Computed Tomography and its Risks
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Medical imaging exams, including Computed Tomography scans have been directly linked to greater life expectancy and declining cancer death rates. Medical imaging exams are also generally less expensive and safer than invasive procedures, such as exploratory surgery. Like other X-ray imaging exams, CT scans expose you briefly to a small, targeted amount of ionizing radiation. The radiation helps create an image of structures inside your body. CT scans provide more-detailed images of more types of tissue than traditional X-rays do, which allows your doctor to detect and locate many medical conditions.
CT scans have various purposes. They include helping to diagnose a condition, guiding medical procedures, such as needle biopsies, and monitoring the effectiveness of certain treatments, such as cancer treatments. At the low doses of radiation a CT scan uses, your risk of developing cancer from it is so small that it can't be reliably measured. Because of the possibility of an increased risk, however, the American College of Radiology advises that no imaging exam be done unless there is a clear medical benefit.
Risks
The amount of radiation used during a CT scan is considered minimal; therefore, the risk for radiation exposure is low. The more scans you have, the higher your lifetime exposure and therefore the higher your risk. If contrast dye is used, there is a risk for allergic reaction to the dye. Patients who are allergic to or sensitive to medications, contrast dye, iodine, or shellfish should notify their physician. Patients with kidney failure or other kidney problems should notify their physician. In some cases, the contrast dye can cause kidney failure, especially if the person is taking Glucophage (a diabetic medication).
If you are pregnant or suspect that you may be pregnant, you should notify your physician. Radiation exposure during pregnancy may lead to birth defects.
There may be other risks depending upon your specific medical condition. Be sure to discuss any concerns with your physician prior to the procedure.
Certain factors or conditions may interfere with the accuracy of a CT scan of the chest. These factors include, but are not limited to, the following:
- Metallic objects within the chest, such as surgical clips or a pacemaker
- Body piercings on the chest
- Barium in the esophagus from a recent barium study
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