the Risks of Multiple CT Scans and Radiation Exposure - Radiology

Share to:

Risks of Continuous CT Scans


Hello, doctor.
Last month, I had a series of 8 sinus X-rays, followed by a CT scan (CT750 Gemstone CT) of the abdomen and a frontal chest X-ray the following week.
Since no issues were detected, the doctor plans to schedule another CT scan of the head in a week.
I recently learned that the radiation dose from a CT scan is quite high, with one abdominal CT scan being equivalent to the natural radiation exposure over 3 years.
Given this, should I still proceed with the CT scan?

CT, 40~49 year old female. Ask Date: 2015/05/02

Dr. Xu Zhongyuan reply Radiology


Dear Mr.
Johnshue,
Regarding the imaging examinations you described, they are performed in accordance with the regulations for medical ionizing radiation, based on the needs of your diagnosis and treatment.
Such examinations do not cause immediate harm to the body; however, ionizing radiation should still be used judiciously.
Please confirm with your treating physician, and if necessary for your condition, be sure to follow their medical advice.
Attached is the information provided by the Atomic Energy Council for your reference.
Wishing you peace and joy.
Sincerely,
Dr.
Ching-Hua Yang
Director, Department of Radiology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2015/05/02

More Info


Understanding the risks associated with multiple CT scans and radiation exposure is crucial for patients undergoing diagnostic imaging. Your concerns about the cumulative radiation exposure from various imaging studies, including X-rays and CT scans, are valid and warrant careful consideration.

CT scans, particularly abdominal and pelvic scans, do indeed expose patients to higher levels of radiation compared to standard X-rays. For instance, an abdominal CT scan typically delivers an effective dose of about 10-14 mSv, while a standard chest X-ray delivers approximately 0.1 mSv. To put this into perspective, the average person is exposed to about 2-3 mSv of natural background radiation per year. Therefore, a single abdominal CT scan can equate to several years of natural radiation exposure.

When assessing the necessity of further CT scans, it is essential to weigh the potential benefits against the risks associated with radiation exposure. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mSv are unlikely to cause significant health effects, including cancer. However, the cumulative effect of multiple scans can raise concerns, especially if the total exposure approaches or exceeds this threshold.

In your case, having undergone multiple imaging studies in a short period raises the question of whether the additional CT scan is medically justified. It is crucial to discuss this with your physician, who can evaluate the necessity of the scan based on your clinical situation. If the scan is deemed essential for diagnosing or managing a potential health issue, the benefits may outweigh the risks.

Moreover, it is worth exploring alternative imaging modalities that do not involve ionizing radiation, such as MRI or ultrasound, depending on the clinical context. While MRI is an excellent alternative for many conditions, it may not be suitable for all scenarios, and insurance coverage can also be a factor.

To summarize, while the radiation exposure from CT scans is a legitimate concern, the decision to proceed with further imaging should be based on a thorough discussion with your healthcare provider. They can help you understand the risks and benefits specific to your situation and determine the best course of action. Remember, avoiding necessary imaging due to fear of radiation can lead to missed diagnoses and delayed treatment, which can have more significant health implications. Always prioritize open communication with your healthcare team to make informed decisions about your health.

Similar Q&A

Understanding Radiation Exposure from Multiple CT Scans and MRI

Hello, my parents are planning to undergo health check-ups and have scheduled a 640-slice CT scan of the lungs, a 640-slice CT scan of the heart, and a whole-body MRI. Although I have done some research online and understand that whole-body MRI does not involve radiation concerns...


Dr. Wang Yifen reply Radiology
The radiation dose for a computed tomography (CT) scan of the lungs is approximately 2 millisieverts, while a coronary computed tomography angiography (coronary CTA) is about 16 millisieverts. The combined risk of these two examinations resulting in additional cancer is over 99%....

[Read More] Understanding Radiation Exposure from Multiple CT Scans and MRI


Concerns About Radiation Exposure from Multiple CT Scans After a Fall

Hello, doctor. I had an accidental fall from a height on August 13, which was life-threatening at the time. I underwent a full-body CT scan and subsequently had various surgeries that also utilized CT imaging. After being discharged, I felt very uncomfortable and was readmitted t...


Dr. Ye Weicheng reply Radiology
Hello Ms. Lin: Radiation has existed since the formation of the Earth, and both biological evolution and humans have developed a certain level of tolerance to it. Currently, we categorize radiation damage into two types: deterministic effects and stochastic effects. Deterministic...

[Read More] Concerns About Radiation Exposure from Multiple CT Scans After a Fall


Understanding Radiation Exposure from Multiple CT Scans: Risks and Safety

Hello, Doctor: I underwent a low-dose computed tomography (LDCT) scan (640 slices) in December 2023, which revealed nodules in both upper lungs, and the doctor recommended follow-up. Later, due to some health issues, I had an abdominal CT scan of the pancreas (with contrast) on J...


Dr. Wang Yifen reply Radiology
According to the information from the American Society of Radiologic Technologists, a single low-dose computed tomography (LDCT) scan has a radiation dose of approximately 2 millisieverts (mSv), while an abdominal computed tomography (including the pelvic region) has a radiation ...

[Read More] Understanding Radiation Exposure from Multiple CT Scans: Risks and Safety


Understanding Radiation Risks from Multiple CT Scans: What You Need to Know

Hello, doctor. Recently, an abdominal ultrasound detected a shadow on my liver, so the doctor arranged for an abdominal CT scan (without contrast). A week later, upon reviewing the report, it was unexpectedly found that there seems to be a shadow on my ovary as well, leading to a...


Dr. Wang Yifen reply Radiology
According to the American Society of Radiologic Technologists, each additional abdominal and pelvic computed tomography (CT) scan increases the risk of developing an additional cancer by approximately 1.2 per 1,000 scans. The purpose of imaging examinations is to assist physician...

[Read More] Understanding Radiation Risks from Multiple CT Scans: What You Need to Know


Related FAQ

Ct Scan Radiation

(Radiology)

Radiation

(Radiology)

Mri Report

(Radiology)

Ct Scan

(Gastroenterology and Hepatology)

Computed Tomography

(Pulmonology)

Ct Scan Report

(Cardiology)

Radiation

(Oncology)

Contrast Agent

(Radiology)

Radiation

(Obstetrics and Gynecology)

Pet Scan

(Nuclear Medicine)