JUN 27, 2016 2:19 PM PDT

How Dangerous is a CT Scan? Some Docs Aren't Certain

WRITTEN BY: Xuan Pham
Computed tomography (CT) scans can often be life-saving medical procedures, but do we really understand the risks involved? As it turns out, even our healthcare providers are vague on the knowledge about radiation doses and associated risks.

A recent study in the Journal of Medical Imaging and Radiation Sciences surveyed healthcare providers to assess their knowledge and beliefs about radiation risks from CT scans. They found that though most people realize the risk of ionizing radiation and what it meant for the body, most underestimate their exposure doses. The study was conducted in Saskatoon, Saskatchewan.
   Some healthcare providers do not fully understand cancer risk from CT scans | diffen.com
We are exposed to radiation from natural sources every day, all the time. These contribute to a “background” radiation dose of about 3 millisieverts (mSv) per year (mSv is a measure of the body’s absorption of radiation). A dental X-ray has a low radiation dose of 0.005 mSv, whereas a CT chest X-ray doles about 7 mSv and an abdominal-pelvic CT scan doles out about 10 mSv.

But it’s not as important to know the exact doses as it is to understand the true risks from these procedures. "Underestimating radiation dose from a CT scan is more concerning than knowing the exact dose level, particularly when it is a vast underestimation, as this may lead to minimization of the risk estimate when considering a test," said David Leswick, professor at the Department of Medical Imaging, College of Medicine, University of Saskatchewan.

The concern is magnified as more and more doctors are ordering CT scans routinely. Just in Cananda, 4.4 million CT scans were ordered in 2011-2012. To drive home the importance of radiation exposure to health, a recent study found that healthcare workers who routinely perform a certain type of radiation-based test are at higher risks for bone problems, cataracts, skin lesions, and cancer.
 


"Although risk from radiation dose levels in the range of medical imaging procedures is small, it is real as evidenced from atomic bomb survivors and nuclear industry workers showing significantly increased risk of malignancy after exposure to doses in the range of diagnostic CT," said Leswick. "The risk of fatal malignancy may be as high as 1 in 1000 for a 10-mSv exposure (approximate dose of an abdomen-pelvis CT). This risk is significant on a population basis, with up to 2% of cancers in the United States population possibly attributable to CT."

The current findings highlight the real need to reevaluate the best practices in using radiation-based procedures in the medical arena. Furthermore, as techniques and equipment get updated, so should the training given to and expected of medical professionals.

"Unfortunately, healthcare providers including physicians, radiologists, and medical imaging technologists are often not aware of radiation doses for common CT scans," said Leswick. "It is important for healthcare professionals (including referring physicians, radiologists, and technologists) to be aware of radiation dose levels and risks from imaging tests for several reasons, including the ability to weigh the risks and benefits of tests, counsel patients on relevant risks, optimize protocols to minimize radiation dose, and select appropriate protocols to minimize radiation dose."

Additional source: MNT
About the Author
  • I am a human geneticist, passionate about telling stories to make science more engaging and approachable. Find more of my writing at the Hopkins BioMedical Odyssey blog and at TheGeneTwist.com.
You May Also Like
NOV 03, 2020
Genetics & Genomics
One Eight Cancer Patients Also Carry Inherited Genetic Mutations
NOV 03, 2020
One Eight Cancer Patients Also Carry Inherited Genetic Mutations
Genetic sequencing technologies have rapidly advanced, reducing the time required to sequence the entire human genome fr ...
NOV 09, 2020
Cancer
A Prognostic Expression Profile for Osteosarcoma
NOV 09, 2020
A Prognostic Expression Profile for Osteosarcoma
Tireless research goes into every cancer diagnostic tools and new therapy. Many types of cancer have made giant steps fo ...
NOV 14, 2020
Cannabis Sciences
Half of CBD Users Test Positive for THC in Urine Tests
NOV 14, 2020
Half of CBD Users Test Positive for THC in Urine Tests
Despite the growing popularity of cannabidiol (CBD) products, there has been little research directly assessing whether ...
DEC 02, 2020
Clinical & Molecular DX
Digital Platform Watches for a Silent COVID Killer
DEC 02, 2020
Digital Platform Watches for a Silent COVID Killer
 
DEC 23, 2020
Clinical & Molecular DX
Smartphone Device Uses CRISPR to Check for COVID
DEC 23, 2020
Smartphone Device Uses CRISPR to Check for COVID
Quick, portable, and ultrasensitive—a new smartphone test for COVID-19 checks all the boxes needed to get a handle ...
JAN 18, 2021
Cancer
An "E-Nose" Could Help Doctors Diagnose Breast Cancer and Its Subtypes
JAN 18, 2021
An "E-Nose" Could Help Doctors Diagnose Breast Cancer and Its Subtypes
Breast cancer is one of the most well-studied cancers in modern medicine. Diagnostics can already differentiate between ...
Loading Comments...