of missing a significant medical condition often outweighs the potential risks associated with the radiation exposure from X-rays.

If you feel that the number of X-rays you received was excessive or unnecessary, it would be beneficial to discuss this with your healthcare provider. They can provide clarity on the rationale for the imaging decisions made during your visit. Additionally, if you have ongoing concerns about your health or the appropriateness of the imaging, seeking a second opinion from another physician or a specialist in radiology may help alleviate your fears.

In conclusion, while it is essential to be cautious about radiation exposure, the benefits of obtaining necessary diagnostic information often justify the risks associated with X-ray imaging. Open communication with your healthcare team about your concerns can help ensure that your medical care is both safe and effective. Remember, the goal of medical imaging is to provide the best possible care while minimizing risks, and your health and peace of mind should always be a priority.

Similar Q&A

Concerns About Excessive X-Ray Exposure: What You Need to Know

Hello Doctor: Earlier this year, around February, I started experiencing frequent shoulder and neck pain, feeling uncomfortable no matter how I lay down. I suspected it might be related to my cervical spine or vertebrae. I consulted an orthopedic doctor who ordered X-rays: one la...


Dr. Sun Shengyi reply Radiology
Ms. Liang underwent a total of six spinal X-rays. The lumbar spine images had a higher dose, with two lateral views approximately 1.5 mSv (millisieverts), while the cervical spine images totaled about 1.0 mSv for four views. Currently, the equipment is very effective in controlli...

[Read More] Concerns About Excessive X-Ray Exposure: What You Need to Know


Is Frequent X-Ray Exposure Harmful? Understanding Risks After 6 X-Rays

Hello doctor, I recently sprained my ankle and have some pain in my jaw. After seeing a doctor, I was advised to get X-rays. Within half an hour, I had a total of 6 X-rays taken (4 of my head and 2 of my foot) without wearing any protective clothing. Will this have any adverse ef...


Dr. Wang Yifen reply Radiology
The radiation dose from a head X-ray is approximately 0.1 millisieverts, while a limb X-ray is about 0.001 millisieverts. In Taiwan, the average annual natural background radiation dose per person is around 1.62 millisieverts. You have received 4 head X-rays and 2 foot X-rays, re...

[Read More] Is Frequent X-Ray Exposure Harmful? Understanding Risks After 6 X-Rays


Assessing Radiation Exposure from X-rays and CT Scans: What You Need to Know

Hello Doctor, I would like to ask about my situation. In October 2010, I experienced a spontaneous pneumothorax, which has caused me to frequently undergo X-rays due to my anxiety. Below is a summary of the X-rays and CT scans I have had over the past two years. I am concerned ...


Dr. Yang Jinghua reply Radiology
Dr. Wetin: Your inquiry is addressed in the attached document. Wishing you peace and joy! Yang Ching-Hua, Department of Radiology, Taoyuan General Hospital.

[Read More] Assessing Radiation Exposure from X-rays and CT Scans: What You Need to Know


Concerns About Radiation Exposure from X-rays and CT Scans

Hello, Doctor. I would like to express my apologies to the staff at Taiwan e-Hospital. I am very sorry for asking a similar question before, but due to my tendencies towards depression and anxiety, I still feel uneasy. If I still feel worried after this inquiry, I will seek help ...


Dr. Sun Shengyi reply Radiology
Significant exposure to X-ray radiation can potentially cause changes in the bones, but it will not lead to further development of fully matured bones. Receiving over twenty X-ray exposures will not result in continued bone development, so there is no need for further concern reg...

[Read More] Concerns About Radiation Exposure from X-rays and CT Scans


Related FAQ

X-Ray Radiation

(Radiology)

X-Ray

(Orthopedics)

Radiological Examination

(Radiology)

X-Ray

(Obstetrics and Gynecology)

X-Ray Report

(Pulmonology)

Mri Report

(Radiology)

Radiation

(Nuclear Medicine)

Contrast Agent

(Radiology)

Radiation

(Oncology)

Scoliosis

(Orthopedics)