[ 會員#25961 ] nancy
radiation risk exposed in medical test
病患者女 - 58歲
what is the radiation risk exposed i.e. cancer risk for a female who had the following CT scan:
a. at aged 50, a CT scan on pelvis and abdomen with contrast
b. at aged 58, a CT scan calcium scoring and neck and head with contrast
I don't know there are raditions imposed in CT scan. When I know of its increasing cancer risk, I am freaked out
The doctors never informed me of the risks
what is the radiation risk exposed i.e. cancer risk for a female who had the following CT scan:
a. at aged 50, a CT scan on pelvis and abdomen with contrast
b. at aged 58, a CT scan calcium scoring and neck and head with contrast
I don't know there are raditions imposed in CT scan. When I know of its increasing cancer risk, I am freaked out
The doctors never informed me of the risks
高國進醫生回覆:
29/06/2021
29/06/2021
Hi Nancy,
Radiation exists everywhere. Your spouse lying next to you emits
radiation. The banana you eat emits radiation. We receive radiation
when we walk under the sun. The radiation exposure of a 6 hour flight
equals that of taking 2 chest X rays. A CT head scan's radiation
exposure is equal to half to 1 year's background radiation exposure of
a normal person, or 12-24 flights from Hong Kong to London. The yearly
cumulative dose clearly linked to increased cancer risk is 100mSv:
that equals 1200 flights from Hong Kong to London or taking 100 CT
head scans in 1 year. So long as we try to avoid unnecessary radiation
exposure and do not exceed 50 mSv cumulative dose per year then we
should be fine.
(Ref: https://twistedsifter.com/wp-content/uploads/2016/08/radiation-dose-chart-infographic-xkcd.png
)
Now back to your question. A head and neck CT with contrast gives you
about 1-2 mSV of radiation; an abdomen and pelvic CT with contrast
gives you about 8-14 mSv. (Ref
https://www.openaccessjournals.com/articles-images/imaging-in-medicine-dose-values-1-1-65-t001.png
). The required radiation varies among individuals, depending on how
much is necessary in order to achieve a good quality image. Factors
affecting radiation dose include the fat content of the patient,
target organ motion, the CT image reconstruction algorithm, the size
of the area involved, and the resolution required. This list is not
exhaustive, but it can give you somewhat an idea why there is a
difference in radiation dose in different situations.
Sincerely,
Dr. Jason Ko
Radiation exists everywhere. Your spouse lying next to you emits
radiation. The banana you eat emits radiation. We receive radiation
when we walk under the sun. The radiation exposure of a 6 hour flight
equals that of taking 2 chest X rays. A CT head scan's radiation
exposure is equal to half to 1 year's background radiation exposure of
a normal person, or 12-24 flights from Hong Kong to London. The yearly
cumulative dose clearly linked to increased cancer risk is 100mSv:
that equals 1200 flights from Hong Kong to London or taking 100 CT
head scans in 1 year. So long as we try to avoid unnecessary radiation
exposure and do not exceed 50 mSv cumulative dose per year then we
should be fine.
(Ref: https://twistedsifter.com/wp-content/uploads/2016/08/radiation-dose-chart-infographic-xkcd.png
)
Now back to your question. A head and neck CT with contrast gives you
about 1-2 mSV of radiation; an abdomen and pelvic CT with contrast
gives you about 8-14 mSv. (Ref
https://www.openaccessjournals.com/articles-images/imaging-in-medicine-dose-values-1-1-65-t001.png
). The required radiation varies among individuals, depending on how
much is necessary in order to achieve a good quality image. Factors
affecting radiation dose include the fat content of the patient,
target organ motion, the CT image reconstruction algorithm, the size
of the area involved, and the resolution required. This list is not
exhaustive, but it can give you somewhat an idea why there is a
difference in radiation dose in different situations.
Sincerely,
Dr. Jason Ko
以上資料只供參考,不能作診症用途,
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診,切勿延誤治療。
若資料有所漏誤,本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診,切勿延誤治療。
若資料有所漏誤,本網及相關資料提供者恕不負責。

PETER : 休克+頭暈抽搐
病患者男 - 75歲 醫生你好 在今年3月, 曾在街上急步行路時, 突然休克, 大約15秒後醒回來.......Gigi : 腳浮浮 頭暈暈
病患者女 - 44歲 醫生您好, 本人由一年前起,每逢月經前夕,都會出現一兩次心悸、行路時突然覺得.......ChiTong : 心臟跳動快
病患者男 - 26歲 上個月中開始突然心臟跳得好快,已即時入院檢查並且於今個月去私家醫院做檢查 都話任何.......Ckc : 需唔需要做ct scan
病患者男 - 54歲 醫生你好 , 我間唔中會胸悶, 間中呼吸要用少少力, 睇醫生做咗運動心電圖, 說一.......ChiTong : thymic cyst
病患者男 - 26歲 睇心臟科時照X光、報告時醫生話有1.1cmx1cm nodule 話屬正常情況,.......Huyu : 心跳監察邊個準啲?
病患者女 - 21歲 Hello 醫生 想問下除左apple watch,仲有冇其他手錶係量心跳同....... 發出提問使用細則
致高國進醫生 提問