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Excuse my ignorance, but I've always been told that CTs are significantly cheaper and faster to administer. According to the famous XKCD radiation graph, a full

Excuse my ignorance, but I've always been told that CTs are significantly cheaper and faster to administer. According to the famous XKCD radiation graph, a full CT head scan is about 50% of the normal natural yearly background radiation you'll get. Not something to cheer over, but nothing to lose sleep over either. If a CT scan would suffice, why tie up the MRI machine?

hda111 6y ago
The dosage is in a shorter amount of time (within seconds instead of months). I don’t think the radiation averaged over half a year is comparable to the head CT.
- hylaride 6y ago
  My understanding is that the dosage within those few seconds is the equivalent to absorbing half a year's worth of radiation. That's explicitly what Sieverts are designed to measure: https://en.wikipedia.org/wiki/Sievert https://en.wikipedia.org/wiki/Sievert Correct me if I'm wrong, though?
  - 488643689 6y ago
    It's disputed, if the linear, no threshold model is adequate. The problem is, 1:5 people die of cancer anyway and the people getting fullbody CTs tend to be either old and die rather soon, or are people who had cancer at some point to begin with. Really hard to find a signal there. The best data is still from the nuclear accidents/bombings. Cells can repair (maybe faulty) a certain amount of damage, but may suicide when too much is broken (double-strand breaks). The amount and type of ROS generated by ionizing radiation also depends on your antioxidant state and how well tissue is saturated with oxygen (more ROS if you exercised before exposure). Generated ROS are a significant factor in cell damage, it's not just direct DNA hits. Some ROS can last for weeks and travel across cells to fuck things up. I think we can confidently say, lowish radiation exposure is: not great, not terrible ;)
joshgel 6y ago
The problem is when you are screening lots of people, most of whom don't actually have cancer. The individual risk is low, but the population risk is high. And when we talk about cancer screening we have to think at the population level.
- 488643689 6y ago
  From what I know, the risk is not high enough to leave a strong signal. The problem is the overall high cancer rate for humans. As far as I know, we still don't have a model for predicting cancer rates after low exposure to ionizing radiation.
- hylaride 6y ago
  OK, but you'd be delaying scans by having to wait for the MRI, which takes significantly longer to setup and administer as well as being much more expensive (which would further reduce access). Also (and this is according to the XKCD chart) you'd need 50 CT head scans before you'd hit the clear statistical cancer risk. But it's not like the whole population gets a CT scan every year, or even during their entire life. If you need one anyways, there's probably a more pressing issue that 1/50th the clearly statistical risk level.

hda111 6y ago

The dosage is in a shorter amount of time (within seconds instead of months). I don’t think the radiation averaged over half a year is comparable to the head CT.

hylaride 6y ago
My understanding is that the dosage within those few seconds is the equivalent to absorbing half a year's worth of radiation. That's explicitly what Sieverts are designed to measure: https://en.wikipedia.org/wiki/Sievert https://en.wikipedia.org/wiki/Sievert Correct me if I'm wrong, though?
- 488643689 6y ago
  It's disputed, if the linear, no threshold model is adequate. The problem is, 1:5 people die of cancer anyway and the people getting fullbody CTs tend to be either old and die rather soon, or are people who had cancer at some point to begin with. Really hard to find a signal there. The best data is still from the nuclear accidents/bombings. Cells can repair (maybe faulty) a certain amount of damage, but may suicide when too much is broken (double-strand breaks). The amount and type of ROS generated by ionizing radiation also depends on your antioxidant state and how well tissue is saturated with oxygen (more ROS if you exercised before exposure). Generated ROS are a significant factor in cell damage, it's not just direct DNA hits. Some ROS can last for weeks and travel across cells to fuck things up. I think we can confidently say, lowish radiation exposure is: not great, not terrible ;)

joshgel 6y ago

The problem is when you are screening lots of people, most of whom don't actually have cancer. The individual risk is low, but the population risk is high. And when we talk about cancer screening we have to think at the population level.

488643689 6y ago
From what I know, the risk is not high enough to leave a strong signal. The problem is the overall high cancer rate for humans. As far as I know, we still don't have a model for predicting cancer rates after low exposure to ionizing radiation.
hylaride 6y ago
OK, but you'd be delaying scans by having to wait for the MRI, which takes significantly longer to setup and administer as well as being much more expensive (which would further reduce access). Also (and this is according to the XKCD chart) you'd need 50 CT head scans before you'd hit the clear statistical cancer risk. But it's not like the whole population gets a CT scan every year, or even during their entire life. If you need one anyways, there's probably a more pressing issue that 1/50th the clearly statistical risk level.