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Understanding Radiation, X-Rays, Mammograms, & CT Scans

As with chemotherapy, certain forms of of breast cancer in these women and
medical radiation can lead to an generally recommend that they have
increased risk of cancer. The benefits of vigilant lifetime screening for breast
using these types of medical radiation, cancer. However, most studies of
however, generally far outweigh the risks individuals with Hodgkin's disease have
associated with them. found no increased breast cancer risk
Radiation Therapy: Radiation therapy uses among women who receive radiation at 30
high-energy ionizing radiation to destroy years and older.
cancer cells and treat or control cancer. X-rays and Mammography: Many people are
Radiation therapy's cancer-causing concerned about their exposure to x-rays.
potential was recognized many years ago. X-rays (including mammograms, x-rays of
In fact, much of our knowledge about the breast) use doses of radiation that
ionizing radiation has come from studying are many times lower than those used in
the survivors of the atomic bombs and radiation therapy. As with radiation
their radiation in Japan, from workers' therapy, studies in the past have shown
occupational exposure to radiation, and that there appears to be some risk in
from patients treated with radiation receiving many x-ray examinations,
therapy for malignant and nonmalignant particularly for children who have
disease. Despite being relatively rare, multiple x-rays. The level of radiation
the development of a second cancer is in modern x-rays is much lower than that
more common among those who receive used even 25 years ago and poses much
radiation therapy than those who do not. less of a risk. While it's a good idea to
It's a fine balance. You have to weigh minimize repeat exposures whenever
the risk against the medical benefit. If possible, especially in children, it's
you have a cancer and you're going to be important not to avoid necessary x-rays.
treated with radiation, you should be CT Scans: Computed tomography (CT) scans
concerned about the risk of developing a use larger doses of radiation than those
second cancer, but not to the extent that found in conventional x-rays. Again,
you turn down possible treatment. On the concern has been raised over the
other hand, you should certainly discuss possibility of an increased cancer risk
the treatment options fully with your in children who receive multiple CT
doctor. scans. Ways to lower radiation doses
Most cases of leukemia related to without compromising medical value are
radiation exposure develop within a few encouraged.
years of exposure, peaking at five to Another potential source of exposure to
nine years then slowly declining. Most radiation are whole-body CT scans, which
other forms of cancer do not occur until some people are now requesting as part of
ten years after radiation exposure, and a regular health checkup as a way to
some cancers are diagnosed even fifteen screen for cancer and other diseases.
or more years later. Radiation-related Many groups, including the PDA, have
leukemia risk depends on a number of expressed concern over this practice
factors, such as the amount of radiation because there is little evidence of its
received, the percentage of bone marrow usefulness, and it exposes people to
exposed to radiation, and whether the unnecessary radiation. Sometimes CT scans
patient was also treated with are available in shopping malls. They are
chemotherapy. advertising for healthy people to come in
Studies of radiation-related breast and get whole-body scans. This is
cancer have found the greatest risk in unnecessary and inappropriate.
women who were irradiated as children and However, whole-body CT scans do have
adolescents for other conditions. (The their place. They can save the lives of
most common reason for adolescents to accident victims who need quick
have chest radiation is Hodgkin's evaluation to determine if they have a
disease, a type of lymphoma.) Oncologists ruptured spleen or punctured lung. They
(doctors specializing in cancer are also effective in diagnosing some
treatment) know about the increased risk chronic conditions.




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