November 29, 2018

How Much Radiation with CT Scans of the Sinus or Neck?

Patients are often too quick to want CT scans to further evaluate their symptoms without appreciating the downsides of such exams. For ENTs, that mainly involves scans of either the Sinus or Neck. Using the website RayRisk.com, one can easily figure out how much radiation exposure occurs with not just CT scans, but all other radiological scans as well.

To use as a baseline, take a regular Chest X-ray which exposes a person to 0.10 mSv of radiation.

A CT Sinus scan requires ~0.7 mSv or radiation equal to about 7 chest x-rays.

A CT Neck scan requires ~6.0 mSv or radiation equal to about 60 chest x-rays.

A CT Head or Brain scan requires ~2 mSv or radiation equal to about 20 chest x-rays.

(For another basis of comparison, sunlight exposes a person to ~3-6 mSv of radiation per year or radiation equal to about 2.5 - 5 chest x-rays a month.)

Obviously, the more radiation exposure, the greater future risk for cancer development.

So unless a CT scan is truly necessary, the future cancer risk may not be worth it.

Radiological exams that do NOT expose a patient to radiation include ultrasounds and MRI scans, though there are definite downsides to these tests as well (MRI scans can not see bone and ultrasounds have poorer definition).
Fauquier blog
Fauquier ENT

Dr. Christopher Chang is a private practice otolaryngology, head & neck surgeon specializing in the treatment of problems related to the ear, nose, and throat. Located in Warrenton, VA about 45 minutes west of Washington DC, he also provides inhalant allergy testing/treatment, hearing tests, and dispenses hearing aids. He is also the chief medical officer of O2Labz, a medical and scientific 3D animation company.Google+ Christopher Chang, MD Bio

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