HomeAnswersRadiologypulsatile tinnitusShould I be concerned about being exposed to a lot of radiation at the age of 65?

I am 65-year-old and does a lot of radiation cause cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 3, 2022
Reviewed AtDecember 16, 2022

Patient's Query

Hi doctor,

I have been experiencing pulsatile tinnitus for a year. I had a CTA of the brain with and without contrast, CT of the temporal bone, and an angiogram of the brain and neck. I went for another opinion, and my doctor suggested doing a CTV of the brain and redo temporal bone CT both with and without contrast. My question is that I am 65-year-old and does a lot of radiation to the brain in two years cause cancer? Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern. It is quite natural to be concerned about radiation hazards, particularly when doing several scans consecutively. However, please be assured that the radiation of each scan is kept "as low as reasonably achievable" (ALARA) so that it does not have a significant risk when you get repeated scans. Hence, please ward off your worries, and follow your doctor's suggestions regarding imaging and treatment.

Kindly revert in case of further queries.

Patient's Query

Hi doctor,

Thank you for the reply. I forgot to mention that I have a rare autoimmune disease. So for four years, I have had the following,

1) CT of chest, abdomen, and pelvis with contrast - four years back.

2) CT of chest, abdomen, and pelvis with contrast - three years back.

3) CT of chest, abdomen, and pelvis with contrast - two years back.

4) CTA of the brain with contrast, CT of the temporal bone, angiography of the brain with contrast, a year back, and now CTV of the brain with contrast.

Could it cause cancer? What are your thoughts on the above? How much radiation does MRV cause? Kindly help.

Hi,

Welcome back to icliniq.com.

I understand your concerns about radiation risks are significant since you have to get repeated CT (computed tomography) scans. The kind of cancer risks associated with medical CT scans is "stochastic," which can happen to anyone irrespective of dose or number of scans. Hence, the solution is to keep radiation exposure to ALARA. The stochastic risks also have some calculations, where it says that a CT of the abdomen is associated with a one in 10,000 to one in 1000 risk of cancer. And of course, that risk theoretically increases when you have to get more scans, so if someone gets four CT abdomen, their risk is something like four in 1000. And according to certain statistics, about 40 % of the population gets cancer in their lifetime, so your concerns are genuine and valuable. Please be assured that the medical professionals are always aware of these statistics and are trained from the ground up to assess the risk versus benefit ratio before advising any procedure or scan. You can indeed discuss your previous scans and your concerns with your treating physician so that they may consider alternatives if possible. For example, MRV (magnetic resonance venography) does not have any radiation or radiation risk. So, your doctor can choose MRV instead of CTV (computed tomography venography).

I hope you get well soon.

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

Dr. Muhammad Shoyab
Dr. Muhammad Shoyab

Radiodiagnosis

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