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What factors influence CT scan radiation dose?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had an abdominal computed tomography (CT) scan eight years ago without contrast due to a kidney stone. At the time, I was shielded, but I was not sure about the radiation dose from the scan. Recently, I had another abdominal CT scan, this time with contrast and a delayed phase (before and after contrast). The scan was done on a modern Siemens device (SOMATOM), and the total radiation dose was between 8.19 and 9.28 mSv. However, I was not shielded during this scan.

I am now concerned about the potential long-term risk of developing cancer due to these scans. Could you explain how these radiation doses might affect the body? Also, why do so many people express concerns and ask about the risks of CT scans online?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

The risk of developing cancer from an abdominal CT scan with contrast, delivering a dose of eight to nine mSv (millisieverts), is generally low but measurable. The additional lifetime risk of developing cancer from this dose is about one in 1,250 to one in 2,000 for adults. The risk is higher in children and lower in older adults due to their longer life expectancy and greater sensitivity to radiation. A dose of eight to nine mSv is considered mild to moderate. While the cancer risk from a single CT scan is small, it should still be taken into account when making medical decisions.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

How does this risk compare to the everyday risks we face in daily life? Do I need any additional medical tests because of this radiation exposure? You mentioned the risk is one in 1,250, but how can I be sure I would not be the one affected? I am 28 years old, a non-smoker, do not drink alcohol, weigh 150.4 pounds, and am 5 feet 7.7 inches tall. I practice intermittent fasting and regularly run and walk briskly. How does the radiation risk apply to me, or does it make a difference?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

No additional tests are needed after a single CT (computed tomography) scan unless your doctor thinks they are necessary. Unfortunately, radiation-induced cancer, like any type of cancer, cannot be predicted for an individual. However, you can understand the risk statistically: Out of 1,250 people exposed to this dose of radiation, only one may develop cancer due to the exposure, while the majority will not.

Your healthy lifestyle significantly reduces your overall cancer risk, which is beneficial. Although it does not directly reduce the effects of radiation, factors like not smoking, being active, and maintaining a healthy diet can lower your overall cancer risk. Not smoking reduces your risk of lung cancer, which could otherwise increase the effects of radiation. Physical activity reduces inflammation and helps improve DNA repair, which could lower long-term cancer risk. Intermittent fasting may also help improve cellular health and support the body's ability to repair DNA damage caused by radiation.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Does the one in 1,250 probability of developing cancer mean it is just a theoretical estimate and not a certainty? Since radiation-induced cancer can not be predicted, how can I trust these statistics? I am now feeling like my decision to undergo the recent scan was a mistake, and it is causing me a lot of anxiety about developing cancer in the future. Is my anxiety justified, or am I overreacting? Does radiation directly cause cancer, or does it only increase the risk?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

The one in 1,250 estimate is based on statistical models from large populations and represents a theoretical probability, meaning it does not guarantee that any individual will develop cancer. These statistics come from well-established studies, including research on large groups exposed to varying radiation doses and risk models used by organizations like the International Commission on Radiological Protection (ICRP) and the BEIR (benchmark for information retrieval) VII Report. It is important to know that the decision to have the CT (computed tomography) scan was not a mistake it was likely necessary for diagnosing or ruling out a serious condition. The additional risk from the scan is very small compared to everyday risks, such as car accidents or common illnesses. While it is normal to feel anxious, focusing on maintaining a healthy lifestyle, which lowers your cancer risk, is more helpful. If your anxiety continues, talking to your doctor or a counselor can provide reassurance. Radiation does not directly cause cancer; it only increases the risk. Your decision to have the CT scan was medically justified, and the risk is low, especially with your healthy lifestyle. Rather than focusing on this small risk, it is better to continue prioritizing your health and minimize unnecessary future scans. If your anxiety persists, consider seeking professional support for peace of mind.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Can I track or monitor the effects of radiation on my health at this point? How do cells repair damage caused by radiation, and is the damage permanent? Are there any tests I can take to check if my cells have been damaged or to detect any similar effects?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Radiation effects are generally cumulative, meaning they build up over time, but most diagnostic CT (computed tomography) scans, including abdominal ones, use relatively low radiation doses. Immediate health effects are unlikely unless there are repeated exposure or high doses of radiation. Long-term effects can be estimated using tools like radiation risk calculators, but tracking the effects in real-time is difficult and not currently possible.

Cells have repair mechanisms, like DNA (deoxyribonucleic acid) repair pathways, to fix damage caused by radiation. Minor damage is usually repaired successfully. However, if the damage is too severe for the repair systems to handle, it can lead to permanent changes, cell death, or an increased risk of cancer over time.

While specific tests for immediate radiation damage are rare, some markers like oxidative stress or DNA damage (such as γ-H2AX assays) may be used in research settings. In practice, routine follow-up and monitoring for any symptoms over time are usually enough after diagnostic scans.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

You mentioned earlier that “Your lifestyle does not directly reduce the effects of radiation but lowers your overall cancer risk.” Could you explain that more clearly? Many people online express concerns about the long-term effects of CT (computed tomography) scans and the potential risk of developing cancer, often worrying to the point of sleeplessness. This can be due to the anxiety surrounding radiation exposure, even though the risk is low. On the other hand, non-smokers do not seem to worry as much about cancer in the future, even though smoking is a well-known risk factor. How does the cancer risk from smoking compare to the relatively low risk of developing cancer after undergoing two CT scans?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

A healthy lifestyle does not directly repair radiation damage, but it helps improve overall health and strengthens the immune system, which can lower the risk of cancer from other factors. For example, eating a diet rich in antioxidants can help fight oxidative stress, and regular exercise boosts the immune system’s ability to detect and fight cancer cells.

The lifetime cancer risk from two CT (computed tomography) scans is very low, about 0.05 percent to 0.1 percent. It is important to keep in mind that everyday activities, like exposure to sunlight or air pollution, also carry risks, but these are often not feared as much. Excessive worry, or "radiophobia," can sometimes be out of proportion to the actual risk and may need reassurance from a healthcare professional.

When comparing smoking and the risks of CT scans, smoking 20 cigarettes a day for a year increases the risk of cancer much more (by two to three percent) than undergoing two CT scans.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

From what I understand, if the (computed tomography) scan causes cell damage, it could potentially lead to cancer in the future. However, my healthy lifestyle would not affect this risk, right? I also read that cell damage from smoking can be repaired, while radiation damage can't always be repaired. Is that true?

I am also struggling to grasp the risk percentage. If my CT scans have increased my risk to 0.1 percent, and radiation-induced cell damage is not influenced by a healthy lifestyle, it seems like whether or not I get cancer is just a matter of luck. If cell damage happens, it seems like I would inevitably develop cancer in the future.

It also does not seem right to me that, despite leading a very healthy lifestyle, having no chronic illnesses, and no family history of cancer, I might still develop cancer from CT scans. This is why I’m having trouble fully understanding how my risk has increased.

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Maintaining a healthy lifestyle, both physically and mentally, can help reduce unnecessary worry about the small risks associated with medical scans, like radiation exposure. A balanced diet, regular exercise, and managing stress strengthen your body’s resilience. Practices like mindfulness can also help reduce anxiety. Medical scans are designed to be safe, and the chance of developing cancer from one or two scans is very low compared to the benefits they provide for diagnosing health issues. Worrying too much about these minimal risks can negatively affect your mental health, so it’s better to trust medical guidelines and focus on living a healthy, balanced life.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I am feeling really exhausted by this issue, and I’m not just looking for reassurances but for clear scientific facts. Do you have any advice for me on how to approach this?

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Anxiety about CT (computed tomography) scans often comes from concerns about radiation exposure, but scientific evidence shows that the risks are very low when these scans are medically needed. A single CT scan usually delivers a radiation dose between one to ten millisieverts (mSv), which is similar to a few months or even years of natural background radiation, depending on the type of scan. The lifetime cancer risk from this level of exposure is very small, estimated at less than 0.05-0.01 percent for most people. Modern CT technology uses optimized settings to reduce radiation, following the ALARA principle ("As Low As Reasonably Achievable"). The benefits of CT scans, like early detection and accurate treatment planning, are much greater than these small risks. Understanding this can help reduce unnecessary anxiety about getting a CT scan.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

It seems that I am feeling excessive anxiety about this, and I can understand why. The fear likely started when a doctor made me worry about the scan before I had it. Even though the scan turned out to be necessary, their words are still on my mind, which is why I am feeling this way now.

Kindly help.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern.

If the scans are necessary, then one scan will not cause harm. Relax and try not to let anxiety take over.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed by iCliniq medical review team
Published At January 17, 2025
Reviewed At March 5, 2025

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Muhammed Hassan is a General Physician specializing in Radiology with 11 years of clinical experience. He completed his MBBS and MD at the University of Health and Science, Lahore. He specializes in medical imaging to diagnose and treat diseases within the body. Currently, he is working at PIMS in the Department of Neurology, Islamabad, Pakistan.

This doctor is not available for online consultations on the platform anymore.

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