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CT scan safety

MAC & Bronchiectasis | Last Active: Nov 16 7:31am | Replies (16)

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@sueinmn

@cattleya This question comes up frequently for people with chronic health conditions that require periodic monitoring via a CT scan or x-ray. So I looked for what the cancer experts had to say, and found this from Sloan Kettering Cancer Center:
https://www.mskcc.org/news/scan-safety-radiation-reality-check
Essentially, the number crunchers say each scan, on average gives you a 1/2000 additional risk of developing cancer at some point. Compared to the risk of losing a lung, or worse, that is pretty low.

I talked to my new pulmonologist about how often my scans need to be done with stable bronchiectasis and no evidence of infection, and she prefers every 2 years because it can progress "silently" and we want to stay on top of things. (When I had an active infection, the scans were every 4 months.)

On the other hand, my cardiologist says we only need to repeat my heart CT if I get new symptoms or if the medication management stops working, as these would be clear signs of progression.

Both doctors stressed using the newest technology and techniques to minimize the amount of exposure, In fact my most recent lung CT only took 14 minutes from beginning to end, and the scanner didn't run the whole time. The tech explained how they keep updating her training with new software and positioning techniques, and that 10 years ago the same scan took over 30 minutes on a machine that used 4 times as much radiation.

So, how much is too much? Only you and the doctor can decide, but rest assured that no one orders these tests just out of curiousity.

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Replies to "@cattleya This question comes up frequently for people with chronic health conditions that require periodic monitoring..."

Sue
If I remember correctly you had a CScan recently and were working on getting a good acceptable sputum for testing. Did you get an acceptable notification?
Was your CScan showing plugging?
I know you had to remove yourself from taking the antibiotics early on and yet cleared yourself of the infection???? had better CScan results eventually????
My new local pulmonologist, who I believe may turn out to be the right one after two other local "try outs"; so to speak; said that the CScan has greater determination of whether or not one is placed on the antibiotics vs the sputum results that show MAI. That was a surprise for me.
I wonder if different doctors differ on what to use as an indication for putting a person on antibiotics or is it the amount of plugging showing up on the CScan and knowing the person has an infection?????
Hope you are out of, or closer to, being out of the 'sling'. Such fun....dealing with muscles, organs, bones, systems and doctor visits for one health concern or another which gives us more things to work around and then be ingenious about in solving the problem of how to work around it. Need 10 laughing emoji's here and now.
Barbara

Thanks for your reply! Good article too!