CT scans are important tools for diagnosing various medical issues, from tumors to kidney stones. They provide more detail than regular X-rays but come with a hidden risk: radiation exposure. Recent research suggests that CT scans could be linked to about 5% of all cancers diagnosed in the U.S. This alarming statistic stems from a study published in JAMA Internal Medicine.
Dr. Rebecca Smith-Bindman, a radiologist at the University of California, San Francisco, led the study. She emphasized the need to balance the benefits of medical imaging with its risks. While imaging can save lives, understanding the potential harms is crucial.
The study estimates that around 103,000 new cancer cases could arise from the 93 million CT scans performed in the U.S. in 2023. This marked increase in CT usage—up 35% since 2007—is attributed to the rise in low-value imaging, which may not be necessary for diagnosis.
Dr. Smith-Bindman notes that radiation levels from CT scans can vary significantly from one facility to another. In some cases, the radiation dose can be up to 50 times stronger than in others. This discrepancy often depends on how the scan is executed rather than the machine itself.
Dr. Dana Smetherman, CEO of the American College of Radiologists, praised the research for highlighting radiation risks. She pointed out that many people do not realize that alternatives like ultrasounds and MRIs do not emit radiation.
A notable comparison is the risk of CT scans to other well-known cancer risk factors. Research indicates that the risks associated with CT scans are comparable to those from alcohol and obesity, two factors that contribute significantly to cancer rates. In contrast, smoking remains the leading cause of cancer, responsible for 19% of cases.
To limit radiation exposure, experts recommend avoiding unnecessary scans. An initiative named Choosing Wisely, launched in 2012, aimed to educate patients and doctors about when imaging is truly necessary. However, it hasn’t fully succeeded in reducing the practice of low-value imaging.
Improving scan protocols and optimizing radiation doses could have a significant impact. The key is to educate patients so they can advocate for themselves. Asking healthcare providers about the necessity of a scan and the radiation involved is vital.
The University of California, San Francisco, has created the Know Your Dose website to help patients understand the radiation associated with various scans. For instance, the radiation from a brain scan can range from the equivalent of 200 dental X-rays to an astounding 1,600.
Patient awareness plays a crucial role in minimizing risks. Dr. Smith-Bindman stresses that patients should feel empowered to ask their doctors, “Can you use a lower dose when you scan me?” Encouragingly, this simple question can lead to more cautious practices.
As medical technology evolves, ongoing discussions about the benefits and risks of imaging are necessary. Balancing the need for accurate diagnoses with patient safety must be a shared priority for healthcare providers.
For more details on the risks associated with CT scans and how to manage radiation exposure effectively, you can visit the Know Your Dose website.