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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2007

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CT-Scan radiation can equal nuclear bomb exposure

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ronju99 - 14 Oct 2007 15:09 GMT
I thought this article was interesting as there seems to be a lack of
awareness of the amount of radiation one receives from these scans. I've
read where the amount on average is 700 times the amount of a chest x-ray
and that is if the machine is properly calibrated.
http://www.newscientist.com/article/dn11827-ct-scan-radiation-can-equal-nuclear-
bomb-exposure-.html


I also don't think many patients realize how incompetent a large portion
of our medical establishment really is when it comes to treating them. My
wife,an RN told me yesterday about a patient that she just got in her
hospital that had prostate surgery fourteen years ago and it apparently
came back recently. Unfortunately she doesn't have his numbers and may not
be able to get them but he was complaining of severe pain when he tried to
urinate. They did a scan and found at least two spots, one in his spine
and the other near his original surgery site. Don't know what all was done
to him but his wife said that she took him four days a week for sixty-two
radiation treatments and just finished those recently. He was brought to
the hospital because he is passing bowel waste thought his urethra. They
have called hospice for him.

Ron S.
Steve Jordan - 14 Oct 2007 21:51 GMT
On October 14, Ron S wrote:

> I thought this article was interesting as there seems to be a lack of
> awareness of the amount of radiation one receives from these scans.

(snip)

As usual in medicine, there is controversy.

On this page will be found an exchange of correspondence that is barely
civil:

http://www.bmj.com/cgi/eletters/334/7601/1006#165307

And I find the nuclear bomb analogy to be cheap sensationalism. Just the
science, sir,
just the science.

Regards,

Steve J
Steve Jordan - 14 Oct 2007 21:56 GMT
A few minutes ago, I posted:

(snip)

> And I find the nuclear bomb analogy to be cheap sensationalism. Just the
> science, sir, just the science.

Hmmm. I find that the author of the BMJ article is named "Roxanne." So
in the
above sentence I should have addressed ma'm, not sir.

Regards,

Steve J
ron - 15 Oct 2007 03:04 GMT
> On October 14, Ron S wrote:
>
[quoted text clipped - 17 lines]
>
> Steve J

Ron S.'s assertion is indeed correct.  See the folowing Medscape
article
http://www.medscape.com/viewarticle/545569?src=mp

"In fact, one CT scan exposes a patient to the lower range of
radiation received by some Nagasaki bombing survivors. Up to one in a
thousand patients will develop cancer from this exposure."
...ron
Steve Jordan - 15 Oct 2007 03:42 GMT
Responding to me

> Ron S.'s assertion is indeed correct.  See the folowing Medscape
> article
[quoted text clipped - 3 lines]
> radiation received by some Nagasaki bombing survivors. Up to one in a
> thousand patients will develop cancer from this exposure."

Correction, please. That is *NOT* from the BMJ article. It is from
something composed by a news writer based upon something from this:
"What are the Radiation Risks from CT?" at
http://www.fda.gov/cdrh/ct/risks.html

Essentially the article minimizes risk of illness from CT exposure.

In the relevant paragraph is this: "The effective doses from diagnostic
CT procedures are typically estimated to be in the range of 1 to 10 mSv.
This range is not much less than the lowest doses of 5 to 20 mSv
received by some of the Japanese survivors of the atomic bombs (Oh
really? It's *half* [SJ]). These survivors, who are estimated to have
experienced doses only slightly larger (see note above) than those
encountered in CT, have demonstrated a small but increased
radiation-related excess relative risk for cancer mortality."

Hardly the apocalypse. As I wrote, cheap sensationalism by the "reporter."

To repeat myself for the umpteenth time, I never never ever uncritically
accept a news item or press release on medical subjects. I go to the
primary source. And that primary source might not always be reliable.

The present matter is a case in point.

Regards,

Steve J

"A man's most valuable trait is a judicious sense of what not to believe."
-- Euripides
ronju99 - 15 Oct 2007 12:05 GMT
ronju99 - 15 Oct 2007 12:13 GMT
Steve,
I read the article that you linked to and came away with confirmation of
my earlier post. The post is addressing repeated whole body scans. The 1to
10 smv is correct but the article refers to repeated testing. Once one has
been tested, the radiation effect remains and buils with repeated testing.
It doesn't take long before your level is excessive.

Also , the article states that the FDA hasn't approved CT-scanning for
screening for any diseases. The article was updated in 2002 so don't have
anything more current.

Ron S.
Steve Jordan - 15 Oct 2007 19:25 GMT
On October 16, Ron S replied to me:

> I read the article that you linked to and came away with confirmation of
> my earlier post. The post is addressing repeated whole body scans. The 1to
> 10 smv is correct but the article refers to repeated testing. Once one has
> been tested, the radiation effect remains and buils with repeated testing.
> It doesn't take long before your level is excessive.

Thanks for the clarification. I don't find the above about serial scans
in the initial post.

I doubt that there is any question that serial exposures to ionizing
radiation can be
risky.

Regards,

Steve J
ronju99 - 15 Oct 2007 14:54 GMT
The link that Steve provided is vary informative. If one accesses all the
links he will find a wealth of knowledge pertaining to CT tomography
screening. The regulation of CT scans is left up to state and local
governments which ultimately means the physician. Studies have shown that
the effective dose can vary as much as 10 to 40 times the recommended
amount from one machine to another and also based upon the physicians
technique.

Ron S.
J - 15 Oct 2007 13:24 GMT
> On October 14, Ron S wrote:
>
[quoted text clipped - 13 lines]
> science, sir,
> just the science.

http://www.bmj.com/cgi/content/full/328/7439/578
 
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