In recent times, medical imaging procedures that utilize x-rays have come under increased scrutiny as numerous media outlets and even peer-reviewed studies have reported that these procedures are putting patients at risk of cancer and causing tens of thousands of new cases of cancer per year, with many of those resulting in death. These reports are leading to not only increased fear of medical imaging, but also to calls for policy changes and reduced use of x-ray medical imaging.
The CT scan has become on of the biggest targets. CT scans are rapidly becoming one of the most common forms of medical imaging. They’re relatively quick, painless and provide excellent diagnostic data for a wide number of conditions. The technology of CT scanning and imaging processing has improved dramatically in recent years, making the procedures both more economical and increasing data quality and resolution. There’s no doubt that these procedures save lives and improve the quality of life by giving doctors a look inside the human body at both bone and soft tissue.
CT scans do subject patients to some radiation exposure, however. The levels of radiation which a patient receives from a CT scan (or even several of them) has never been shown to actually cause any long term harm, but the long-standing and many times debunked linear non-threshold model presumes that it will. LNT was conceived as a “worst case scenario” for the effect that ionizing radiation might have on the human body in the earliest days of radiation research, when data was scarce.
LNT holds that radiation effect is directly proportional to dose, all the way down to zero and therefore assumes that the human body is incapable of repairing damage caused by radiation, recovering from radiation-induced cellular damage or in any way mitigating the effects of radiation. It further assumes that the effect of a few atoms in a human cell being ionized is smaller, but otherwise no different than an enormous amount of ionization of the cells.
There’s no doubt that cancer risk is increased by radiation if the dose is high enough. Radiation can damage the body on both a macroscopic and cellular level. A high enough dose of radiation can cause tissue damage, internal bleeding and even death. Those who do recover from multiple incidence of near-fatal acute radiation poisoning may face life-long complications and health issues relating to the damage caused by radiation. At high enough levels, the dangers appear to be relatively linear in relation to radiation dose. In other words, a person exposed to 1000 rems has approximately twice the risk of complications like cancer as someone exposed to 500.
By this logic, one rem should result in .1% the likelihood of developing cancer as 1000 rems. This has been likened to observing that when a person is thrown off a ten story building they die 100% of the time, when thrown off of a 5 story building, they die 50% of the time and therefore assuming that 10% will die from a one story fall and 1% will die after falling 12 inches. Furthermore, the implication is that the optimal living situation is zero radiation exposure (something which is effectively impossible) and the higher the exposure is over zero, the worse off you are for cancer risk.
Needless to say, many have pointed out that there’s a flaw in this logic and as knowledge of radiation has increased, LNT has begun to look less and less likely. Unfortunately for the promoters of LNT, examination of the cancer rates in populations living in high radiation background areas shows no increase in cancer and in fact, has produced some evidence of a decreased risk of cancer.
Yet what these reports on the dangers of medical imaging really are is nothing more than a combination of the LNT hypothysis and fifth grade level mathematics.
In the media:
SF Gate: CT scan cancer warnings worry patients
WEB MD: Multiple CT Scans Raise Cancer Risk
Daily Mail: CAT scan cancer fear: Radiation ‘could trigger the disease in one in 80 patients’
US News and World Report: Too Many CT Scans Pose Cancer Risk, Studies Say
Wall Street Journal: Radiation Risks Prompt Push to Curb CT Scans
The math:
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