Typical effective doses and lifetime fatal cancer risks from diagnostic medical exposures


    Typical effective doses, equivalent periods of natural background radiation
    and lifetime fatal cancer risks from diagnostic medical exposures in the 1990s


    Diagnostic procedure

    Typical effective dose (mSv)

    Equivalent period of natural background radiation*

    Risk of fatal cancer per examination**

    X-ray examinations:

     

     

     

    Limbs and joints (except hip)

    <0.01

    <1.5 days

    1 in a few million

    Teeth (single bitewing)
    (panoramic)

    <0.01

    0.01

    <1.5 days

    1.5 days

    1 in a few million

    1 in 2 million

    Chest (single PA film)

    0.02

    3 days

    1 in a million

    Skull

    0.07

    11 days

    1 in 300,000

    Cervical spine (neck)

    0.08

    2 weeks

    1 in 200,000

    Hip

    0.3

    7 weeks

    1 in 67,000

    Thoracic spine

    0.7

    4 months

    1 in 30,000

    Pelvis

    0.7

    4 months

    1 in 30,000

    Abdomen

    0.7

    4 months

    1 in 30,000

    Lumbar spine

    1.3

    7 months

    1 in 15,000

    Barium swallow

    1.5

    8 months

    1 in 13,000

    IVU (kidneys and bladder)

    2.5

    14 months

    1 in 8000

    Barium meal

    3

    16 months

    1 in 6700

    Barium follow

    3

    16 months

    1 in 6700

    Barium enema

    7

    3.2 years

    1 in 3000

    CT head

    2

    1 year

    1 in 10,000

    CT chest

    8

    3.6 years

    1 in 2500

    CT abdomen/pelvis

    10

    4.5 years

    1 in 2000

    Radionuclide studies:

     

     

     

    Lung ventilation (81mKr)

    0.1

    2.4 weeks

    1 in 200,000

    Lung perfusion (99mTc)

    1

    6 months

    1 in 20,000

    Kidney (99mTc)

    1

    6 months

    1 in 20,000

    Thyroid (99mTc)

    1

    6 months

    1 in 20,000

    Bone (99mTc)

    4

    2.3 years

    1 in 5000

    Dynamic cardiac (99mTc)

    6

    2.7 years

    1 in 3300

    Myocardial perfusion (201Tl)

    18

    8 years

    1 in 1100

    *

    UK average = 2.2 mSv per year: regional averages range from 1.5 to 7.5 mSv per year.

    **

    Approximate lifetime risk for patients from 16 to 69 years old: for paediatric patients multiply risks by about 2; for geriatric patients divide risks by about 5.

    From the NRPB Visit their website at    http://www.nrpb.org.uk/